title: Perceived health change in the aftermath of a petrochemical accident: an examination of pre-accident, within-accident, and post-accident variables.
abstract: BACKGROUND
  Little research has been conducted on changes in perceived health after an industrial accident. Using data from an ongoing survey on stress and health in a petrochemical complex in Texas City, Texas, the associations of a petrochemical accident with perceived health changes were examined.
  
  
  METHODS
  The mean changes in perceived mental and physical health across pre-accident, within-accident, and post-accident categories were compared. The association of these categorical variables with the change in perceived mental and physical health using multiple regression was also examined.
  
  
  RESULTS
  Significant declines in both perceived mental and physical health were observed for the sample. Regression analyses showed that middle age, lower education level and reported damage in the neighbourhood were associated with decreases in perceived mental health. Lower education level, explosion impact, and distance from the explosion site were associated with decreases in perceived physical health.
  
  
  CONCLUSIONS
  These results indicate that both pre-accident and within-accident variables, such as education level and explosion impact, are associated with decreases in perceived physical and mental health. Even a modest event within the range of accidents and disasters was shown to be associated with negative health outcomes for a population-based sample.
authors.affiliation: Department of Preventive Medicine and Community Health, University of Texas Medical Branch, 301 University Blvd., Galveston, TX 77555-1153, USA. mkpeek@utmb.edu
authors.forename: M K
authors.initials: MK
authors.lastname: Peek
authors.forename: M P
authors.initials: MP
authors.lastname: Cutchin
authors.forename: D H
authors.initials: DH
authors.lastname: Freeman
authors.forename: N A
authors.initials: NA
authors.lastname: Perez
authors.forename: J S
authors.initials: JS
authors.lastname: Goodwin
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D002617:Chemical Industry; D004522:Educational Status; D004781:Environmental Exposure / Q000009:adverse effects; D004787:Environmental Pollution / Q000009:adverse effects*; D004812:Epidemiologic Methods; D005107:Explosions; D005260:Female; D006304:Health Status; D006305:Health Status Indicators; D006801:Humans; D008297:Male; D008603:Mental Health / Q000706:statistics & numerical data; D008875:Middle Aged; D013781:Texas