| Titre : | Predictors of symptoms of post-traumatic stress disorder after the AZF chemical factory explosion on 21 September 2001, in Toulouse, France. (2008) |
| Auteurs : | S. RIVIERE ; V. GARDETTE ; A. Guinard ; T.H. Lang ; K. LAPIERRE-DUVAL ; V. SCHWOEBEL ; Chu de Toulouse. Inserm. U558. Service d'Epidémiologie. Toulouse. FRA ; Institut de Veille Sanitaire. Toulouse. FRA |
| Type de document : | Article |
| Dans : | Journal of epidemiology and community health (vol. 62, n° 5, 2008) |
| Pagination : | 455-460 |
| Langues: | Anglais |
| Mots-clés : | Symptôme ; Stress ; France ; Europe ; Trouble anxieux |
| Résumé : | [BDSP. Notice produite par INIST-CNRS F7JtR0x8. Diffusion soumise à autorisation]. Objective : To analyse in the general population the prevalence and predictors of symptomatology consistent with post-traumatic stress disorder (S-PTSD) 18 months after an industrial explosion. Design : Cross-sectional survey. Participants and outcome measures : A random sample of 1191 city inhabitants, including an oversample of the immediate area (<3 km). S-PTSD was measured by the self-administered Impact of Event Scale-Revised. The relation between S-PTSD and individual vulnerability factors, immediate exposure and post-trauma factors was analysed by gender. Results : S-PTSD was more prevalent in the immediate area than in the peripheral area (women 19% vs 8% ; men 8% vs 2%, p<0.01). In the immediate area, S-PTSD was independently associated with birth outside France (men : ORa=13.9,95% Cl 3.7 to 52.8 ; women : ORa=2.1,95% Cl 1.0 to 4.2), age more than 40 years (men : ORa=4.3,95% Cl 1.01 to 18.2 ; women : ORa=2.3,95% Cl 1.1 to 4.5), previous psychotropic treatment (men : ORa=11.5,95% Cl 2.4 to 53.6), proximity to the explosion (less educated men only) (ORa=9.3,95% Cl 1.9 to 44.7), rescue efforts (men : ORa=5.2,95% Cl 1.5 to 18.2), temporarily uninhabitable home (men : ORa=5.8,95% Cl 1.9 to 18.1), personal injury (women : ORa=3.7,95% Cl 1.7 to 8.4), financial difficulties (men : ORa=17.4,95% Cl 4.2 to 72.1 ; women ; ORa=3.4,95% Cl 1.7 to 7.1) and inconvenience due to closure of public services (women : ORa=4.1,95% Cl 1.6 to 9.9). Conclusions : Individual vulnerability, exposure and post-trauma factors were associated with S-PTSD. Vulnerable subgroups, defined by low socioeconomic characteristics may warrant focused screening after such disasters. |
Service Documentation EHESP
Me connecter
PORTAIL DOCUMENTAIRE
École des hautes études en santé publique
Catalogue
Multi-bases
Accueil
Sélection de la langue
Adresse
Service Documentation EHESPBibliothèque Rennes Avenue du Professeur Léon Bernard – CS 74312 – 35043 Rennes Cedex Bibliothèque MSSH Paris 20 avenue George Sand - 93210 La Plaine Saint-Denis
France
Bibliothèque Rennes : 02 99 02 29 50 Bibliothèque MSSH Paris : 02 99 02 24 50
contact