原创力文档are the elderly more vulnerable to psychological impact of natural disaster a population-based survey of adult survivors of the 2008 sichuan earthquake老年人更容易受到心理影响的自然灾害以人群为基础的成年人的调查2008年四川地震的幸存者.pdfVIP
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are the elderly more vulnerable to psychological impact of natural disaster a population-based survey of adult survivors of the 2008 sichuan earthquake老年人更容易受到心理影响的自然灾害以人群为基础的成年人的调查2008年四川地震的幸存者
Jia et al. BMC Public Health 2010, 10:172
/1471-2458/10/172
R E S E A R C H A R T I C L E Open Access
Research article
Are the elderly more vulnerable to psychological
impact of natural disaster? A population-based
survey of adult survivors of the 2008 Sichuan
earthquake
1 1 2 3 2 4
Zhaobao Jia , Wenhua Tian* , Weizhi Liu , Yang Cao , Jin Yan and Zhisheng Shun
Abstract
Background: The association between ages and psychological im pact of natural disasters has not been well
characterized. A population-based study was conducted 15 months after the 2008 Sichuan earthquake to assess
whether elderly survivors were more likely to develop posttraumatic stress disorder (PTSD) and general psychiatric
morbidity.
Methods: A population-based survey of 327 survivors (152 elders, 175 younger adults) was conducted in severely
affected areas by the earthquake, using a multi-stage systematic sampling design.
Results: Compared with the younger adult survivors, the elderly were more likely to have symptoms of PTSD (22.5% vs.
8.0%, p = 0.001) and general psychiatric morbidity (42.0% vs. 25.4%, p = 0.003). Risk factors, such as being elderly,
having been in serious danger, having lost family members, and having felt guilt concerning ones death or injury were
significantly associated with developing PTSD; being elderly, having family members or friends seriously injured, and
having felt guilt concerning ones death or injury were significantly associated with developing general psychiatric
morbidity. Utilization of mental health services is strongly associated with the decreased risk for developing both of the
symptoms.
Conclusion: Compared with the younger adults, the elderly survivors were more likely to develop PTSD and general
psychiatric mo
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