Symptoms of posttraumatic stress disorder in a New Orleans workforce following Hurricane Katrina

被引:109
作者
DeSalvo, Karen B.
Hyre, Amanda D.
Ompad, Danielle C.
Menke, Andy
Tynes, L. Lee
Muntner, Paul
机构
[1] Tulane Univ, Hlth Sci Ctr, Sch Med, Dept Med,Sect Gen Internal Med & Geriatr, New Orleans, LA 70112 USA
[2] Tulane Univ, Sch Publ Hlth & Trop Med, Dept Epidemiol, New Orleans, LA USA
[3] New York Acad Med, Ctr Urban Epidemiol Studies, New York, NY USA
[4] Tulane Univ, Sch Med, Dept Psychiat, New Orleans, LA 70112 USA
[5] Jefferson Parish Human Serv Author, Metairie, LA USA
来源
JOURNAL OF URBAN HEALTH-BULLETIN OF THE NEW YORK ACADEMY OF MEDICINE | 2007年 / 84卷 / 02期
关键词
Hurricane Katrina; natural disaster; posttraumatic stress disorder; risk factors;
D O I
10.1007/s11524-006-9147-1
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
On August 29, 2005, Hurricane Katrina made landfall resulting in catastrophic damage and flooding to New Orleans, LA, and the Gulf Coast, which may have bad significant mental health effects on the population. To determine rates and predictors of symptoms consistent with a diagnosis of Posttraumatic stress disorder (PTSD) in New Orleans residents following Hurricane Katrina, we conducted a web-based survey 6 months after Hurricane Katrina made landfall. Participants included 1,542 employees from the largest employer in New Orleans. The prevalence of PTSD symptoms was 19.2%. Predictors of PTSD symptoms in a multivariate-adjusted regression model included female sex, non-black race, knowing someone who died in the storm, not having property insurance, having bad a longer evacuation, a much longer work commute compared to before Hurricane Katrina, and currently living in a newly purchased or rented house or in a temporary trailer. Despite universal health coverage and the benefits of an employee assistance program for all employees, only 28.5% of those with PTSD symptoms had talked to a health professional about the events of Hurricane Katrina or issues encountered since the storm. A significant burden of PTSD symptoms was present 6 months following Hurricane Katrina among a large group of adults who had returned to work in New Orleans. Given their key role in the economic redevelopment of the region, there is a tremendous need to identify those in the workforce with symptoms consistent with PTSD and to enhance treatment options. The strong relationship between displacement from ones' pre-Katrina residence and symptoms of PTSD suggests a need to focus resource utilization and interventions on individuals living in temporary housing.
引用
收藏
页码:142 / 152
页数:11
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