Disaster-related stress as a prospective risk factor for hypertension in parents of adolescent fire victims

被引:12
作者
Dorn, Tina
Yzermans, C. Joris
Guijt, Henk
van der Zee, Jouke
机构
[1] Netherlands Inst Hlth Serv Res, NL-3500 BN Utrecht, Netherlands
[2] Med Ctr Waterland Oost, Volendam, Netherlands
关键词
blood pressure; burns; disasters; family practice; hypertension; life change events; prospective studies; stress; psychological;
D O I
10.1093/aje/kwk029
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Life stress has been related to hypertension in various studies, but well-designed research carried out in disaster settings is scarce. Moreover, most research focuses on the primary victims and disregards effects on their caregivers. In a prospective, population-based cohort study, the authors tested the hypothesis that parents of adolescents who had been involved in the Volendam, Netherlands, pub fire on January 1, 2001 (n = 418) were more at risk of developing hypertension than parents from the same community whose children had not been involved in the fire (n = 1,462). Only residents without prior evidence of hypertension were included. The follow-up period covered 4 years (2001-2004). Assessment of hypertension was based on the records of family practitioners and pharmacies. The odds of developing new hypertension were 1.48 times higher in parents of fire victims than in control parents during the follow-up period (odds ratio = 1.48, 95% confidence interval: 1.09, 2.02). All analyses controlled for age, gender, socioeconomic status, family practice, history of chronic disease, and number of contacts with the family practitioner during follow-up. Since hypertension is an important risk factor for cardiovascular morbidity, it is important to provide interventions that help people fight the negative effects of disaster-related stress.
引用
收藏
页码:410 / 417
页数:8
相关论文
共 30 条
[1]  
[Anonymous], ROLE GEN PRACTICE PR
[2]  
Armenian HK, 1998, AM J EPIDEMIOL, V148, P1077, DOI 10.1093/oxfordjournals.aje.a009585
[3]  
Balk D.E., 2001, HDB BEREAVEMENT RES, P199, DOI DOI 10.1037/10436-008
[4]  
BARNES MF, 1998, SYSTEMIC COSTS CARIN, P75
[5]  
Bland SH, 2000, AM J EPIDEMIOL, V151, P1086, DOI 10.1093/oxfordjournals.aje.a010152
[6]  
*CTR BUR STAT, 2004, GEM MAAT ED VOL
[7]  
Cwikel J G, 1997, Public Health Rev, V25, P317
[8]   Disaster and subsequent healthcare utilization - A longitudinal study among victims, their family members, and control subjects [J].
Dorn, Tina ;
Yzermans, C. Joris ;
Kerssens, Jan J. ;
Spreeuwenberg, Peter M. M. ;
van der Zee, Jouke .
MEDICAL CARE, 2006, 44 (06) :581-589
[9]  
FIGLEY CR, 1998, SYSTEMIC COSTS CARIN, P15
[10]  
Ford D, 2004, TRAUMA HLTH PHYS HLT, P73