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Impact of Disasters on Community Medical Screening Examination and Vaccination Rates: The Case of the Sewol Ferry Disaster in Ansan, Korea

Published online by Cambridge University Press:  03 April 2020

EunKyo Kang Open the ORCID record for EunKyo Kang [Opens in a new window]
EunKyo Kang*
Affiliation:
Institute for Public Health and Medical Service; and Department of Family Medicine, Seoul National University Hospital, Seoul, Republic of Korea
*
Correspondence and reprint requests to EunKyo Kang, Institute for Public Health and Medical Service, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul, Republic of Korea, 03080 (e-mail: [email protected]).
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Abstract

Objective:

In April 2014, the Sewol ferry sank off the coast of Korea, resulting in 304 deaths. Of these, 250 were local high school students from Ansan, and the disaster severely affected their community. This study investigated the association of this disaster with health examination, cancer screening rate, and vaccination rate.

Methods:

The study subjects were adults ages ≥19 years (11 026 Ansan residents and 1 361 624 non-residents of Ansan) who participated in the 2011–2016 Korea Community Health Survey. The national health screening program examination rate, cancer screening rate, and influenza vaccination rate in Ansan residents and non-residents were assessed and their responses compared using chi-square tests, multiple logistic regression analyses, and a stratification analysis according to depression.

Results:

After the disaster (2014–2016), non-residents received more health screening (adjusted odds ratio [aOR] = 1.13, P < 0.001), cancer screening (aOR = 1.41, P < 0.001), and vaccination (aOR = 1.10, P = 0.002) than Ansan residents. This difference was more evident in the group without a depressive mood.

Conclusion:

People living in disaster areas show lower rates of medical screening examination and receive fewer vaccinations after the disaster. To decrease health impacts by disaster, efforts to increase community health screenings and vaccinations may be needed.

Keywords

cancer screeningcommunityhealth screeningimpact of disastersvaccination
Type
Brief Report
Information
Disaster Medicine and Public Health Preparedness , Volume 15 , Issue 3 , June 2021 , pp. 286 - 291
Copyright
Copyright © 2020 Society for Disaster Medicine and Public Health, Inc.

