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
Hauptverfasser: Rivière, Stéphanie, Albessard, Artus, Gardette, Virginie, Lapierre-Duval, Karine, Schwœbel, Valérie, Lang, Thierry
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container_issue 6
container_start_page 625
container_title European journal of public health
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creator Rivière, Stéphanie
Albessard, Artus
Gardette, Virginie
Lapierre-Duval, Karine
Schwœbel, Valérie
Lang, Thierry
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
doi_str_mv 10.1093/eurpub/ckq081
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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 &gt;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 &gt; 45 years and psychiatric treatment in the previous year; high immediate exposure (proximity to the site at the time of the explosion &lt;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. 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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 &gt;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 &gt; 45 years and psychiatric treatment in the previous year; high immediate exposure (proximity to the site at the time of the explosion &lt;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. 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Age &gt; 45 years and psychiatric treatment in the previous year; high immediate exposure (proximity to the site at the time of the explosion &lt;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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source MEDLINE; PAIS Index; Oxford Journals Open Access Collection; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection
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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