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Effect of the 2010 Chilean earthquake on posttraumatic stress: reducing sensitivity to unmeasured bias through study design.

ABSTRACT: In 2010, a magnitude 8.8 earthquake hit Chile, devastating parts of the country. Having just completed its national socioeconomic survey, the Chilean government reinterviewed a subsample of respondents, creating unusual longitudinal data about the same persons before and after a major disaster. The follow-up evaluated posttraumatic stress symptoms (PTSS) using Davidson's Trauma Scale. We use these data with two goals in mind. Most studies of PTSS after disasters rely on recall to characterize the state of affairs before the disaster. We are able to use prospective data on preexposure conditions, free of recall bias, to study the effects of the earthquake. Second, we illustrate recent developments in statistical methodology for the design and analysis of observational studies. In particular, we use new and recent methods for multivariate matching to control 46 covariates that describe demographic variables, housing quality, wealth, health, and health insurance before the earthquake. We use the statistical theory of design sensitivity to select a study design with findings expected to be insensitive to small or moderate biases from failure to control some unmeasured covariate. PTSS were dramatically but unevenly elevated among residents of strongly shaken areas of Chile when compared with similar persons in largely untouched parts of the country. In 96% of exposed-control pairs exhibiting substantial PTSS, it was the exposed person who experienced stronger symptoms (95% confidence interval = 0.91-1.00).

SUBMITTER: Zubizarreta JR

PROVIDER: S-EPMC3580201 | biostudies-literature | 2013 Jan

REPOSITORIES: biostudies-literature

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Effect of the 2010 Chilean earthquake on posttraumatic stress: reducing sensitivity to unmeasured bias through study design.

Zubizarreta José R JR Cerdá Magdalena M Rosenbaum Paul R PR

Epidemiology (Cambridge, Mass.) 20130101 1

In 2010, a magnitude 8.8 earthquake hit Chile, devastating parts of the country. Having just completed its national socioeconomic survey, the Chilean government reinterviewed a subsample of respondents, creating unusual longitudinal data about the same persons before and after a major disaster. The follow-up evaluated posttraumatic stress symptoms (PTSS) using Davidson's Trauma Scale. We use these data with two goals in mind. Most studies of PTSS after disasters rely on recall to characterize th ...[more]

PMID: 23222557

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Project description:Deciphering ecological effects of major catastrophic events such as earthquakes, tsunamis, volcanic eruptions, storms and fires, requires rapid interdisciplinary efforts often hampered by a lack of pre-event data. Using results of intertidal surveys conducted shortly before and immediately after Chile's 2010 M(w) 8.8 earthquake along the entire rupture zone (ca. 34-38°S), we provide the first quantification of earthquake and tsunami effects on sandy beach ecosystems. Our study incorporated anthropogenic coastal development as a key design factor. Ecological responses of beach ecosystems were strongly affected by the magnitude of land-level change. Subsidence along the northern rupture segment combined with tsunami-associated disturbance and drowned beaches. In contrast, along the co-seismically uplifted southern rupture, beaches widened and flattened increasing habitat availability. Post-event changes in abundance and distribution of mobile intertidal invertebrates were not uniform, varying with land-level change, tsunami height and coastal development. On beaches where subsidence occurred, intertidal zones and their associated species disappeared. On some beaches, uplift of rocky sub-tidal substrate eliminated low intertidal sand beach habitat for ecologically important species. On others, unexpected interactions of uplift with man-made coastal armouring included restoration of upper and mid-intertidal habitat seaward of armouring followed by rapid colonization of mobile crustaceans typical of these zones formerly excluded by constraints imposed by the armouring structures. Responses of coastal ecosystems to major earthquakes appear to vary strongly with land-level change, the mobility of the biota and shore type. Our results show that interactions of extreme events with human-altered shorelines can produce surprising ecological outcomes, and suggest these complex responses to landscape alteration can leave lasting footprints in coastal ecosystems.

Project description:Determining the effects of unpredictable disturbances on dynamic ecological systems is challenged by the paucity of appropriate temporal and spatial coverage of data. On 27 February 2010, an 8.8 Mw mega-earthquake and tsunami struck central Chile and caused coastal land-level changes, massive damage to coastal infrastructure, and widespread mortality of coastal organisms. Wave-exposed sandy beaches showed significant changes of species abundances from before to after the earthquake, but the highly dynamic biotic and abiotic conditions of these habitats make difficult to draw clear-cut conclusions from these patterns. Here, we analysed a beyond-BACI (Before-After Control-Impact) sampling design to test whether the effects of the Maule earthquake on sandy-shore species diversity, abundance, and structure were heterogeneous along the shore. Invertebrate species abundances were quantified before (i.e. February 2010) and after (i.e. March 2010, September 2010, and March 2011) the earthquake at three sandy shores randomly located within the earthquake rupture area and three sites within a "control" area located >400 km southward from epicentre. Immediately after the earthquake took place, the three sites located in the rupture area showed anomalous beach-profile uplifts that did not comply with the erosion (i.e. "negative" uplifts) that regularly occurs during late summer in the region. Species richness, abundance, and community structure significantly varied from before to after the strike, but these patterns of change varied among sites within both areas. Only the site with the strongest and persistent beach-profile uplift within the rupture area showed significant concomitant changes in species richness and community structure; after 13 months, this community showed a similar multivariate structure to the before-disturbance state. This site, in particular, was located in the section of the rupture area that received most of the impact of the after-earthquake tsunami. Therefore, our results suggest that the effects of the Maule mega-earthquake on the ecological communities were spatially heterogeneous and highly localised. We suggest that high mobility and other species' adaptations to the dynamic environmental conditions of sandy beaches might explain the comparatively high resilience of these assemblages. With this work we hope to motivate further experimental research on the role of individual- and population-level properties in the response of sandy-beach communities to interacting sources of disturbances.

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Effect of the 2010 Chilean earthquake on posttraumatic stress: reducing sensitivity to unmeasured bias through study design.

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Effect of the 2010 Chilean earthquake on posttraumatic stress: reducing sensitivity to unmeasured bias through study design.

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