Mental Health Service Need and Use in the Aftermath of Hurricane Sandy: Findings in a Population-Based Sample of New York City Residents
Mental Health Service Need and Use in the Aftermath of Hurricane Sandy: Findings in a Population-Based Sample of New York City Residents
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DOI：
10.1007/s10597-015-9947-4
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发表时间：
2016-01-01
影响因子：
2.7
通讯作者：
Galea, Sandro
中科院分区：
文献类型：
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作者：
Lowe, Sarah R.;Sampson, Laura;Galea, Sandro
大多数患有精神疾病的灾难幸存者没有利用精神保健服务。迄今为止，只有一项研究探讨了飓风桑迪后灾后服务的使用情况，而灾难文献由于缺乏对幸存者感知的服务需求的关注而受到进一步限制。我们利用了来自纽约市受飓风桑迪影响最严重的社区（N = 454）的成年人的人口样本数据。自飓风以来，不到10%的参与者报告了服务需求（7.8%）和服务使用（4.4%），5.9%的人被归类为需求未得到满足（即，需要而不使用），以及2.5%的人使用服务而不需要。未满足的心理健康服务需求的预测因素包括年龄较小，男性性别，高等教育和暴露于更多的灾害相关的压力。研究结果表明，减少未满足的灾后服务需求的努力可以集中在接触具有这些特征的幸存者上。
The majority of disaster survivors suffering from psychiatric disorders do not utilize mental health services. Only one study to date has explored postdisaster service use after Hurricane Sandy, and the disaster literature is further limited by a lack of attention to survivors' perceived need for services. We drew on data from a population-based sample of adults living in New York City neighborhoods that were most severely affected by Hurricane Sandy (N = 454). Less than 10 % of participants reported service needs (7.8 %) and service use (4.4 %) since the hurricane, 5.9 % were classified as having unmet needs (i.e., needs without use), and 2.5 % as using services without needs. Predictors of unmet mental health service needs included younger age, male gender, higher education, and exposure to more disaster-related stressors. The results suggest that efforts to reduce unmet postdisaster service needs could focus on reaching survivors with these characteristics.