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Evidence in the disaster mental health literature indicates that psychosocial consequences of terrorism are a critical component of chemical, biological, radiological, and nuclear (CBRN) events, both at the clinical level and the normal behavioral and emotional levels. Planning for such psychosocial aspects should be an integral part of emergency(More)
Mass exposure to explosions, infectious agents, foodborne illnesses, chemicals or radiological materials may require mass decontamination that have critical psychosocial implications for the public and for both traditional and non-traditional responders in terms of impact and of response. Five main issues are common to mass decontamination events: (i)(More)
Children are identified as a vulnerable population in the case of radiological events because of their increased physical sensitivity to radiation and its impact on critical development stages. Using a comprehensive integrated risk framework, psychosocial risk protective factors are discussed in a social ecology paradigm. Children have been shown to be both(More)
A national survey of health risk perception among 1,503 Canadians was conducted in 2004. The current survey follows-up a previous national survey conducted in 1992 and documents changes in risk perception since that time and investigates new risk issues not previously examined. This article presents a description of the ratings of perceived risk of thirty(More)
Associations of gaseous air pollutants (including carbon monoxide, sulfur dioxide, nitrogen dioxide, and ozone) with asthma hospitalization, stratified by sex and socioeconomic status, were examined among children 6-12 years of age in Vancouver, British Columbia, Canada, between 1987 and 1998. Relative risks for an exposure increment corresponding to the(More)
BACKGROUND Randomised controlled trials of implementation strategies tell us whether (or not) an intervention results in changes in professional behaviour but little about the causal mechanisms that produce any change. Theory-based process evaluations collect data on theoretical constructs alongside randomised trials to explore possible causal mechanisms(More)
F irst introduced by Selye, the term stress is now widely used to describe a state of tension often seen as being related to modern life. In the context of primary care, a defi nition integrated into a conceptual model with a validated measurement instrument would help to ensure that this term is used appropriately. This article is designed to provide(More)
Although there is considerable evidence documenting the relationship between lower socioeconomic status (SES) and poorer health, longitudinal research is needed to study mechanisms that may explain this relationship. This study investigated whether income was associated with decline in self-rated health over a 2-year period and whether stressors mediated(More)