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Post-Traumatic Stress and School Adaptation in Adolescent Survivors Five Years after the 2010 Yushu Earthquake in China

Author

Listed:
  • Shou Liu

    (Department of Public Health, Medical College, Qinghai University, Qinghai 810001, China
    Department of Statistics, University of California, Riverside, 337 Olmsted Hall, UCR, Riverside, CA 92521, USA)

  • Li Lu

    (Team IETO, Bordeaux Population Health Research Center, UMR U1219, INSERM, Université de Bordeaux, 33076 Bordeaux, France)

  • Zheng-Zhong Bai

    (Department of Public Health, Medical College, Qinghai University, Qinghai 810001, China)

  • Min Su

    (School of Public Administration, Inner Mongolia University, Inner Mongolia 010021, China)

  • Zheng-Qing Qi

    (Department of Public Health, Medical College, Qinghai University, Qinghai 810001, China)

  • Shi-Yu Zhang

    (Department of Public Health, Medical College, Qinghai University, Qinghai 810001, China)

  • Yuan Chen

    (Department of Public Health, Medical College, Qinghai University, Qinghai 810001, China)

  • Bing-Yu Ao

    (Department of Public Health, Medical College, Qinghai University, Qinghai 810001, China)

  • Feng-Zhen Cui

    (Department of Public Health, Medical College, Qinghai University, Qinghai 810001, China)

  • Emmanuel Lagarde

    (Team IETO, Bordeaux Population Health Research Center, UMR U1219, INSERM, Université de Bordeaux, 33076 Bordeaux, France)

  • Kehshin Lii

    (Department of Statistics, University of California, Riverside, 337 Olmsted Hall, UCR, Riverside, CA 92521, USA)

Abstract

(1) Background: The devastating Ms 7.1 earthquake struck Yushu city, China, in 2010, leading to serious consequences and damage in the central Tibetan Plateau. This study aimed to assess school adaptation and post-traumatic stress disorder (PTSD) symptoms of adolescent survivors five years after the Yushu earthquake. (2) Methods: A large-scale, school-based mental health survey was conducted 5 years after the earthquake among Tibetan students in the city of Yushu using the Adolescent’s School Adaptation Scale (ASAS) and the PTSD Checklist. (3) Results: A total of 1976 questionnaires were collected. A total of 30.7% of Tibetan adolescents had poor school adaptation and 19.5% were estimated as having probable PTSD. Logistic regression showed that females (OR = 0.73, 95% CI: 0.60–0.89), senior students (OR = 0.48, 95% CI: 0.39–0.59), and those who participated in post-disaster reconstruction (OR = 0.68, 95% CI: 0.54–0.85) were less likely to have poor school adaptation, while a positive association was observed among those buried under a collapsed building (OR = 1.47, 95% CI: 1.04–2.09) and those who experienced bereavement (OR = 1.77, 95% CI: 1.27–2.45). Students who had experienced bereavement were also more likely to have PTSD (OR = 1.60, 95% CI: 1.12–2.28). (4) Conclusions: The post-traumatic effects of the Yushu earthquake on Tibetan adolescents were severe and long-lasting. Sustainable long-term mental health services to help adolescents to restructure their mental health are necessary.

Suggested Citation

  • Shou Liu & Li Lu & Zheng-Zhong Bai & Min Su & Zheng-Qing Qi & Shi-Yu Zhang & Yuan Chen & Bing-Yu Ao & Feng-Zhen Cui & Emmanuel Lagarde & Kehshin Lii, 2019. "Post-Traumatic Stress and School Adaptation in Adolescent Survivors Five Years after the 2010 Yushu Earthquake in China," IJERPH, MDPI, vol. 16(21), pages 1-10, October.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:21:p:4167-:d:281227
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    References listed on IDEAS

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    1. Kumar, M.S. & Murhekar, M.V. & Hutin, Y. & Subramanian, T. & Ramachandran, V. & Gupte, M.D., 2007. "Prevalence of posttraumatic stress disorder in a coastal fishing village in Tamil Nadu, India, after the December 2004 tsunami," American Journal of Public Health, American Public Health Association, vol. 97(1), pages 99-101.
    2. Ying Liang & Runxia Cao, 2015. "Employment assistance policies of Chinese government play positive roles! The impact of post-earthquake employment assistance policies on the health-related quality of life of Chinese earthquake popul," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 120(3), pages 835-857, February.
    3. Seplaki, Christopher L. & Goldman, Noreen & Weinstein, Maxine & Lin, Yu-Hsuan, 2006. "Before and after the 1999 Chi-Chi earthquake: Traumatic events and depressive symptoms in an older population," Social Science & Medicine, Elsevier, vol. 62(12), pages 3121-3132, June.
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