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Relationships between impact on employment, working conditions, socio-occupational categories and symptoms of post-traumatic stress disorder after the industrial disaster in Toulouse, France

Abstract

Objectives  

The aims of this paper were (1) to analyze the prevalence of symptoms of post-traumatic stress disorder (S-PTSD) in a population
of workers 1 year after an industrial disaster; and (2) to assess the role of factors of vulnerability such as the occupational
impact of a disaster and economic conditions.

Methods  

A cross-sectional survey assessing the relationships between socio-occupational category, impact on employment and S-PTSD
was conducted by the self-administered impact of event scale-revised.

Results  

The prevalence of S-PTSD in workers in the peripheral zone (<3 km around the explosion site) was 12% in men and 18% in women.
Factors significantly associated with S-PTSD in men were non-managerial socio-occupational category: employees (ORa = 4.3;
[2.3; 7.8]), factory workers/laborers (ORa = 3.7; [1.8; 7.6]), intermediate professions (ORa = 3.3; [1.9; 5.9]), and artisans
(ORa = 3; [1.3; 7.7]); and layoff (ORa = 2.6; [1.5; 4.5]) or unusable workplace after the explosion (ORa = 1.8; [1.1; 2.8]).
In women, factors significantly associated with S-PTSD were the socio-occupational categories of employees and factory workers
(ORa = 2.2; [1.4; 3.5]), artisans (ORa = 2.7; [1.3; 5.7]) and intermediate professions, (ORa = 1.5; [1; 2.3]) and reporting
of an occupational accident (ORa = 1.5; [1.1; 2.2]).

Conclusion  

Impact on the workplace and socioeconomic conditions were associated with S-PTSD. The epidemiological approach in disaster
situations needs to be improved, particularly in the social and occupational dimension when economically active populations
are involved. Vulnerable subgroups, defined by occupational impact and low socioeconomic category, should be taken into account.

  • Content Type Journal Article
  • Category Original Paper
  • Pages 1-11
  • DOI 10.1007/s00127-011-0439-8
  • Authors
    • Eloi Diene, Département Santé Travail, Institut de Veille Sanitaire (InVS), 12 rue du Val d’Osne, 94415 Saint Maurice, France
    • Nelly Agrinier, Département d’Epidémiologie et d’Evaluation Clinique, Centre Hospitalier Universitaire de Nancy, 54000 Nancy, France
    • Artus Albessard, Dépistage Organisé du Cancer, 31000 Toulouse, France
    • Sylvie Cassadou, Cellule de l’InVS en région Antilles Guyane, 97200 Fort-de-France, France
    • Valerie Schwoebel, Cellule de l’InVS en région Midi-Pyrénées, 31000 Toulouse, France
    • Thierry Lang, Service d’Epidémiologie, Centre Hospitalier Universitaire de Toulouse, 31000 Toulouse, France
    • Scientific and Operational Committees
    • Journal Social Psychiatry and Psychiatric Epidemiology
    • Online ISSN 1433-9285
    • Print ISSN 0933-7954
Posted in: Journal Article Abstracts on 10/24/2011 | Link to this post on IFP |
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