Pre-typhoon socioeconomic status factors predict post-typhoon psychiatric symptoms in a Vietnamese sample.

Pre-typhoon socioeconomic status factors predict post-typhoon psychiatric symptoms in a Vietnamese sample.
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DOI:
10.1007/s00127-013-0684-0
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发表时间:
2013-11
影响因子:
4.4
通讯作者:
Amstadter, Ananda B.
Amstadter, Ananda B.
中科院分区:
医学2区
文献类型:
--
作者:
Brown, Ruth C.;Trapp, Stephen K.;Berenz, Erin C.;Bigdeli, Tim Bernard;Acierno, Ron;Trinh Luong Tran;Lam Tu Trung;Nguyen Thanh Tam;Tran Tuan;La Thi Buoi;Tran Thu Ha;Tran Duc Thach;Amstadter, Ananda B.

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暴露在自然灾害中会增加患各种形式精神病的风险。有证据表明,社会经济地位(SES)对于理解灾后精神痛苦可能是重要的;然而,在非西方、灾难暴露的样本中,缺乏SES相关因素的研究。目前这项研究的主要目的是研究台风前SES相关因素在暴露于台风香山的越南人中与台风后精神症状有关的作用。2006年,台风Xangsane扰乱了越南的一项心理健康需求评估,在该评估中,台风前进行了自我报告问卷-20(SRQ-20)和人口与健康调查财富指数,这是为低收入国家创建的一项衡量社会经济状况的指标。SRQ-20在台风过后重新使用。线性混合模型的结果表明,年龄较大、女性和台风前精神症状水平较高的协变量与台风后精神症状水平较高相关。对SES指标的分析表明,拥有较少消费品、家政服务质量较低和受教育程度较低与台风后症状水平较高有关,超过协变量,而家庭建筑质量、就业状况和保险状况与台风后精神症状无关。即使在控制了人口统计特征和台风前的精神症状后,某些SES因素也可以唯一地预测台风后的精神痛苦。这些SES特征可能有助于确定发展中国家在灾害暴露后需要及早干预的个人。
Exposure to natural disasters has been associated with increased risk for various forms of psychopathology. Evidence indicates that socioeconomic status (SES) may be important for understanding post-disaster psychiatric distress; however, studies of SES-relevant factors in non-Western, disaster-exposed samples are lacking. The primary aim of the current study was to examine the role of pre-typhoon SES-relevant factors in relation to post-typhoon psychiatric symptoms among Vietnamese individuals exposed to Typhoon Xangsane. In 2006, Typhoon Xangsane disrupted a mental health needs assessment in Vietnam in which the Self Reporting Questionnaire-20 (SRQ-20) and the Demographic and Health Surveys Wealth Index, a measure of SES created for use in low-income countries, were administered pre-typhoon. The SRQ-20 was re-administered post-typhoon. Results of a linear mixed model indicated that the covariates of older age, female sex, and higher levels of pre-typhoon psychiatric symptoms were associated with higher levels of post-typhoon psychiatric symptoms. Analysis of SES indicators revealed that owning fewer consumer goods, having lower quality of household services, and having attained less education were associated with higher levels of post-typhoon symptoms, above and beyond the covariates, whereas quality of the household build, employment status, and insurance status were not related to post-typhoon psychiatric symptoms. Even after controlling for demographic characteristics and pre-typhoon psychiatric symptoms, certain SES factors uniquely predicted post-typhoon psychiatric distress. These SES characteristics may be useful for identifying individuals in developing countries who are in need of early intervention following disaster exposure.
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影响因子: 7.5
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