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コマガタ トモコ
駒形 朋子 所属 看護学部 看護学科 職種 准教授 |
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| 論文種別 | 原著 |
| 言語種別 | 英語 |
| 査読の有無 | 査読あり |
| 表題 | Who died as a result of the tsunami? Risk factors of mortality among internally displaced persons in Sri Lanka: a retrospective cohort analysis. |
| 掲載誌名 | 正式名：BMC public health 略 称：BMC Public Health ISSNコード：14712458/14712458 |
| 掲載区分 | 国外 |
| 巻・号・頁 | 6,pp.73 |
| 国際共著 | 国際共著 |
| 著者・共著者 | Nishikiori Nobuyuki, Abe Tomoko, Costa Dehiwala G M, Dharmaratne Samath D, Kunii Osamu, Moji Kazuhiko |
| 発行年月 | 2006/03 |
| 概要 | BACKGROUND:Describing adverse health effects and identifying vulnerable populations during and after a disaster are important aspects of any disaster relief operation. This study aimed to describe the mortality and related risk factors which affected the displaced population over a period of two and a half months after the 2004 Indian Ocean tsunami in an eastern coastal district of Sri Lanka.METHODS:A cross-sectional household survey was conducted in 13 evacuation camps for internally displaced persons (IDP). Information on all pre-tsunami family members was collected from householders, and all deaths which occurred during the recall period (77 to 80 days starting from the day of the tsunami) were recorded. The distribution of mortality and associated risk factors were analysed. Logistic regression modelling using the generalized estimating equations method was applied in multivariate analysis.RESULTS:Overall mortality rate out of 3,533 individuals from 859 households was 12.9% (446 deaths and 11 missing persons). The majority of the deaths occurred during and immediately after the disaster. A higher mortality was observed among females (17.5% vs. 8.2% for males, p < 0.001), children and the elderly (31.8%, 23.7% and 15.3% for children aged less than 5 years, children aged 5 to 9 years and adults over 50 years, respectively, compared with 7.4% for adults aged 20 to 29 years, p < 0.001). Other risk factors, such as being indoors at the time of the tsunami (13.8% vs. 5.9% outdoors, p < 0.001), the house destruction level (4.6%, 5.5% and 14.2% in increasing order of destruction, p < 0.001) and fishing as an occupation (15.4% vs. 11.2% for other occupations, p < 0.001) were also significantly associated with increased mortality. These correlations remained significant after adjusting for the confounding effects by multivariate analysis.CONCLUSION:A significantly high mortality was observed in women and children among the displaced population in the eastern coastal distr |
| DOI | 10.1186/1471-2458-6-73 |
| PMID | 16545145 |