Skip to main content
Top
Published in: BMC Public Health 1/2019

Open Access 01-12-2019 | Anxiety | Research article

Factors associated with injuries among tornado victims in Yancheng and Chifeng, China

Authors: Qiangyu Deng, Yipeng Lv, Fangjie Zhao, Wenya Yu, Junqiang Dong, Lulu Zhang

Published in: BMC Public Health | Issue 1/2019

Login to get access

Abstract

Background

As extremely violent meteorological disasters, tornadoes often cause serious casualties. The study aims to analyze the characteristics and causes of tornado injuries in China under certain humanistic and geographical conditions.

Methods

A random sampling questionnaire survey was developed and distributed to tornado victims from two separate occurrences: an Enhanced Fujita 4 tornado in Yancheng, and a Fujita 3 tornado in Chifeng. The information of demographic characteristics, disaster environment, and individual behaviors in victims was collected. Chi-square test and binary logistic regression were used to analyze influencing factor of injuries.

Results

A total of 94 valid questionnaires (participation rate 95.9%) were finally collected in Yancheng tornado and 67 valid questionnaires (participation rate 93.1%) in Chifeng tornado. Residents’ annual income (OR = 0.10, 95% CI 0.02–0.50, P = 0.005), degree of house collapse (OR = 183.12, 95% CI 8.04–4173.34, P = 0.001) have a significant impact on the probability of injury. Differences in tornado disaster drill awareness (P = 0.009), individual behaviors (P = 0.011) and fear level (P = 0.011) significantly affected the incidence of trauma. Whether victims were indoors or not has no statistical difference on injuries in China.

