Preliminary Assessment of Hurricane Harvey Exposures and Mental Health Impact.

Preliminary Assessment of Hurricane Harvey Exposures and Mental Health Impact.
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DOI:
10.3390/ijerph15050974
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发表时间:
2018-05-13
影响因子:
--
通讯作者:
Taioli E
Taioli E
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Schwartz RM;Tuminello S;Kerath SM;Rios J;Lieberman-Cribbin W;Taioli E

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飓风哈维于2017年8月25日在德克萨斯州休斯顿登陆,其心理和身体影响仍然未知。我们评估了飓风暴露和人口的直接心理健康需求,以确定更大规模流行病学研究的公共卫生优先事项。采用便利抽样法从大休斯顿地区招募年龄≥18岁的受试者(n = 41)。参与者完成了一份关于人口统计学,飓风暴露和身心健康的问卷。创伤后应激障碍(PTSD)采用创伤后应激障碍检查表-S(PCL-S;评分≥30表示可能的PTSD症状)进行测量。患者健康问卷-4(PHQ-4)用于评估抑郁症和广泛性焦虑症的症状。平均PTSD评分为32.9(SD = 17.1);共有46%的参与者符合可能的PTSD阈值。总体飓风暴露增加(调整后的比值比(ORadj)1.42; 95%置信区间(CI):1.06-2.05)和财产相关暴露(ORadj 1.53; 95% CI:1.07-2.18)均与可能的PTSD症状的几率增加有统计学意义。44%的参与者报告了由于飓风哈维而导致的化学品/毒素暴露的感知。飓风后三周,更多的个人或财产暴露与更大的心理健康症状有关。这项工作对目前应对“哈维”飓风和评估民众的迫切需要具有影响。
Hurricane Harvey made landfall in Houston, Texas on 25 August 2017, the psychological and physical effects of which are still unknown. We assessed hurricane exposure and the immediate mental health needs of the population to define public health priorities for a larger epidemiological study. Convenience sampling was used to recruit participants (n = 41) from the greater Houston area aged ≥18 years. Participants completed a questionnaire about demographics, hurricane exposures, and physical/mental health. Post-Traumatic Stress Disorder (PTSD) was measured with the Post-Traumatic Stress Disorder Checklist-S (PCL-S; a score ≥30 indicated probable PTSD symptoms). The Patient Health Questionnaire-4 (PHQ-4) was used to assess symptoms of depression and generalized anxiety disorder. The average PTSD score was 32.9 (SD = 17.1); a total of 46% of participants met the threshold for probable PTSD. Increased overall hurricane exposure (adjusted odds ratio (ORadj) 1.42; 95% confidence interval (CI): 1.06–2.05) and property-related exposure (ORadj 1.53; 95% CI: 1.07–2.18) were both statistically significantly associated with increased odds of probable PTSD symptoms. A perception of chemical/toxin exposure due to Hurricane Harvey was reported by 44% of participants. A higher number of personal or property exposures were associated with greater mental health symptoms three weeks post-hurricane. This work has implications for the ongoing response to Hurricane Harvey and for assessing the immediate needs of the population.
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