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首页> 外文期刊>The British journal of psychiatry : >Risk factors for psychological and physical health problems after a man-made disaster. Prospective study.
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Risk factors for psychological and physical health problems after a man-made disaster. Prospective study.

机译：人为灾难后心理和身体健康问题的风险因素。前瞻性研究。

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摘要

BACKGROUND: There are few prospective studies on risk factors for health problems after disasters in which actual pre-disaster health data are available. AIMS: To examine whether survivors' personal characteristics, and pre-disaster psychological problems, and disaster-related variables, are related to their post-disaster health. METHOD: Two studies were combined: a longitudinal survey using the electronic medical records of survivors' general practitioners (GPs), from 1 year before to 1 year after the disaster, and a survey in which questionnaires were filled in by survivors, 3 weeks and 18 months after the disaster. Data from both surveys and the electronic medical records were available for 994 survivors. RESULTS: After adjustment for demographic and disaster-related variables, pre-existing psychological problems were significantly associated with post-disaster self-reported health problems and post-disaster problems presented presented to the to the GP. This association was found for both psychological and physical post-disaster problems. CONCLUSIONS: In trying to prevent long-term health consequences after disaster, early attention to survivors with pre-existing psychological problems, and to those survivors who are forced to relocate or are exposed to many stressors during the disaster, appears appropriate.
机译：背景：关于灾后健康问题风险因素的前瞻性研究很少，而实际的灾前健康数据是可以得到的。目的：检查幸存者的个人特征，灾难前的心理问题以及与灾难相关的变量是否与他们的灾难后健康有关。方法：两项研究相结合：从幸存者的全科医生（GPs）的电子医疗记录进行的纵向调查，从灾难发生前1年到灾后1年，以及一项由幸存者填写问卷的调查，调查持续3周，灾难发生后的18个月。来自调查和电子病历的数据均可用于994名幸存者。结果：在调整了人口和与灾难有关的变量之后，先前存在的心理问题与灾后自我报告的健康问题和向GP呈现的灾后问题显着相关。人们发现这种关联是因为灾后心理和生理问题。结论：在试图预防灾难后的长期健康后果时，应尽早注意已有心理问题的幸存者，以及在灾难期间被迫搬迁或暴露于许多压力源的幸存者。

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