洪水和紧急部门的访问:由CDC/ATSDR社会脆弱性指数对影响进行修改
Balaji Ramesh1, Meredith A Jagger2, Benjamin Zaitchik3
1Department of Geography, Virginia Polytechnic Institute and State University, 238 Wallace Hall, Blacksburg, VA, 24061, USA.
International journal of disaster risk reduction : IJDRR
|January 9, 2025
概括
社会脆弱性影响了洪水后紧急部门的访问. 较高的脆弱性减少了访问的减少,而较低的脆弱性则增加了针对特定条件的访问,例如昆虫咬伤.
科学领域:
- 环境健康 环境健康
- 公共卫生 公共卫生
- 灾难医学 灾难医学
背景情况:
- 疾病控制和预防中心 (CDC) /有毒物质和疾病登记局 (ATSDR) 的社会脆弱性指数 (SVI) 量化了社区的脆弱性.
- 洪水等灾害事件不成比例地影响弱势群体.
- 了解社会脆弱性对灾后健康结果的影响对于有效应对至关重要.
研究的目的:
- 评估洪水和紧急部门 (ED) 访问之间的关联.
- 确定社会脆弱性如何改变洪水事件和ED访问之间的关系.
- 分析特定原因的ED访问与社会脆弱性水平相关.
主要方法:
- 使用CDC/ATSDR SVI,健康结果和遥感数据进行控制的前后研究设计.
- 总体和特定原因的ED访问率比率的估计,按SVI四分位数分层.
- 根据SVI主题进行效果修改测试:社会经济地位,家庭组成/残疾以及住房/交通.
主要成果:
- 观察到的积极效应变化:在洪水后的高度社会脆弱地区,ED访问的减少较小,而不是较弱的地区.
- 社会经济地位,家庭组成/残疾以及住房/交通主题在很大程度上解释了这些发现.
- 针对特定条件的负面效应修改:较高的ED访问昆虫咬伤,脱水和肠道传染病在最不易受伤的通道.
结论:
- 社会脆弱性影响了洪水事件后的ED访问模式.
- 考虑到SVI的有针对性的干预措施对于公平的灾难恢复是必要的.
- 公共卫生战略应针对不同社会脆弱程度的不同健康影响.
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