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Investigating the Aftershock of a Disaster: A Study of Health Service Utilization and Mental Health Symptoms in Post-Earthquake Nepal

Background: In 2015, a 7.8 magnitude earthquake struck Nepal, causing unprecedented damage and loss in the mountain and hill regions of central Nepal. The aim of this study was to investigate the association between healthcare access and utilization, and post-disaster mental health symptoms. Methods...

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Autores principales: Powell, Tara, Li, Shang-Ju, Hsiao, Yuan, Ettari, Chloe, Bhandari, Anish, Peterson, Anne, Shakya, Niva
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6518031/
https://www.ncbi.nlm.nih.gov/pubmed/30995780
http://dx.doi.org/10.3390/ijerph16081369
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author Powell, Tara
Li, Shang-Ju
Hsiao, Yuan
Ettari, Chloe
Bhandari, Anish
Peterson, Anne
Shakya, Niva
author_facet Powell, Tara
Li, Shang-Ju
Hsiao, Yuan
Ettari, Chloe
Bhandari, Anish
Peterson, Anne
Shakya, Niva
author_sort Powell, Tara
collection PubMed
description Background: In 2015, a 7.8 magnitude earthquake struck Nepal, causing unprecedented damage and loss in the mountain and hill regions of central Nepal. The aim of this study was to investigate the association between healthcare access and utilization, and post-disaster mental health symptoms. Methods: A cross-sectional study conducted with 750 disaster-affected individuals in six districts in central Nepal 15 months post-earthquake. Anxiety and depression were measured through the Depression, Anxiety and Stress Scale (DASS-21). Healthcare utilization questions examined types of healthcare in the communities, utilization, and approachability of care providers. Univariate analyses, ANOVAs and Tobit regression were used. Results: Depression and anxiety symptoms were significantly higher for females and individuals between 40–50 years old. Those who utilized a district hospital had the lowest anxiety and depression scores. Participants who indicated medical shops were the most important source of health-related information had more anxiety and depression than those who used other services. Higher quality of healthcare was significantly associated with fewer anxiety and depressive symptoms. Conclusions: Mental health symptoms can last long after a disaster occurs. Access to quality mental health care in the primary health care settings is critical to help individuals and communities recover immediately and during the long-term recovery.
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spelling pubmed-65180312019-05-31 Investigating the Aftershock of a Disaster: A Study of Health Service Utilization and Mental Health Symptoms in Post-Earthquake Nepal Powell, Tara Li, Shang-Ju Hsiao, Yuan Ettari, Chloe Bhandari, Anish Peterson, Anne Shakya, Niva Int J Environ Res Public Health Article Background: In 2015, a 7.8 magnitude earthquake struck Nepal, causing unprecedented damage and loss in the mountain and hill regions of central Nepal. The aim of this study was to investigate the association between healthcare access and utilization, and post-disaster mental health symptoms. Methods: A cross-sectional study conducted with 750 disaster-affected individuals in six districts in central Nepal 15 months post-earthquake. Anxiety and depression were measured through the Depression, Anxiety and Stress Scale (DASS-21). Healthcare utilization questions examined types of healthcare in the communities, utilization, and approachability of care providers. Univariate analyses, ANOVAs and Tobit regression were used. Results: Depression and anxiety symptoms were significantly higher for females and individuals between 40–50 years old. Those who utilized a district hospital had the lowest anxiety and depression scores. Participants who indicated medical shops were the most important source of health-related information had more anxiety and depression than those who used other services. Higher quality of healthcare was significantly associated with fewer anxiety and depressive symptoms. Conclusions: Mental health symptoms can last long after a disaster occurs. Access to quality mental health care in the primary health care settings is critical to help individuals and communities recover immediately and during the long-term recovery. MDPI 2019-04-16 2019-04 /pmc/articles/PMC6518031/ /pubmed/30995780 http://dx.doi.org/10.3390/ijerph16081369 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Powell, Tara
Li, Shang-Ju
Hsiao, Yuan
Ettari, Chloe
Bhandari, Anish
Peterson, Anne
Shakya, Niva
Investigating the Aftershock of a Disaster: A Study of Health Service Utilization and Mental Health Symptoms in Post-Earthquake Nepal
title Investigating the Aftershock of a Disaster: A Study of Health Service Utilization and Mental Health Symptoms in Post-Earthquake Nepal
title_full Investigating the Aftershock of a Disaster: A Study of Health Service Utilization and Mental Health Symptoms in Post-Earthquake Nepal
title_fullStr Investigating the Aftershock of a Disaster: A Study of Health Service Utilization and Mental Health Symptoms in Post-Earthquake Nepal
title_full_unstemmed Investigating the Aftershock of a Disaster: A Study of Health Service Utilization and Mental Health Symptoms in Post-Earthquake Nepal
title_short Investigating the Aftershock of a Disaster: A Study of Health Service Utilization and Mental Health Symptoms in Post-Earthquake Nepal
title_sort investigating the aftershock of a disaster: a study of health service utilization and mental health symptoms in post-earthquake nepal
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6518031/
https://www.ncbi.nlm.nih.gov/pubmed/30995780
http://dx.doi.org/10.3390/ijerph16081369
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