TY - JOUR
KW - Accidents/psychology/statistics & numerical data
KW - Adolescent
KW - Adult
KW - Child
KW - Child, Preschool
KW - Chronic Disease
KW - Explosions
KW - Family Practice
KW - Female
KW - Health Surveys
KW - Humans
KW - Male
KW - Medical Records Systems, Computerized
KW - Mental Disorders/epidemiology/etiology/prevention & control
KW - Musculoskeletal Diseases/epidemiology/etiology/psychology
KW - Netherlands/epidemiology
KW - Prospective Studies
KW - Psychometrics
KW - Risk Factors
KW - Time Factors
AU - R. J. Soeteman
AU - C. J. Yzermans
AU - J. J. Kerssens
AU - A. J. Dirkzwager
AU - G. A. Donker
AU - P. M. ten Veen
AU - W. J. van den Bosch
AU - J. van der Zee
A1 - 
AB - BACKGROUND: Disasters often have negative health consequences. Studies of health problems presented in family practice before and after a disaster are rare. The present study analyzed health problems before and after a disaster and predictors of increased morbidity after the disaster as presented in family practice. METHODS: A matched cohort study design with measurements 1 year before the disaster and 1 year after the disaster. Victims (N = 9183) and matched controls (N = 7066) were surveyed in the electronic medical records of 30 family practices after the explosions of a fireworks depot in The Netherlands. All health problems were registered using the International Classification of Primary Care. RESULTS: Victims showed significantly higher prevalence rates for psychological problems after the disaster than before the disaster (422 vs133 per 1000 person-years; P < .001) and for problems of the musculoskeletal system (450 vs 401 per 1000 person-years; P < .05). Relocation because of the disaster (odds ratio, 10.65; 95% confidence interval, 8.15-13.94) and, to a lesser degree, psychological morbidity before the disaster (odds ratio, 2.31; 95% confidence interval, 1.42-3.76) were the strongest predictors of psychological problems after the disaster. CONCLUSION: The results suggested that forced relocation and a history of psychological problems were risk factors to post-disaster psychological problems of victims presenting to a family practice.
BT - Journal of the American Board of Family Medicine : JABFM
C5 - HIT & Telehealth
CP - 6
CY - United States
DO - 10.3122/jabfm.2007.06.060067
IS - 6
JF - Journal of the American Board of Family Medicine : JABFM
N2 - BACKGROUND: Disasters often have negative health consequences. Studies of health problems presented in family practice before and after a disaster are rare. The present study analyzed health problems before and after a disaster and predictors of increased morbidity after the disaster as presented in family practice. METHODS: A matched cohort study design with measurements 1 year before the disaster and 1 year after the disaster. Victims (N = 9183) and matched controls (N = 7066) were surveyed in the electronic medical records of 30 family practices after the explosions of a fireworks depot in The Netherlands. All health problems were registered using the International Classification of Primary Care. RESULTS: Victims showed significantly higher prevalence rates for psychological problems after the disaster than before the disaster (422 vs133 per 1000 person-years; P < .001) and for problems of the musculoskeletal system (450 vs 401 per 1000 person-years; P < .05). Relocation because of the disaster (odds ratio, 10.65; 95% confidence interval, 8.15-13.94) and, to a lesser degree, psychological morbidity before the disaster (odds ratio, 2.31; 95% confidence interval, 1.42-3.76) were the strongest predictors of psychological problems after the disaster. CONCLUSION: The results suggested that forced relocation and a history of psychological problems were risk factors to post-disaster psychological problems of victims presenting to a family practice.
PP - United States
PY - 2007
SN - 1557-2625; 1557-2625
SP - 548
EP - 556
EP - 
T1 - Health problems presented to family practices in the Netherlands 1 year before and 1 year after a disaster
T2 - Journal of the American Board of Family Medicine : JABFM
TI - Health problems presented to family practices in the Netherlands 1 year before and 1 year after a disaster
U1 - HIT & Telehealth
U3 - 10.3122/jabfm.2007.06.060067
VL - 20
VO - 1557-2625; 1557-2625
Y1 - 2007
ER -