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The Prevalence of Posttraumatic Stress Disorder Among Survivors After a Typhoon or Hurricane: A Systematic Review and Meta-Analysis

Published online by Cambridge University Press:  17 June 2019

Zhipeng Wang Open the ORCID record for Zhipeng Wang [Opens in a new window] ,
Xin Wu ,
Wenjie Dai ,
Atipatsa C. Kaminga ,
Xiaoli Wu ,
Xiongfeng Pan ,
Ziyan Liu ,
Shiwu Wen ,
Shixiong Hu  and
Aizhong Liu
Zhipeng Wang
Affiliation:
Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, China
Xin Wu
Affiliation:
Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, China
Wenjie Dai
Affiliation:
Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, China
Atipatsa C. Kaminga
Affiliation:
Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, China Department of Mathematics, Mzuzu University, Mzuzu, Malawi
Xiaoli Wu
Affiliation:
Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, China
Xiongfeng Pan
Affiliation:
Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, China
Ziyan Liu
Affiliation:
Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, China
Shiwu Wen
Affiliation:
Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, China Ottawa Hospital Research Institute, Clinical Epidemiology Program, Ottawa, Ontario, Canada OMNI Research Group, Department of Obstetrics and Gynecology, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada School of Epidemiology, Public Health, and Preventive Medicine, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada
Shixiong Hu
Affiliation:
Department of Infectious Diseases, Centers for Disease Control and Prevention, Hunan, China
Aizhong Liu*
Affiliation:
Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, China
*
Correspondence and reprint requests to Aizhong Liu, Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, China (e-mail: lazroy@live.cn)
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Abstract

Posttraumatic stress disorder (PTSD) is a psychological disorder, which could be caused by traumatic events. The prevalence of PTSD among survivors after a typhoon or hurricane varied widely. Therefore, this study aimed to determine a combined prevalence of PTSD among survivors after a typhoon or hurricane. A systematic search of literature was performed in the 3 English databases: PubMed (National Library of Medicine, Bethesda, MD), ISI Web of Science (Thomson Reuters, New York, NY), and Embase (Elsevier, Amsterdam, Netherlands). Also, a similar search was performed in the 2 Chinese databases such as Chinese National Knowledge Infrastructure and WanFang. Loney et al.’s criteria were used to evaluate the quality of the selected articles for this study. The combined prevalence of PTSD among the study population was estimated using the Freeman–Tukey double arcsine transformation method. Subgroup analyses and a meta-regression analysis were carried out to explore the origin of heterogeneity. Thirty-nine eligible articles were included in this study. They comprised 43 123 typhoon and hurricane survivors of which 9373 were diagnosed with PTSD. The combined prevalence of PTSD among this population was 17.81%. Subgroup analyses revealed that the combined prevalence of PTSD related to typhoon and hurricane Categories 5, 4, and 2 showing a corresponding decreasing tendency. About 18% of people who experienced a severe typhoon or hurricane develop PTSD with the prevalence decreasing with reduced severity of the typhoon or hurricane.

Keywords

hurricanemeta-analysisposttraumatic stress disorderprevalencetyphoon
Type
Systematic Review
Information
Disaster Medicine and Public Health Preparedness , Volume 13 , Issue 5-6 , December 2019 , pp. 1065 - 1073
Copyright
Copyright © 2019 Society for Disaster Medicine and Public Health, Inc. 

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