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OtherFamily Medicine –World Perspective

Health Problems Presented to Family Practices in The Netherlands 1 Year Before and 1 Year After a Disaster

Rik J. H. Soeteman, C. Joris Yzermans, Jan J. Kerssens, Anja J. E. Dirkzwager, Ge A. Donker, Petra M. H. ten Veen, Wil J. H. M. van den Bosch and Jouke van der Zee
The Journal of the American Board of Family Medicine November 2007, 20 (6) 548-556; DOI: https://doi.org/10.3122/jabfm.2007.06.060067
Rik J. H. Soeteman
MD
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C. Joris Yzermans
PhD
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Jan J. Kerssens
PhD
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Anja J. E. Dirkzwager
PhD
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Ge A. Donker
MD, PhD
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Petra M. H. ten Veen
MSc
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Wil J. H. M. van den Bosch
MD, PhD
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Jouke van der Zee
PhD
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Article Figures & Data

Tables

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    Table 1.

    Characteristics of Victims and Controls Registered on Their Family Practitioner's List Between May 1999 and May 2001

    Victim GroupsVictims (n = 9183)Controls (n = 7066)
    Mean age (years)38.537.9
    Men52.852.0
    Children <15 years of age13.714.4
    Low/medium SES*70.467.1
    Psychological problems before disaster9.59.2
    Relocated8.8—
    No contact with family practitioner5.86.4
    • All data presented as percentage, except mean age. SES, socioeconomic status.

    • * P < .001 (between victims and controls).

    • View popup
    Table 2.

    Health Problems of Victims and Controls 1 Year Before and 1 Year After the Disaster* in International Classification of Primary Care Clusters

    ICPC Cluster†VictimsControls
    Before DisasterAfter DisasterBefore DisasterAfter Disaster
    Musculoskeletal418450‡404401
    Psychological131422§129133
    Respiratory    399‖388363348
    Others¶359**358335335
    Skin303††321321314
    Digestive180198170177
    General167‖197143154
    Circulatory151158150154
    Neurological112**1169489
    Ear106113104102
    Social50**106§4147
    Endocrine81857781
    Urinary67746067
    • ICPC, International Classification of Primary Care.

    • * 13 May 1999 through 12 May 2001.

    • † Data provided as prevalence rates per 1000 person-years.

    • ¶ “Others” includes “blood, blood forming,” “eye,” “pregnancy, childbearing, family planning,” “female genital,” and “male genital.”

    • †† Differences between victims and controls with regard to rates before the disaster: P < .05;

    • ** Differences between victims and controls with regard to rates before the disaster: P < .01;

    • ‖ Differences between victims and controls with regard to rates before the disaster: P < .001.

    • ‡ Differences between victims and controls with regard to changes between rates before the disaster and rates after the disaster: P < .05,

    • § Differences between victims and controls with regard to changes between rates before the disaster and rates after the disaster: P < .001.

    • View popup
    Table 3.

    Prevalence Rates and Odds Ratios Ranked in Order of Specific Health Problems 1 Year Before and 1 Year After the Disaster in Victims and Controls 1 Year After the Disaster*

    Health ProblemVictims (n)Controls (n)Odds Ratio†95% Confidence Interval
    Before DisasterAfter DisasterBefore DisasterAfter Disaster
    Acute stress9273111915.9610.95–23.27
    Problems with housing/ neighborhood2261113.164.23–40.96
    Loss/death of parent/family412434.262.04–8.93
    Herpes zoster46532.651.31–5.36
    Abrasion/scratch/ blister57542.361.21–4.63
    Hyperventilation713872.261.35–3.76
    Disturbance of sleep/insomnia285533302.211.72–2.84
    Feeling anxious/nervous/tense234324202.201.64–2.95
    Palpitations912952.201.32–3.69
    Anxiety disorder916762.191.31–3.67
    Other infection of the eye/uveitis58432.101.02–4.34
    Depressive disorder212819181.441.05–1.99
    Laceration/cut182318171.431.02–2.01
    Neck symptoms344533351.291.01–1.65
    • * 13 May 2000 through 12 May 2001.

    • † Odds ratio shows the risk of victims’ health problems after the disaster as related to the controls and risk before the disaster.

    • View popup
    Table 4.

    Odds Ratios and 95% Confidence Intervals Calculated from Multilevel Logistic Regression Models Analyzing the Probability of Visiting the Family Practitioner for Psychological and Musculoskeletal Problems in the Year After the Disaster

    PsychologicalMusculoskeletal
    OR95% CIOR95% CI
    Constant0.080.50
    Relocated victims (ref controls)10.658.15–13.940.980.76–1.26
    Nonrelocated victims (ref controls)4.243.58–5.031.201.06–1.35
    Women in interaction with:
        Controls1.261.07–1.491.151.03–1.28
        Relocated victims1.561.17–2.081.050.78–1.42
        Nonrelocated victims1.531.37–1.691.151.04–1.26
    Low/medium SES in interaction with:
        Controls1.481.22–1.801.541.36–1.74
        Relocated victims1.040.70–1.801.060.70–1.60
        Nonrelocated victims1.431.27–1.611.361.22–1.51
    Age in interaction with:
        Controls1.141.09–1.181.151.12–1.18
        Relocated victims1.171.08–1.251.171.08–1.26
        Nonrelocated victims1.08*1.05–1.101.151.12–1.18
    Psychological problems before the disaster in interaction with:
        Controls8.116.80–9.671.271.09–1.49
        Relocated victims2.31*1.42–3.761.911.23–2.97
        Nonrelocated victims3.59*3.10–4.151.441.25–1.65
    • OR, odds ratio; CI, confidence interval.

    • * Odd ratios of victims and controls that differ statistically significantly.

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The Journal of the American Board of Family Medicine: 20 (6)
The Journal of the American Board of Family Medicine
Vol. 20, Issue 6
November-December 2007
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Health Problems Presented to Family Practices in The Netherlands 1 Year Before and 1 Year After a Disaster
Rik J. H. Soeteman, C. Joris Yzermans, Jan J. Kerssens, Anja J. E. Dirkzwager, Ge A. Donker, Petra M. H. ten Veen, Wil J. H. M. van den Bosch, Jouke van der Zee
The Journal of the American Board of Family Medicine Nov 2007, 20 (6) 548-556; DOI: 10.3122/jabfm.2007.06.060067

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Health Problems Presented to Family Practices in The Netherlands 1 Year Before and 1 Year After a Disaster
Rik J. H. Soeteman, C. Joris Yzermans, Jan J. Kerssens, Anja J. E. Dirkzwager, Ge A. Donker, Petra M. H. ten Veen, Wil J. H. M. van den Bosch, Jouke van der Zee
The Journal of the American Board of Family Medicine Nov 2007, 20 (6) 548-556; DOI: 10.3122/jabfm.2007.06.060067
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