Mental health impact of the 2010 Haiti earthquake on the Miami Haitian population: A random-sample survey

A. Messiah, J. Acuna, G. Castro, P. Rodríguez de la Vega, G. Vaiva, J. Shultz, Y. Neria, M. R. De La Rosa
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引用次数: 16

Abstract

This study examined the mental health consequences of the January 2010 Haiti earthquake on Haitians living in Miami-Dade County, Florida, 2–3 years following the event. A random-sample household survey was conducted from October 2011 through December 2012 in Miami-Dade County, Florida. Haitian participants (N = 421) were assessed for their earthquake exposure and its impact on family, friends, and household finances; and for symptoms of post-traumatic stress disorder (PTSD), anxiety, and major depression; using standardized screening measures and thresholds. Exposure was considered as “direct” if the interviewee was in Haiti during the earthquake. Exposure was classified as “indirect” if the interviewee was not in Haiti during the earthquake but (1) family members or close friends were victims of the earthquake, and/or (2) family members were hosted in the respondent's household, and/or (3) assets or jobs were lost because of the earthquake. Interviewees who did not qualify for either direct or indirect exposure were designated as “lower” exposure. Eight percent of respondents qualified for direct exposure, and 63% qualified for indirect exposure. Among those with direct exposure, 19% exceeded threshold for PTSD, 36% for anxiety, and 45% for depression. Corresponding percentages were 9%, 22% and 24% for respondents with indirect exposure, and 6%, 14%, and 10% for those with lower exposure. A majority of Miami Haitians were directly or indirectly exposed to the earthquake. Mental health distress among them remains considerable two to three years post-earthquake.
2010年海地地震对迈阿密海地人心理健康的影响:一项随机抽样调查
本研究调查了2010年1月海地地震对居住在佛罗里达州迈阿密-戴德县的海地人的心理健康影响,时间为地震发生后的2-3年。2011年10月至2012年12月,在佛罗里达州迈阿密-戴德县进行了随机抽样家庭调查。对海地参与者(N = 421)的地震暴露程度及其对家庭、朋友和家庭财务的影响进行评估;以及创伤后应激障碍(PTSD)、焦虑和重度抑郁症的症状;采用标准化的筛查措施和阈值。如果受访者在地震期间在海地,则被认为是“直接”接触。如果受访者在地震期间不在海地,但(1)家庭成员或亲密朋友是地震的受害者,和/或(2)家庭成员住在受访者的家中,和/或(3)因地震而失去资产或工作,则暴露被归类为“间接”。不符合直接或间接暴露条件的受访者被指定为“低”暴露。8%的受访者符合直接暴露条件,63%符合间接暴露条件。在直接接触的人群中,19%的人超过了PTSD的阈值,36%的人超过了焦虑的阈值,45%的人超过了抑郁的阈值。间接接触者的相应比例分别为9%、22%和24%,较低接触者的相应比例分别为6%、14%和10%。大多数迈阿密海地人直接或间接受到地震的影响。震后两到三年,他们的精神健康问题仍然相当严重。
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