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首页> 美国卫生研究院文献>British Medical Journal >Psychosocial effects of the 2001 UK foot and mouth disease epidemic in a rural population: qualitative diary based study
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Psychosocial effects of the 2001 UK foot and mouth disease epidemic in a rural population: qualitative diary based study

机译：农村人口中2001年英国口蹄疫流行的社会心理影响：基于定性日记的研究

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>Objectives To understand the health and social consequences of the 2001 foot and mouth disease epidemic for a rural population.>Design Longitudinal qualitative analysis.>Setting North Cumbria, the worst affected area in Britain.>Sample Purposive sample of 54 respondents divided in six demographically balanced rural occupational and population groups.>Main outcome measures 3071 weekly diaries contributed over 18 months; 72 semistructured interviews (with the 54 diarists and 18 others); 12 group discussions with diarists>Results The disease epidemic was a human tragedy, not just an animal one. Respondents' reports showed that life after the foot and mouth disease epidemic was accompanied by distress, feelings of bereavement, fear of a new disaster, loss of trust in authority and systems of control, and the undermining of the value of local knowledge. Distress was experienced across diverse groups well beyond the farming community. Many of these effects continued to feature in the diaries throughout the 18 month period.>Conclusions The use of a rural citizens' panel allowed data capture from a wide spectrum of the rural population and showed that a greater number of workers and residents had traumatic experiences than has previously been reported. Recommendations for future disaster management include joint service reviews of what counts as a disaster, regular NHS and voluntary sector sharing of intelligence, debriefing and peer support for front line workers, increased community involvement in disposal site or disaster management, and wider, more flexible access to regeneration funding and rural health outreach work.
机译：>目标以了解2001年农村口蹄疫流行对健康和社会的影响。>设计纵向定性分析。>设置北坎布里亚郡>样本：54位受访者的有针对性的样本，分为六个在人口统计学上平衡的农村职业和人口群体。>主要成果指标：18个月的每周日记贡献了30个月； 72次半结构化访谈（与54位对话者和其他18位对话者）；与对话者进行12组小组讨论>结果。该病的流行是人类的悲剧，而不仅仅是动物的悲剧。受访者的报告显示，手足口病流行后的生活伴随着苦难，丧亲之情，对新灾难的恐惧，对权威和控制体系的信任丧失以及对当地知识价值的破坏。农业社区以外的不同群体都经历过苦难。在整个18个月的日记中，许多此类影响仍继续存在。>结论。使用农村居民小组可以从广泛的农村人口中获取数据，并表明工人和居民遭受的创伤比以前报告的要多。对未来灾难管理的建议包括对什么才算是灾难的联合服务审核，定期的NHS和自愿性部门情报共享，对一线工人的汇报和同伴支持，社区对处置场所或灾难管理的参与度以及更广泛，更灵活的访问重新筹集资金和开展农村卫生宣传工作。

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