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References

REFERENCES

Woo, H, Cho, Y, Shim, E, et al. Public trauma after the Sewol ferry disaster: the role of social media in understanding the public mood. Int J Environ Res Public Health. 2015;12(9):10974-10983.CrossRefGoogle ScholarPubMed
Rosen, R, Zhu, Z, Shao, Y, et al. Longitudinal change of PTSD symptoms in community members after the World Trade Center destruction. Int J Environ Res Public Health. 2019;16(7):1215.CrossRefGoogle ScholarPubMed
Bromet, EJ, Atwoli, L, Kawakami, N, et al. Post-traumatic stress disorder associated with natural and human-made disasters in the World Mental Health Surveys. Psychol Med. 2017;47(2):227-241.CrossRefGoogle ScholarPubMed
Han, H, Yun, JA, Huh, HJ, et al. Posttraumatic symptoms and change of complicated grief among bereaved families of the Sewol ferry disaster: one year follow-up study. J Korean Med Sci. 2019;34(28):e194.CrossRefGoogle ScholarPubMed
Chae, JH, Huh, HJ, Choi, WJ. Embitterment and bereavement: the Sewol ferry accident example. Psychological Trauma. 2018;10(1):46-50.CrossRefGoogle ScholarPubMed
Lee, MS, Bhang, SY, Lee, CS, et al. Psychiatric symptoms in teachers from Danwon High School after exposure to the sinking of the motor vessel Sewol. Psychiatry Investig. 2017;14(6):900-903.CrossRefGoogle ScholarPubMed
Mukherjee, S, Clouston, S, Kotov, R, et al. Handgrip strength of World Trade Center (WTC) responders: the role of re-experiencing posttraumatic stress disorder (PTSD) symptoms. Int J Environ Res Public Health. 2019;16(7):1128.CrossRefGoogle ScholarPubMed
Hokimoto, S. Risk of cardiovascular disease after earthquake disaster. Circ J. 2018;82(3):650-651.CrossRefGoogle ScholarPubMed
Fonseca, VA, Smith, H, Kuhadiya, N, et al. Impact of a natural disaster on diabetes: exacerbation of disparities and long-term consequences. Diabetes Care. 2009;32(9):1632-1638.CrossRefGoogle ScholarPubMed
Fan, AZ, Prescott, MR, Zhao, G, et al. Individual and community-level determinants of mental and physical health after the Deepwater Horizon oil spill: findings from the Gulf States Population Survey. J Behav Health Serv Res. 2015;42(1):23-41.CrossRefGoogle ScholarPubMed
Kang, YW, Ko, YS, Kim, YJ, et al. Korea Community Health Survey data profiles. Osong Public Health Res Perspect. 2015;6(3):211-217.CrossRefGoogle ScholarPubMed
Cheol Seong, S, Kim, YY, Khang, YH, et al. Data resource profile: the National Health Information Database of the National Health Insurance Service in South Korea. Int J Epidemiol. 2017;46(3):799-800.Google ScholarPubMed
Lim, LS, Williams, DE, Hagen, PT. Validation of a five-point self-rated stress score. Am J Health Promot. 2005;19(6):438-441.CrossRefGoogle ScholarPubMed
Blozik, E, Scherer, M, Lacruz, ME, et al. Diagnostic utility of a one-item question to screen for depressive disorders: results from the KORA F3 study. BMC Fam Pract. 2013;14:198.CrossRefGoogle ScholarPubMed
Idler, EL, Benyamini, Y. Self-rated health and mortality: a review of twenty-seven community studies. J Health Soc Behav. 1997;38(1):21-37.CrossRefGoogle ScholarPubMed
Rim, H, Kim, H, Lee, K, et al. Validity of self-reported healthcare utilization data in the Community Health Survey in Korea. J Korean Med Sci. 2011;26(11):1409-1414.CrossRefGoogle ScholarPubMed
Hazra, A. Using the confidence interval confidently. J Thorac Dis. 2017;9(10):4125.CrossRefGoogle ScholarPubMed
North, CS, Pfefferbaum, B. Mental health response to community disasters: a systematic review. JAMA. 2013;310(5):507-518.CrossRefGoogle ScholarPubMed
Yang, HJ, Kim, G, Lee, K, et al. Changes in the levels of depressive symptoms and anxiety in Ansan city after the 2014 Sewol ferry disaster. J Affect Disord. 2018;241:110-116.CrossRefGoogle ScholarPubMed
Nagai, M, Ohira, T, Zhang, W, et al. Lifestyle-related factors that explain disaster-induced changes in socioeconomic status and poor subjective health: a cross-sectional study from the Fukushima health management survey. BMC Public Health. 2017;17(1):340.CrossRefGoogle ScholarPubMed
Ueda, Y, Yabe, H, Maeda, M, et al. Drinking behavior and mental illness among evacuees in Fukushima following the Great East Japan Earthquake: the Fukushima Health Management Survey. Alcohol Clin Exp Res. 2016;40(3):623-630.CrossRefGoogle ScholarPubMed
Turner, LR, Alderman, K, Huang, C, et al. Impact of the 2011 Queensland floods on the use of tobacco, alcohol and medication. Aust N Z J Public Health. 2013;37(4):396.CrossRefGoogle ScholarPubMed
Lawrence, WR, Lin, Z, Lipton, EA, et al. After the storm: short-term and long-term health effects following Superstorm Sandy among the elderly. Disaster Med Public Health Prep. 2019;13(1):28-32.CrossRefGoogle ScholarPubMed
Tomata, Y, Suzuki, Y, Kawado, M, et al. Long-term impact of the 2011 Great East Japan Earthquake and tsunami on functional disability among older people: a 3-year longitudinal comparison of disability prevalence among Japanese municipalities. Soc Sci Med. 2015;147:296-299.CrossRefGoogle ScholarPubMed
Wong, HT, Li, S. Healthcare services demand in post-disaster settings: the 2014 earthquake in Ludian County, Yunnan Province, China. Int J Disaster Risk Sci. 2016;7(4):445-449.CrossRefGoogle Scholar
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