Conclusions

Our study clarifies risk factors and is conducive to the expansion of the investigation in tornado casualties. The government should improve the wind-resistance of residential buildings. Victims should participate in disaster prevention drills to take effective disaster avoidance actions.
Appendix
Available only for authorised users
Literature
1.
go back to reference Bohonos JJ, Hogan DE. The medical impact of tornadoes in North America. J Emerg Med. 1999;17(1):67–73.CrossRef Bohonos JJ, Hogan DE. The medical impact of tornadoes in North America. J Emerg Med. 1999;17(1):67–73.CrossRef
2.
go back to reference Jia HC, Pan DH. Tornado disaster impacts and management: learning from the 2016 tornado catastrophe in Jiangsu Province, China. Nat Hazards. 2017;89(1):457–71.CrossRef Jia HC, Pan DH. Tornado disaster impacts and management: learning from the 2016 tornado catastrophe in Jiangsu Province, China. Nat Hazards. 2017;89(1):457–71.CrossRef
4.
go back to reference Lyu HM, Wang GF, Cheng WC, Shen SL. Tornado hazards on June 23 in Jiangsu Province, China: preliminary investigation and analysis. Nat Hazards. 2016;85(1):597–604.CrossRef Lyu HM, Wang GF, Cheng WC, Shen SL. Tornado hazards on June 23 in Jiangsu Province, China: preliminary investigation and analysis. Nat Hazards. 2016;85(1):597–604.CrossRef
5.
go back to reference Deng Q, Lv Y, Xue C, Kang P, Dong J, Zhang L. Pattern and spectrum of tornado injury and its geographical information system distribution in Yancheng, China: a cross-sectional study. Bmj Open. 2018;8(6):e021552.CrossRef Deng Q, Lv Y, Xue C, Kang P, Dong J, Zhang L. Pattern and spectrum of tornado injury and its geographical information system distribution in Yancheng, China: a cross-sectional study. Bmj Open. 2018;8(6):e021552.CrossRef
6.
go back to reference Shen GQ, Hwang SN. A spatial risk analysis of tornado-induced human injuries and fatalities in the USA. Nat Hazards. 2015;77(2):1223–42.CrossRef Shen GQ, Hwang SN. A spatial risk analysis of tornado-induced human injuries and fatalities in the USA. Nat Hazards. 2015;77(2):1223–42.CrossRef
8.
go back to reference Centers for Disease C, Prevention: Tornado-related fatalities--five states, southeastern United States, April 25-28, 2011. MMWR Morb Mortal Wkly Rep 2012, 61(28):529–533. Centers for Disease C, Prevention: Tornado-related fatalities--five states, southeastern United States, April 25-28, 2011. MMWR Morb Mortal Wkly Rep 2012, 61(28):529–533.
9.
go back to reference Campbell CM, Baker MD, Monroe KW. Prevention of child injuries during tornadoes: cases from the 2011 tornado outbreak in Alabama. Pediatr Emerg Care. 2012;28(12):1389–90.CrossRef Campbell CM, Baker MD, Monroe KW. Prevention of child injuries during tornadoes: cases from the 2011 tornado outbreak in Alabama. Pediatr Emerg Care. 2012;28(12):1389–90.CrossRef
10.
go back to reference Sugimoto JD, Labrique AB, Ahmad S, Rashid M, Shamim AA, Ullah B, Klemm RD, Christian P, West KP Jr. Epidemiology of tornado destruction in rural northern Bangladesh: risk factors for death and injury. Disasters. 2011;35(2):329–45.CrossRef Sugimoto JD, Labrique AB, Ahmad S, Rashid M, Shamim AA, Ullah B, Klemm RD, Christian P, West KP Jr. Epidemiology of tornado destruction in rural northern Bangladesh: risk factors for death and injury. Disasters. 2011;35(2):329–45.CrossRef
11.
go back to reference Chiu CH, Schnall AH, Mertzlufft CE, Noe RS, Wolkin AF, Spears J, Casey-Lockyer M, Vagi SJ. Mortality from a tornado outbreak, Alabama, April 27, 2011. Am J Public Health. 2013;103(8):e52–8.CrossRef Chiu CH, Schnall AH, Mertzlufft CE, Noe RS, Wolkin AF, Spears J, Casey-Lockyer M, Vagi SJ. Mortality from a tornado outbreak, Alabama, April 27, 2011. Am J Public Health. 2013;103(8):e52–8.CrossRef
12.
go back to reference Schmidlin TW, King PS. Risk factors for death in the 27 march 1994 Georgia and Alabama tornadoes. Disasters. 1995;19(2):170–7.CrossRef Schmidlin TW, King PS. Risk factors for death in the 27 march 1994 Georgia and Alabama tornadoes. Disasters. 1995;19(2):170–7.CrossRef
13.
go back to reference Niederkrotenthaler T, Parker EM, Ovalle F, Noe RS, Bell J, Xu L, Morrison MA, Mertzlufft CE, Sugerman DE. Injuries and post-traumatic stress following historic tornados: Alabama, April 2011. PLoS One. 2013;8(12):e83038.CrossRef Niederkrotenthaler T, Parker EM, Ovalle F, Noe RS, Bell J, Xu L, Morrison MA, Mertzlufft CE, Sugerman DE. Injuries and post-traumatic stress following historic tornados: Alabama, April 2011. PLoS One. 2013;8(12):e83038.CrossRef
