TY  - JOUR
PY  - 2014//
TI  - A national study of health care service utilization and substance use after the 2010 chilean earthquake
JO  - Psychiatric services
A1  - Garfin, Dana Rose
A1  - Juth, Vanessa
A1  - Silver, Roxane Cohen
A1  - Ugalde, Francisco Javier
A1  - Linn, Heiko
A1  - Inostroza, Manuel
SP  - 1392
EP  - 1395
VL  - 65
IS  - 11
N2  - OBJECTIVE: A national epidemiological survey in Chile assessed adaptive (health care utilization) and maladaptive (substance use) postearthquake behaviors. <br><br>METHODS: Three months after the 8.8-magnitude 2010 Bio-Bio earthquake, face-to-face interviews were conducted with a representative sample of 2,108 adults. Logistic regression analyses examined predictors of health care service utilization and substance use. <br><br>RESULTS: Few participants utilized available government- and community-based psychosocial resources (16.6%). A minority reported increased substance use (13.2%). Lower self-efficacy was correlated with increased health care utilization (odds ratio [OR]=.92, 95% confidence interval [CI]=.88-.96) and use of tranquilizers, illicit and psychotropic drugs, and alcohol (OR=.95, CI=.91-.99); this pattern was not limited to residents of areas with the heaviest impacts. <br><br>CONCLUSIONS: Self-efficacy beliefs elucidate variability in survivors' behaviors postdisaster and may provide an avenue to encourage salubrious responses. Postdisaster interventions should broadly target the population; those less heavily affected may need, and be as likely to use, available resources.<p />  <p>Language: en</p>
LA  - en
SN  - 1075-2730
UR  - http://dx.doi.org/10.1176/appi.ps.201300500
ID  - ref1
ER  -