在阿联酋遏制COVID-19风险:大规模隔离、心理健康以及对危机管理的影响。

IF 1.9 Q3 PUBLIC ADMINISTRATION Risk, Hazards & Crisis in Public Policy Pub Date : 2022-03-01 Epub Date: 2021-09-13 DOI:10.1002/rhc3.12237
Justin Thomas, James P Terry
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引用次数: 9

摘要

新冠肺炎疫情是第一次全球性的“NASECH灾难”,由于其自然灾害(NH)的起源,对全球社会(S)、经济(EC)、健康(H)造成了前所未有的影响。紧急卫生控制措施要求实施强制性大规模隔离(CMQ)或所谓的“封锁期”。然而,CMQ是一种具有医源性后果的工具,与抑郁、焦虑和创伤后应激的社会水平上升有关。为了为未来的危机管理提供信息,该研究调查了2020年3月至4月阿拉伯联合酋长国封锁期间与心理健康相关的社会人口因素。受访者(n = 1585)完成了抑郁(PHQ8)和广泛性焦虑(GAD7)的自我报告测量。症状率明显高于大流行前在阿联酋进行的类似研究中观察到的比率。年龄较小、居住在城市、女性和精神健康问题史是与抑郁和焦虑水平升高相关的重要因素。研究结果强调(1)灾后心理干预的必要性;(2)加强公共卫生与减少灾害风险(DRR)交叉领域联系的重要性。由此产生的影响是,未来的大流行控制将受益于采用新的卫生-减灾范例,并确保这些范例有效地转化为灾害政策。
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Containing COVID-19 risk in the UAE: Mass quarantine, mental health, and implications for crisis management.

The COVID-19 pandemic is the first global "NASECH disaster," owing to its natural hazard (NH) origin and unprecedented subsequent repercussions for global society (S), economy (EC), and health (H). Emergency health control measures required the implementation of compulsory mass quarantine (CMQ) or so-called periods of "lockdown." Yet, CMQ is an instrument with iatrogenic consequences, associated with a rise in societal levels of depression, anxiety, and posttraumatic stress. With a view to informing future crisis management, the study investigated sociodemographic factors associated with mental wellbeing during the March-April 2020 lockdown in the United Arab Emirates. Respondents (n = 1585) completed self-report measures of depression (PHQ8) and generalized anxiety (GAD7). Rates of symptomatology were notably higher than those observed in similar UAE-based studies before the pandemic. Younger age, urban-dwelling, female-gender, and a history of mental health problems were significant factors linked to elevated levels of depression and anxiety. Findings emphasize (1) the crucial need for psychological intervention after disasters and (2) the importance of strengthening the nexus at the intersection of public health and disaster risk reduction (DRR). Implications are that future pandemic containment would benefit from adopting new Health-DRR paradigms and ensuring these are effectively translated into disaster policy.

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来源期刊
CiteScore
7.50
自引率
8.60%
发文量
20
期刊介绍: Scholarship on risk, hazards, and crises (emergencies, disasters, or public policy/organizational crises) has developed into mature and distinct fields of inquiry. Risk, Hazards & Crisis in Public Policy (RHCPP) addresses the governance implications of the important questions raised for the respective fields. The relationships between risk, hazards, and crisis raise fundamental questions with broad social science and policy implications. During unstable situations of acute or chronic danger and substantial uncertainty (i.e. a crisis), important and deeply rooted societal institutions, norms, and values come into play. The purpose of RHCPP is to provide a forum for research and commentary that examines societies’ understanding of and measures to address risk,hazards, and crises, how public policies do and should address these concerns, and to what effect. The journal is explicitly designed to encourage a broad range of perspectives by integrating work from a variety of disciplines. The journal will look at social science theory and policy design across the spectrum of risks and crises — including natural and technological hazards, public health crises, terrorism, and societal and environmental disasters. Papers will analyze the ways societies deal with both unpredictable and predictable events as public policy questions, which include topics such as crisis governance, loss and liability, emergency response, agenda setting, and the social and cultural contexts in which hazards, risks and crises are perceived and defined. Risk, Hazards & Crisis in Public Policy invites dialogue and is open to new approaches. We seek scholarly work that combines academic quality with practical relevance. We especially welcome authors writing on the governance of risk and crises to submit their manuscripts.
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