Psychosocial risk factors for depressive symptoms after the AZF chemical factory explosion in Toulouse, France
Background: On 21 September 2001, a huge explosion occurred in a chemical plant in Toulouse. The hypothesis of the study was that the level of depressive symptoms after an industrial disaster would be related to the intensity of exposure and the characteristics of the exposed population, as well as...
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Veröffentlicht in: | European journal of public health 2010-12, Vol.20 (6), p.625-630 |
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description | Background: On 21 September 2001, a huge explosion occurred in a chemical plant in Toulouse. The hypothesis of the study was that the level of depressive symptoms after an industrial disaster would be related to the intensity of exposure and the characteristics of the exposed population, as well as to the consequences of the disaster during the following months. Methods: A random sample of the population living close to the plant at the time of the explosion was included in a cross-sectional study, and 811 persons aged >18 years were interviewed at home. The depressive symptoms score was analysed by gender in relation to characteristics of the population before the explosion, immediate exposure to the explosion and post-trauma factors. Results: The mean depressive symptoms scores (±SD) 18 months after the explosion were 17.8 (±1) in women and 13.5 (±1) in men. Age > 45 years and psychiatric treatment in the previous year; high immediate exposure (proximity to the site at the time of the explosion |
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The hypothesis of the study was that the level of depressive symptoms after an industrial disaster would be related to the intensity of exposure and the characteristics of the exposed population, as well as to the consequences of the disaster during the following months. Methods: A random sample of the population living close to the plant at the time of the explosion was included in a cross-sectional study, and 811 persons aged >18 years were interviewed at home. The depressive symptoms score was analysed by gender in relation to characteristics of the population before the explosion, immediate exposure to the explosion and post-trauma factors. Results: The mean depressive symptoms scores (±SD) 18 months after the explosion were 17.8 (±1) in women and 13.5 (±1) in men. Age > 45 years and psychiatric treatment in the previous year; high immediate exposure (proximity to the site at the time of the explosion <2500 m); and post-trauma factors such as financial difficulties or physical sequelae during the months after the disaster were related to a higher depressive symptoms score in both men and women. Conclusion: In the population living near the site of an industrial explosion, individual vulnerability, exposure and post-trauma factors were associated with depressive symptoms. All three sets of factors need to be taken into account when planning a response to a disaster and reducing the psychological aftermath.</description><identifier>ISSN: 1101-1262</identifier><identifier>EISSN: 1464-360X</identifier><identifier>DOI: 10.1093/eurpub/ckq081</identifier><identifier>PMID: 20570959</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Adult ; Age ; Chemical Industry ; Chemical plants ; Cluster Analysis ; Cross-Sectional Studies ; Depression - epidemiology ; Depression - etiology ; depressive symptoms ; Disasters ; epidemiology ; Explosions ; Female ; France - epidemiology ; Human exposure ; Humans ; industrial disaster ; Linear Models ; Male ; mental health ; Middle Aged ; Multivariate Analysis ; Population ; Prevalence ; Psychological aspects ; psychosocial risk factors ; Public health ; Risk Factors ; Social psychology ; Socioeconomic Factors ; Trauma</subject><ispartof>European journal of public health, 2010-12, Vol.20 (6), p.625-630</ispartof><rights>Copyright Oxford Publishing Limited(England) Dec 2010</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c428t-9608fa143f036fa1124216ec286867d15d7054dc24b6b40cd56dabc3bb2e06653</citedby><cites>FETCH-LOGICAL-c428t-9608fa143f036fa1124216ec286867d15d7054dc24b6b40cd56dabc3bb2e06653</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27866,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20570959$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rivière, Stéphanie</creatorcontrib><creatorcontrib>Albessard, Artus</creatorcontrib><creatorcontrib>Gardette, Virginie</creatorcontrib><creatorcontrib>Lapierre-Duval, Karine</creatorcontrib><creatorcontrib>Schwœbel, Valérie</creatorcontrib><creatorcontrib>Lang, Thierry</creatorcontrib><creatorcontrib>AZF