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首页> 外文期刊>Occupational and environmental medicine >Differential effect of Hurricane Sandy exposure on PTSD symptom severity: comparison of community members and responders
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Differential effect of Hurricane Sandy exposure on PTSD symptom severity: comparison of community members and responders

机译：飓风砂质暴露对应激症症状严重程度的差异作用：社区成员和响应者的比较

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Objectives To evaluate whether the association between Hurricane Sandy exposures and post-traumatic stress disorder (PTSD) symptom severity was greater for exposed community members compared with responders. Methods Data were analysed from three existing studies with similar methodologies (N=1648): two community studies, Leaders in Gathering Hope Together (n=531) and Project Restoration (n=763); and the Sandy/World Trade Center Responders Study (n=354). Sandy-related PTSD symptoms were measured using the PTSD checklist-specific traumatic event and dichotomised as elevated (>30) versus low/no (<30) PTSD symptoms. Sandy exposures were measured with a summed checklist. Multivariable logistic regression was performed to evaluate the differential effect of exposures on PTSD by responder status, adjusting for demographics and time elapsed since Sandy. Results Responders were somewhat older (50.5 years (SD=8.3) vs 45.8 years (SD=20.0)), more likely to identify as white (92.4% vs 48.1%) and were male (90.7% vs 38.4%). Responders were less likely to have elevated PTSD symptoms than community members (8.6% vs 31.1%; adjusted OR=0.28, 95% CI 0.17 to 0.46). While exposure was significantly related to elevated PTSD status, the effects were similar for responders and community members. Conclusions Responders appear to be more resilient to PTSD symptoms post-Sandy than community members. Understanding the mechanisms that foster such resilience can inform interventions aimed at populations that are more vulnerable to experiencing PTSD after natural disasters.
机译：目的是评估飓风砂质暴露和创伤后的关联和创伤后的关联（PTSD）症状严重程度与响应者相比，暴露的社区成员更大。方法从三种现有的研究中分析数据，具有类似方法的三项现有研究（n = 1648）：两个社区研究，聚集在一起的联合希望（n = 531）和项目恢复（n = 763）;和桑迪/世界贸易中心响应者研究（n = 354）。使用PTSD清单特异性创伤性事件测量桑迪相关的可行性障PTSD症状，并用作升高（> 30）与低/否（<30）应激症状进行二分。用综合清单测量砂曝光。进行多变量逻辑回归以评估曝光对应变状态的暴露对PTSD的差异效果，调整自砂质以来经过的人口统计学和时间。结果响应者有点较大（50.5岁（SD = 8.3）与45.8岁（SD = 20.0）），更有可能识别为白色（92.4％vs 48.1％），并且是男性（90.7％vs 38.4％）。响应者的可能性不太可能比社区成员（8.6％vs 31.1％;调整或= 0.28,95％CI 0.17至0.46）。虽然暴露与高度的应激障碍状态明显相关，但响应者和社区成员的效果类似。结论响应者似乎对粉末后的患有PTSD症状比社区成员更有弹性。了解促进这种弹性的机制可以为旨在在自然灾害之后更容易受到重点的群体的干预措施。

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