Psychological impact of the Spring 2019 flood among adult population of Iran.

Autor:	Tiyuri A; Department of Epidemiology, School of Public Health, Iran University of Medical Sciences, Tehran, Iran., Rasoulian M; Mental Health Research Center, Psychosocial Health Research Institute, Iran University of Medical Sciences, Tehran, Iran.; Department of Psychiatry, School of Medicine, Iran University of Medical Sciences, Tehran, Iran., Hajebi A; Department of Psychiatry, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.; Research Center for Addiction and Risky Behaviors (ReCARB), Psychosocial Health Research Institute (PHRI), Iran University of Medical Sciences, Tehran, Iran., Naserbakht M; Mental Health Research Center, Psychosocial Health Research Institute, Iran University of Medical Sciences, Tehran, Iran., Shabani A; Mental Health Research Center, Psychosocial Health Research Institute, Iran University of Medical Sciences, Tehran, Iran.; Department of Psychiatry, School of Medicine, Iran University of Medical Sciences, Tehran, Iran., Hakim Shooshtari M; Department of Psychiatry, School of Medicine, Iran University of Medical Sciences, Tehran, Iran., Rezapour A; Health Management and Economics Research Center, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran., Motevalian SA; Department of Epidemiology, School of Public Health, Iran University of Medical Sciences, Tehran, Iran.; Research Center for Addiction and Risky Behaviors (ReCARB), Psychosocial Health Research Institute (PHRI), Iran University of Medical Sciences, Tehran, Iran.
Jazyk:	angličtina
Zdroj:	The International journal of social psychiatry [Int J Soc Psychiatry] 2023 Dec; Vol. 69 (8), pp. 1916-1927. Date of Electronic Publication: 2023 Jun 16.
DOI:	10.1177/00207640231180824
Abstrakt:	Background: From March to April 2019, a flood occurred in several regions of Iran. The most affected provinces were Golestan, Lorestan, and Khuzestan. Aims: The present study aimed to determine the prevalence and determinants of psychological distress and depression among the affected adult population 6 months after the event. Methods: A cross-sectional household survey with face-to-face interview was carried out on a random sample of 1,671 adults aged above 15 years living in the flood-affected areas from August to September 2019. We applied GHQ-28 and PHQ-9 for the assessment of psychological distress and depression, respectively. Results: The prevalence of psychological distress and depression were 33.6% (95% CI [29.5, 37.7]) and 23.0% (95% CI [19.4, 26.7]), respectively. Determinants of psychological distress were a history of mental disorders (Adjusted odds ratio [AOR] = 4.7), primary (AOR = 2.9) or high school (AOR = 2.4) education (vs. university), no compensation received (AOR = 2.1), high damage to assets (AOR = 1.8), the house flooded more than 1 m (AOR = 1.8), female gender (AOR = 1.8), and limited access to health care services (AOR = 1.8). Determinants of depression were unemployment (AOR = 5.3) or being a housewife (AOR = 2.7), a history of mental disorders (AOR = 4.1), high damage to assets (AOR = 2.5), no compensation received (AOR = 2.0), the house flooded more than 1 m (AOR = 1.8), limited access to health care services (AOR = 1.8), and high wealth index (AOR = 1.7). Conclusion: The results of this study revealed a high prevalence of psychological distress and depression in the flood-affected adult population. The high-risk group, particularly flood victims who had a history of mental disorders, and those exposed to severe damages of flood, should be prioritized for screening, and mental health services. Competing Interests: Conflict of interestThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu