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Health problems presented to family practices in the Netherlands 1 year before and 1 year after a disaster.
J Am Board Fam Med 2007 Nov-Dec; 20(6):548-56JA

Abstract

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.

Authors+Show Affiliations

NIVEL, Netherlands Institute for Health Services Research, Utrecht, The Netherlands. jh.soeteman@nivel.nlNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

17954862

Citation

Soeteman, Rik J H., et al. "Health Problems Presented to Family Practices in the Netherlands 1 Year Before and 1 Year After a Disaster." Journal of the American Board of Family Medicine : JABFM, vol. 20, no. 6, 2007, pp. 548-56.
Soeteman RJ, Yzermans CJ, Kerssens JJ, et al. Health problems presented to family practices in the Netherlands 1 year before and 1 year after a disaster. J Am Board Fam Med. 2007;20(6):548-56.
Soeteman, R. J., Yzermans, C. J., Kerssens, J. J., Dirkzwager, A. J., Donker, G. A., ten Veen, P. M., ... van der Zee, J. (2007). Health problems presented to family practices in the Netherlands 1 year before and 1 year after a disaster. Journal of the American Board of Family Medicine : JABFM, 20(6), pp. 548-56.
Soeteman RJ, et al. Health Problems Presented to Family Practices in the Netherlands 1 Year Before and 1 Year After a Disaster. J Am Board Fam Med. 2007;20(6):548-56. PubMed PMID: 17954862.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Health problems presented to family practices in the Netherlands 1 year before and 1 year after a disaster. AU - Soeteman,Rik J H, AU - Yzermans,C Joris, AU - Kerssens,Jan J, AU - Dirkzwager,Anja J E, AU - Donker,Ge A, AU - ten Veen,Petra M H, AU - van den Bosch,Wil J H M, AU - van der Zee,Jouke, PY - 2007/10/24/pubmed PY - 2008/1/31/medline PY - 2007/10/24/entrez SP - 548 EP - 56 JF - Journal of the American Board of Family Medicine : JABFM JO - J Am Board Fam Med VL - 20 IS - 6 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. SN - 1557-2625 UR - https://www.unboundmedicine.com/medline/citation/17954862/Health_problems_presented_to_family_practices_in_the_Netherlands_1_year_before_and_1_year_after_a_disaster_ L2 - http://www.jabfm.org/cgi/pmidlookup?view=long&amp;pmid=17954862 DB - PRIME DP - Unbound Medicine ER -