Post-disaster quality of life among older survivors five years after the Bam earthquake: implications for recovery policy
Post-disaster quality of life among older survivors five years after the Bam earthquake: implications for recovery policy
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DOI：
10.1017/s0144686x10000772
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发表时间：
2011-02-01
期刊：
影响因子：
2.5
通讯作者：
Russel, M.
中科院分区：
文献类型：
--
作者：
Ardalan, A.;Mazaheri, M.;Russel, M.
老年人在重大灾害中是最脆弱的群体。在他们的后果，这是至关重要的机构的努力，将保持高水平的老年人的生活质量（QoL）。本文介绍了生活质量评估的老年幸存者五年后，在伊朗巴姆地震，并评估的决定因素。2008年，使用WHOQOL-BREF问卷对210名随机选择的幸存者进行了横断面分析。结果与一般人群的数据比较表明，经历地震可能会对心理方面的生活质量产生不利影响，甚至五年后，但矛盾的是，地震导致更好的社会关系，在受影响的社区比一般人群。生活质量较低与女性、年龄较大、独居、严重地震相关损伤、生活条件质量差、日常生活活动依赖性增加、居住在城市地区和临时居住有关。灾后恢复专家和捐助者应对受灾社区的健康状况和生活质量进行长期监测，重点关注心理健康。强调灾后护理质量和令人满意的住房的干预方案可能会导致更好的生活质量的受害者，并可能缩短恢复阶段。
Older people are among the most vulnerable in major disasters. In their aftermath, it is crucial to institute efforts that will maintain a high level of elders' quality of life (QoL). This paper presents QoL assessments of elderly survivors five years after the Bam earthquake in Iran, and evaluates the determinants. A cross-sectional analysis of 210 randomly-selected survivors was carried out in 2008 using the WHOQOL-BREF questionnaire. A comparison of the results with data on the general population showed that experiencing the earthquake may adversely affect psychological dimensions of QoL even five years after, but paradoxically the earthquake resulted in better social relationships in affected communities than in the general population. Lower QoL associated with female gender, higher age, living alone, severe earthquake-related injury, poor quality of living conditions, increased dependency in the activities of daily living, living in an urban area, and being temporarily housed. Recovery experts and donors should carry out long-term monitoring of health status and QoL in disaster-affected communities, with a focus on psychological wellbeing. Intervention programmes that emphasise post-disaster quality of care and satisfactory housing may lead to better QoL of the victims and may shorten the recovery phase.