Epidemiological Follow-up Committee</creatorcontrib><creatorcontrib>for the AZF Epidemiological Follow-up Committee</creatorcontrib><title>Psychosocial risk factors for depressive symptoms after the AZF chemical factory explosion in Toulouse, France</title><title>European journal of public health</title><addtitle>Eur J Public Health</addtitle><description>Background: On 21 September 2001, a huge explosion occurred in a chemical plant in Toulouse. The hypothesis of the study was that the level of depressive symptoms after an industrial disaster would be related to the intensity of exposure and the characteristics of the exposed population, as well as to the consequences of the disaster during the following months. Methods: A random sample of the population living close to the plant at the time of the explosion was included in a cross-sectional study, and 811 persons aged >18 years were interviewed at home. The depressive symptoms score was analysed by gender in relation to characteristics of the population before the explosion, immediate exposure to the explosion and post-trauma factors. Results: The mean depressive symptoms scores (±SD) 18 months after the explosion were 17.8 (±1) in women and 13.5 (±1) in men. Age > 45 years and psychiatric treatment in the previous year; high immediate exposure (proximity to the site at the time of the explosion <2500 m); and post-trauma factors such as financial difficulties or physical sequelae during the months after the disaster were related to a higher depressive symptoms score in both men and women. Conclusion: In the population living near the site of an industrial explosion, individual vulnerability, exposure and post-trauma factors were associated with depressive symptoms. All three sets of factors need to be taken into account when planning a response to a disaster and reducing the psychological aftermath.</description><subject>Adult</subject><subject>Age</subject><subject>Chemical Industry</subject><subject>Chemical plants</subject><subject>Cluster Analysis</subject><subject>Cross-Sectional Studies</subject><subject>Depression - epidemiology</subject><subject>Depression - etiology</subject><subject>depressive symptoms</subject><subject>Disasters</subject><subject>epidemiology</subject><subject>Explosions</subject><subject>Female</subject><subject>France - epidemiology</subject><subject>Human exposure</subject><subject>Humans</subject><subject>industrial disaster</subject><subject>Linear Models</subject><subject>Male</subject><subject>mental health</subject><subject>Middle Aged</subject><subject>Multivariate Analysis</subject><subject>Population</subject><subject>Prevalence</subject><subject>Psychological aspects</subject><subject>psychosocial risk factors</subject><subject>Public health</subject><subject>Risk Factors</subject><subject>Social psychology</subject><subject>Socioeconomic Factors</subject><subject>Trauma</subject><issn>1101-1262</issn><issn>1464-360X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7TQ</sourceid><recordid>eNqFkc1P3DAQxa2qqFDaY6-V1UsvDfgjcZwj0C4UrdQeaIW4WI4z0ZpN4uBJKva_xyiUSr1wmifN7z3N6BHygbMjzip5DHMc5_rYbe-Y5q_IAc9VnknFrl8nzRnPuFBin7xFvGWMFaUWb8i-SIJVRXVAhp-4c5uAwXnb0ehxS1vrphCRtiHSBsYIiP4PUNz14xR6pLadINJpA_TkZkXdBnrvknex7Sjcj11AHwbqB3oV5i7MCF_oKtrBwTuy19oO4f3TPCS_Vt-uzi6y9Y_z72cn68zlQk9ZpZhuLc9ly6RKgotccAVOaKVV2fCiKVmRN07ktapz5ppCNbZ2sq4FMKUKeUg-L7ljDHcz4GR6jw66zg6Q7jG6qrgUlVYvk1wVQlW5TuSn_8jbMMchvfEIaVkKwRKULZCLATFCa8boext3hjPzWJhZCjNLYYn_-BQ61z00z_Tfhv4Fepzg_nlv49aoUpaFubi-MevTr-L3pZBGywfyy6LW</recordid><startdate>201012</startdate><enddate>201012</enddate><creator>Rivière, Stéphanie</creator><creator>Albessard, Artus</creator><creator>Gardette, Virginie</creator><creator>Lapierre-Duval, Karine</creator><creator>Schwœbel, Valérie</creator><creator>Lang, Thierry</creator><general>Oxford University Press</general><general>Oxford Publishing Limited (England)</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T2</scope><scope>7TQ</scope><scope>C1K</scope><scope>DHY</scope><scope>DON</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>7U1</scope><scope>7U2</scope></search><sort><creationdate>201012</creationdate><title>Psychosocial risk factors for depressive symptoms after the AZF chemical factory explosion in Toulouse, France</title><author>Rivière, Stéphanie ; Albessard, Artus ; Gardette, Virginie ; Lapierre-Duval, Karine ; Schwœbel, Valérie ; Lang, Thierry</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c428t-9608fa143f036fa1124216ec286867d15d7054dc24b6b40cd56dabc3bb2e06653</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adult</topic><topic>Age</topic><topic>Chemical Industry</topic><topic>Chemical