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首页> 外文期刊>Frontiers in Public Health >Differential Mental Health Impact Six Months After Extensive River Flooding in Rural Australia: A Cross-Sectional Analysis Through an Equity Lens
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Differential Mental Health Impact Six Months After Extensive River Flooding in Rural Australia: A Cross-Sectional Analysis Through an Equity Lens

机译：在澳大利亚农村广泛的河流洪水洪水洪水之后昏暗的心理健康影响：通过股票透镜进行横截面分析

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Background: Northern New South Wales in Australia is a “hotspot” for natural disaster declarations with recent extensive flooding in early 2017. With limited knowledge about how climate change affects mental health and resilience, robust local assessments are required to better understand long-term impact, particularly in communities prone to extreme weather events. Methods: Six months post-flood, a cross-sectional survey of adults living in the region during the flood was conducted to quantify associations between flood impact and psychological morbidity (post-traumatic stress (PTSD), anxiety, depression, suicidal ideation) for different exposure scenarios, and respondent groups. We adopted a community-academic partnership approach and purposive recruitment to increase participation from marginalized groups. Results: Of 2,180 respondents, almost all (91%) were affected by some degree of flood-related exposure at an individual and community level (ranging from suburb damage to home or business inundated). Socio-economically marginalized respondents were more likely to have their homes inundated and to be displaced. Mental health risk was significantly elevated for respondents: whose home/business/farm was inundated [e.g., home inundation: PTSD adjusted odds ratio (AOR) 13.72 (99% CI 4.53–41.56)]; who reported multiple exposures [e.g., three exposures: PTSD AOR 6.43 (99% CI 2.11–19.60)]; and who were still displaced after 6 months [e.g., PTSD AOR 24.43 (99% CI 7.05–84.69)]. Conclusion: The 2017 flood had profound impact, particularly for respondents still displaced and for socio-economically marginalized groups. Our community-academic partnership approach builds community cohesion, informs targeted mental health disaster preparedness and response policies for different sectors of the community and longer-term interventions aimed at improving community adaptability to climate change.
机译：背景：澳大利亚北部南威尔士州是一个“热点”，用于自然灾害宣言，最近2017年初广泛的洪水。关于气候变化如何影响心理健康和弹性的知识有限，需要强大的地方评估来更好地理解长期影响，特别是在易于极端天气事件中的社区。方法：六个月后洪水，在洪水期间生活在该地区的成年人的横断面调查，以量化洪水影响和心理发病率之间的协会（创伤后应力（PTSD），焦虑，抑郁，自杀意念）不同的曝光场景和受访者团体。我们采用了社区学术伙伴关系方法和有目的招聘，以增加边缘化群体的参与。结果：2,180名受访者，几乎所有（91％）受到个人和社区一级的一定程度的洪水相关曝光程度（从郊区损坏到家庭或企业淹没）的影响。社会经济地区边缘受访者更有可能将其房屋淹没并被流离失所。受访者的心理健康风险显着提高：谁的家/商业/农场被淹没[例如，归属于洪水：应投灾调整赔率比（AOR）13.72（99％CI 4.53-41.56）];谁报道了多次曝光[例如，三个曝光：PTSD AOR 6.43（99％CI 2.11-19.60）];谁仍然在6个月后流离失所[例如，PTSD AOR 24.43（99％CI 7.05-84.69）]。结论：2017年洪水的影响深刻，特别是对于受访者仍然流离失所和社会经济边缘化群体。我们的社区学术伙伴关系方法建立了社区凝聚力，通知有针对性的心理健康灾害准备和对社区不同部门的响应政策，旨在改善社区对气候变化的适应性的长期干预措施。

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