Voices from Flint: Community Perceptions of the Flint Water Crisis

Voices from Flint: Community Perceptions of the Flint Water Crisis
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DOI:
10.1007/s11524-017-0152-3
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发表时间:
2017-12-01
影响因子:
6.6
通讯作者:
Cunningham, Rebecca
Cunningham, Rebecca
中科院分区:
医学2区
文献类型:
--
作者:
Heard-Garris, Nia Jenee;Roche, Jessica;Cunningham, Rebecca

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我们描述了自我报告的社会经济和健康的影响,以及应对机制采用的药物使用队列的成年人在弗林特水危机(FWC)在弗林特,密歇根州。2016年4月至2016年7月期间联系了正在进行的纵向急诊科研究的参与者,并完成了一项调查,重点是暴露,后果和应对策略。一百三十三名参与者(平均年龄= 26,65%的非洲裔美国人,61%的公共援助)完成了调查(37.9%的响应率)。其中,75%的人报告接触过铅含量升高的水。其中,75%的人报告说,由于接触风险而导致每月额外支出。近40%的父母报告说,自《家庭妇女公约》以来,他们的子女的健康状况发生了变化,65%的父母报告说,他们的健康状况发生了变化。参与者表示使用积极的(例如,来自信任邻居的建议,99.0%)和消极应对机制(例如,增加物质使用,20.0%),以应对这一公共卫生紧急情况。高风险的弗林特居民报告了FWC带来的多种社会、经济和健康相关后果。政策制定者应考虑为受影响者提供更多资源,包括增加获得心理健康的机会,以帮助社区内的恢复。
We describe the self-reported socioeconomic and health impacts, as well as the coping mechanisms employed by a drug-using cohort of adults during the Flint water crisis (FWC) in Flint, Michigan. Participants from an ongoing longitudinal Emergency Department study were contacted between April 2016 and July 2016 and completed a survey focusing on exposure, consequences, and coping strategies. One hundred thirty-three participants (mean age = 26, 65% African-American, 61% public assistance) completed the survey (37.9% response rate). Of these, 75% reported exposure to water with elevated lead levels. Of these, 75% reported additional monthly expenses resulting from exposure. Almost 40% of parents reported changes in their children's health and 65% reported changes to their health since the FWC. Participants indicated the use of both positive (e.g., advice from trusted neighbors, 99.0%) and negative coping mechanisms (e.g., increased substance use, 20.0%) in response to this public health emergency. High-risk Flint residents reported multiple social, economic, and health-related consequences stemming from the FWC. Policymakers should consider additional resources for those affected, including increased access to mental health to aid recovery within the community.