plants</topic><topic>Cluster Analysis</topic><topic>Cross-Sectional Studies</topic><topic>Depression - epidemiology</topic><topic>Depression - etiology</topic><topic>depressive symptoms</topic><topic>Disasters</topic><topic>epidemiology</topic><topic>Explosions</topic><topic>Female</topic><topic>France - epidemiology</topic><topic>Human exposure</topic><topic>Humans</topic><topic>industrial disaster</topic><topic>Linear Models</topic><topic>Male</topic><topic>mental health</topic><topic>Middle Aged</topic><topic>Multivariate Analysis</topic><topic>Population</topic><topic>Prevalence</topic><topic>Psychological aspects</topic><topic>psychosocial risk factors</topic><topic>Public health</topic><topic>Risk Factors</topic><topic>Social psychology</topic><topic>Socioeconomic Factors</topic><topic>Trauma</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rivière, Stéphanie</creatorcontrib><creatorcontrib>Albessard, Artus</creatorcontrib><creatorcontrib>Gardette, Virginie</creatorcontrib><creatorcontrib>Lapierre-Duval, Karine</creatorcontrib><creatorcontrib>Schwœbel, Valérie</creatorcontrib><creatorcontrib>Lang, Thierry</creatorcontrib><creatorcontrib>AZF Epidemiological Follow-up Committee</creatorcontrib><creatorcontrib>for the AZF Epidemiological Follow-up Committee</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>PAIS Index</collection><collection>Environmental Sciences and Pollution Management</collection><collection>PAIS International</collection><collection>PAIS International (Ovid)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><jtitle>European journal of public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rivière, Stéphanie</au><au>Albessard, Artus</au><au>Gardette, Virginie</au><au>Lapierre-Duval, Karine</au><au>Schwœbel, Valérie</au><au>Lang, Thierry</au><aucorp>AZF Epidemiological Follow-up Committee</aucorp><aucorp>for the AZF Epidemiological Follow-up Committee</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Psychosocial risk factors for depressive symptoms after the AZF chemical factory explosion in Toulouse, France</atitle><jtitle>European journal of public health</jtitle><addtitle>Eur J Public Health</addtitle><date>2010-12</date><risdate>2010</risdate><volume>20</volume><issue>6</issue><spage>625</spage><epage>630</epage><pages>625-630</pages><issn>1101-1262</issn><eissn>1464-360X</eissn><abstract>Background: On 21 September 2001, a huge explosion occurred in a chemical plant in Toulouse. The hypothesis of the study was that the level of depressive symptoms after an industrial disaster would be related to the intensity of exposure and the characteristics of the exposed population, as well as to the consequences of the disaster during the following months. Methods: A random sample of the population living close to the plant at the time of the explosion was included in a cross-sectional study, and 811 persons aged >18 years were interviewed at home. The depressive symptoms score was analysed by gender in relation to characteristics of the population before the explosion, immediate exposure to the explosion and post-trauma factors. Results: The mean depressive symptoms scores (±SD) 18 months after the explosion were 17.8 (±1) in women and 13.5 (±1) in men. Age > 45 years and psychiatric treatment in the previous year; high immediate exposure (proximity to the site at the time of the explosion <2500 m); and post-trauma factors such as financial difficulties or physical sequelae during the months after the disaster were related to a higher depressive symptoms score in both men and women. Conclusion: In the population living near the site of an industrial explosion, individual vulnerability, exposure and post-trauma factors were associated with depressive symptoms. All three sets of factors need to be taken into account when planning a response to a disaster and reducing the psychological aftermath.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>20570959</pmid><doi>10.1093/eurpub/ckq081</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Age Chemical Industry Chemical plants Cluster Analysis Cross-Sectional Studies Depression - epidemiology Depression - etiology depressive symptoms Disasters epidemiology Explosions Female France - epidemiology Human exposure Humans industrial disaster Linear Models Male mental health Middle Aged Multivariate Analysis Population Prevalence Psychological aspects psychosocial risk factors Public health Risk Factors Social psychology Socioeconomic Factors Trauma |
title | Psychosocial risk factors for depressive symptoms after the AZF chemical factory explosion in Toulouse, France |
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