Health effects of the Chernobyl disaster: Illness or illness behavior? A comparative general health survey in two former Soviet regions
Health effects of the Chernobyl disaster: Illness or illness behavior? A comparative general health survey in two former Soviet regions
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DOI：
10.2307/3433666
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发表时间：
1997-12-01
影响因子：
10.4
通讯作者：
Savelkoul, J
中科院分区：
文献类型：
--
作者：
Havenaar, J;Rumyantzeva, G;Savelkoul, J
本文描述了1986年切尔诺贝利事故发生6.5年后在白俄罗斯一个受严重污染的地区和俄罗斯联邦一个社会经济状况相当但未受影响的地区进行的一般健康调查（n=3044）的结果。这项研究的目的是调查这两个地区居民的一般健康状况是否存在可能归因于切尔诺贝利灾难的差异。研究人员使用各种自我报告问卷，对这些地区的广泛人口样本进行了研究。亚样本（n=449）通过标准化的身体和精神检查进一步检查。结果显示，暴露地区居民自述问卷得分较高，医疗服务利用率较高。在全球临床健康指数方面没有观察到显著差异。虽然有一些疾病在受照射地区更为普遍的趋势，但这些疾病都不能直接归因于电离辐射照射。本研究结果表明，切尔诺贝利灾难对暴露人群的心理健康、健康相关生活质量和疾病行为有显著的长期影响。
Results are described of a general health survey (n=3044) that was conducted 6.5 years after the Chernobyl accident in 1986 in a seriously contaminated region in Belarus and a socioeconomically comparable, but unaffected, region in the Russian Federation. The purpose of the study was to investigate whether there are differences in the general health status of the inhabitants of the two regions that may be attributed to the Chernobyl disaster. A broad-based population sample from each of these regions was studied using a variety of self-report questionnaires. A subsample (n=449) was further examined with a standardized physical and psychiatric examination. The results show significantly higher scores on the self-report questionnaires and higher medical service utilization in the exposed region. No significant differences were observed in global clinical indices of health. Although there were trends for some disorders to be more prevalent in the exposed region, none of these could be directly attributed to exposure to ionizing radiation. The results of this study suggest that the Chernobyl disaster had a significant long-term impact on psychological well-being, health-related quality of life, and illness behavior in the exposed population.