14.
go back to reference Daley WR, Brown S, Archer P, Kruger E, Jordan F, Batts D, Mallonee S. Risk of tornado-related death and injury in Oklahoma, may 3, 1999. Am J Epidemiol. 2005;161(12):1144–50.CrossRef Daley WR, Brown S, Archer P, Kruger E, Jordan F, Batts D, Mallonee S. Risk of tornado-related death and injury in Oklahoma, may 3, 1999. Am J Epidemiol. 2005;161(12):1144–50.CrossRef
15.
go back to reference Brown S, Archer P, Kruger E. Tornado-Related Deaths and Injuries in Oklahoma due to the 3 May 1999 Tornadoes. Weather Forecast. 2002;17:343–53.CrossRef Brown S, Archer P, Kruger E. Tornado-Related Deaths and Injuries in Oklahoma due to the 3 May 1999 Tornadoes. Weather Forecast. 2002;17:343–53.CrossRef
16.
go back to reference Simmons KM, Sutter D. Economic and societal impacts of tornadoes. University of Chicago Press Economics Books. 2011;56(10):412–5. Simmons KM, Sutter D. Economic and societal impacts of tornadoes. University of Chicago Press Economics Books. 2011;56(10):412–5.
17.
go back to reference Dapeng H, Shanshan Z, Ge G, Chan X. Disaster characteristics of tornadoes over China during the past 30 years. Torrential Rain and Disaster. 2016;35(2):97–101. Dapeng H, Shanshan Z, Ge G, Chan X. Disaster characteristics of tornadoes over China during the past 30 years. Torrential Rain and Disaster. 2016;35(2):97–101.
18.
go back to reference Tang B, Kang P, Liu X, Liu Y, Liu Z, Wang B, Lv Y, Zhang L. Post-traumatic psychological changes among survivors of the Lushan earthquake living in the most affected areas. Psychiatry Res. 2014;220(1–2):384–90.CrossRef Tang B, Kang P, Liu X, Liu Y, Liu Z, Wang B, Lv Y, Zhang L. Post-traumatic psychological changes among survivors of the Lushan earthquake living in the most affected areas. Psychiatry Res. 2014;220(1–2):384–90.CrossRef
19.
go back to reference Kang P, Lv Y, Deng Q, Liu Y, Zhang Y, Liu X, Zhang L. Investigating Lushan Earthquake Victims' Individual Behavior Response and Rescue Organization. Int J Environ Res Public Health. 2017;14(12):1556.CrossRef Kang P, Lv Y, Deng Q, Liu Y, Zhang Y, Liu X, Zhang L. Investigating Lushan Earthquake Victims' Individual Behavior Response and Rescue Organization. Int J Environ Res Public Health. 2017;14(12):1556.CrossRef
20.
go back to reference Paul BK, Stimers M. Spatial analyses of the 2011 Joplin tornado mortality: deaths by interpolated damage zones and location of victims. Weather Clim Soc. 2014;6(2):161–74.CrossRef Paul BK, Stimers M. Spatial analyses of the 2011 Joplin tornado mortality: deaths by interpolated damage zones and location of victims. Weather Clim Soc. 2014;6(2):161–74.CrossRef
21.
go back to reference Palmer CS, Niggemeyer LE, Charman D. Double coding and mapping using abbreviated injury scale 1998 and 2005: identifying issues for trauma data. Injury. 2010;41(9):948–54.CrossRef Palmer CS, Niggemeyer LE, Charman D. Double coding and mapping using abbreviated injury scale 1998 and 2005: identifying issues for trauma data. Injury. 2010;41(9):948–54.CrossRef
22.
go back to reference Paul BK, Stimers M. Exploring probable reasons for record fatalities: the case of 2011 Joplin, Missouri, Tornado. Nat Hazards. 2012;64(2):1511–26.CrossRef Paul BK, Stimers M. Exploring probable reasons for record fatalities: the case of 2011 Joplin, Missouri, Tornado. Nat Hazards. 2012;64(2):1511–26.CrossRef
23.
go back to reference Comstock RD, Mallonee S. Comparing reactions to two severe tornadoes in one Oklahoma community. Disasters. 2010;29(3):277–87.CrossRef Comstock RD, Mallonee S. Comparing reactions to two severe tornadoes in one Oklahoma community. Disasters. 2010;29(3):277–87.CrossRef
Metadata
Title
Factors associated with injuries among tornado victims in Yancheng and Chifeng, China
Authors
Qiangyu Deng
Yipeng Lv
Fangjie Zhao
Wenya Yu
Junqiang Dong
Lulu Zhang
Publication date
01-12-2019
Publisher
BioMed Central
Keyword
Anxiety
Published in
BMC Public Health / Issue 1/2019
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-019-7887-6

Other articles of this Issue 1/2019

BMC Public Health 1/2019 Go to the issue