<?xml version='1.0' encoding='UTF-8'?><xml><records><record><source-app name="HighWire" version="7.x">Drupal-HighWire</source-app><ref-type name="Journal Article">17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Soeteman, Rik J. H.</style></author><author><style face="normal" font="default" size="100%">Yzermans, C. Joris</style></author><author><style face="normal" font="default" size="100%">Kerssens, Jan J.</style></author><author><style face="normal" font="default" size="100%">Dirkzwager, Anja J. E.</style></author><author><style face="normal" font="default" size="100%">Donker, Ge A.</style></author><author><style face="normal" font="default" size="100%">ten Veen, Petra M. H.</style></author><author><style face="normal" font="default" size="100%">van den Bosch, Wil J. H. M.</style></author><author><style face="normal" font="default" size="100%">van der Zee, Jouke</style></author></authors><secondary-authors></secondary-authors></contributors><titles><title><style face="normal" font="default" size="100%">Health Problems Presented to Family Practices in The Netherlands 1 Year Before and 1 Year After a Disaster</style></title><secondary-title><style face="normal" font="default" size="100%">The Journal of the American Board of Family Medicine</style></secondary-title></titles><dates><year><style  face="normal" font="default" size="100%">2007</style></year><pub-dates><date><style  face="normal" font="default" size="100%">2007-11-01 00:00:00</style></date></pub-dates></dates><pages><style  face="normal" font="default" size="100%">548-556</style></pages><doi><style  face="normal" font="default" size="100%">10.3122/jabfm.2007.06.060067</style></doi><volume><style face="normal" font="default" size="100%">20</style></volume><issue><style face="normal" font="default" size="100%">6</style></issue><abstract><style  face="normal" font="default" size="100%">Background: Disasters often have negative health consequences. Studies of health problems presented in family practice before and after a disaster are rare. The present study analyzed health problems before and after a disaster and predictors of increased morbidity after the disaster as presented in family practice.Methods: A matched cohort study design with measurements 1 year before the disaster and 1 year after the disaster. Victims (N = 9183) and matched controls (N = 7066) were surveyed in the electronic medical records of 30 family practices after the explosions of a fireworks depot in The Netherlands. All health problems were registered using the International Classification of Primary Care.Results: Victims showed significantly higher prevalence rates for psychological problems after the disaster than before the disaster (422 vs133 per 1000 person-years; P &lt; .001) and for problems of the musculoskeletal system (450 vs 401 per 1000 person-years; P &lt; .05).Relocation because of the disaster (odds ratio, 10.65; 95% confidence interval, 8.15–13.94) and, to a lesser degree, psychological morbidity before the disaster (odds ratio, 2.31; 95% confidence interval, 1.42–3.76) were the strongest predictors of psychological problems after the disaster.Conclusion: The results suggested that forced relocation and a history of psychological problems were risk factors to post-disaster psychological problems of victims presenting to a family practice.</style></abstract></record></records></xml>