title: Impact of the 2004 tsunami on self-reported physical health in Thailand for the subsequent 2 years.
abstract: OBJECTIVE
  We examined self-reported physical health during the first 2 years following the 2004 tsunami in Thailand.
  
  
  METHODS
  We assessed physical health with the revised Short Form Health Survey. We evaluated 6 types of tsunami exposure: personal injury, personal loss of home, personal loss of business, loss of family member, family member's injury, and family's loss of business. We examined the relationship between tsunami exposure and physical health with multivariate linear regression.
  
  
  RESULTS
  One year post-tsunami, we interviewed 1931 participants (97.2% response rate), and followed up with 1855 participants 2 years after the tsunami (96.1% follow-up rate). Participants with personal injury or loss of business reported poorer physical health than those unaffected (P < .001), and greater health impacts were found for women and older individuals.
  
  
  CONCLUSIONS
  Exposure to the tsunami disaster adversely affected physical health, and its impact may last for longer than 1 year, which is the typical time when most public and private relief programs withdraw.
authors.affiliation: At the time of the study, Wanrudee Isaranuwatchai was with the Social Aetiology of Mental Illness (SAMI) Training Program, Centre for Addiction and Mental Health and University of Toronto, and the Institute of Health Policy, Management, and Evaluation, University of Toronto, Toronto, Ontario. Peter C. Coyte is with the Institute of Health Policy, Management, and Evaluation, University of Toronto. Kwame McKenzie and Samuel Noh are with the SAMI Training Program, Centre for Addiction and Mental Health and University of Toronto, and the Department of Psychiatry, University of Toronto.
authors.forename: Wanrudee
authors.initials: W
authors.lastname: Isaranuwatchai
authors.forename: Peter C
authors.initials: PC
authors.lastname: Coyte
authors.forename: Kwame
authors.initials: K
authors.lastname: McKenzie
authors.forename: Samuel
authors.initials: S
authors.lastname: Noh
mesh_terms: D000328:Adult; D003132:Commerce / Q000191:economics*; D004190:Disasters / Q000706:statistics & numerical data*; D005260:Female; D005500:Follow-Up Studies; D006304:Health Status; D006306:Health Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D057566:Self Report; D013785:Thailand; D057192:Tsunamis / Q000706:statistics & numerical data*; D014947:Wounds and Injuries / Q000503:physiopathology; D055815:Young Adult
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