Medium- and long-term health effects of earthquakes in high-income countries: a systematic review and meta-analysis.
dc.contributor.author | Ripoll Gallardo, Alba | |
dc.contributor.author | Pacelli, Barbara | |
dc.contributor.author | Alesina, Marta | |
dc.contributor.author | Serrone, Dario | |
dc.contributor.author | Iacutone, Giovanni | |
dc.contributor.author | Faggiano, Fabrizio | |
dc.contributor.author | Della Corte, Francesco | |
dc.contributor.author | Allara, Elias | |
dc.date.accessioned | 2018-09-11T17:31:40Z | |
dc.date.available | 2018-09-11T17:31:40Z | |
dc.date.issued | 2018-08-01 | |
dc.identifier.issn | 0300-5771 | |
dc.identifier.uri | https://www.repository.cam.ac.uk/handle/1810/280181 | |
dc.description.abstract | BACKGROUND: Accurate monitoring of population health is essential to ensure proper recovery after earthquakes. We aimed to summarize the findings and features of post-earthquake epidemiological studies conducted in high-income countries and to prompt the development of future surveillance plans. METHODS: Medline, Scopus and six sources of grey literature were systematically searched. Inclusion criteria were: observational study conducted in high-income countries with at least one comparison group of unexposed participants, and measurement of health outcomes at least 1 month after the earthquake. RESULTS: A total of 52 articles were included, assessing the effects of 13 earthquakes that occurred in eight countries. Most studies: had a time-series (33%) or cross-sectional (29%) design; included temporal comparison groups (63%); used routine data (58%); and focused on patient subgroups rather than the whole population (65%). Individuals exposed to earthquakes had: 2% higher all-cause mortality rates [95% confidence interval (CI), 1% to 3%]; 36% (95% CI, 19% to 57%) and 37% (95% CI, 29% to 46%) greater mortality rates from myocardial infarction and stroke, respectively; and 0.16 higher mean percent points of glycated haemoglobin (95% CI, 0.07% to 0.25% points). There was no evidence of earthquake effects for blood pressure, body mass index or lipid biomarkers. CONCLUSIONS: A more regular and coordinated use of large and routinely collected datasets would benefit post-earthquake epidemiological surveillance. Whenever possible, a cohort design with geographical and temporal comparison groups should be used, and both communicable and non-communicable diseases should be assessed. Post-earthquake epidemiological surveillance should also capture the impact of seismic events on the access to and use of health care services. | |
dc.format.medium | ||
dc.language | eng | |
dc.publisher | Oxford University Press (OUP) | |
dc.subject | Humans | |
dc.subject | Mortality | |
dc.subject | Natural Disasters | |
dc.subject | Developed Countries | |
dc.subject | Earthquakes | |
dc.subject | Epidemiological Monitoring | |
dc.subject | Glycated Hemoglobin A | |
dc.title | Medium- and long-term health effects of earthquakes in high-income countries: a systematic review and meta-analysis. | |
dc.type | Article | |
prism.endingPage | 1332 | |
prism.issueIdentifier | 4 | |
prism.publicationDate | 2018 | |
prism.publicationName | Int J Epidemiol | |
prism.startingPage | 1317 | |
prism.volume | 47 | |
dc.identifier.doi | 10.17863/CAM.27548 | |
dcterms.dateAccepted | 2018-06-01 | |
rioxxterms.versionofrecord | 10.1093/ije/dyy130 | |
rioxxterms.licenseref.uri | http://www.rioxx.net/licenses/all-rights-reserved | |
rioxxterms.licenseref.startdate | 2018-08 | |
dc.contributor.orcid | Allara, Elias [0000-0002-1634-8330] | |
dc.identifier.eissn | 1464-3685 | |
rioxxterms.type | Journal Article/Review | |
cam.issuedOnline | 2018-07-19 | |
rioxxterms.freetoread.startdate | 2019-07-19 |
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