Evidence map›Paper›PMID 26260948›Full record

ArticleSocial psychiatry and psychiatric epidemiology2015

Mental health and alcohol problems among Estonian cleanup workers 24 years after the Chernobyl accident.

Kaia Laidra, Kaja Rahu, Mare Tekkel, Anu Aluoja, Mall Leinsalu

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In one paragraph

Article in Social psychiatry and psychiatric epidemiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.7field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. How clean is clean: a review of the social science of environmental cleanups.Environmental research letters : ERL [Web site] · 2018
    Article
  8. Article
  9. The 30-year mental health legacy of the Chernobyl disaster.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2016
    Article
  10. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

Kaia LaidraDepartment of Epidemiology and Biostatistics, National Institute for Health Development, Hiiu 42, 11619, Tallinn, Estonia. kaia.laidra@tai.ee.
Kaja RahuDepartment of Epidemiology and Biostatistics, National Institute for Health Development, Hiiu 42, 11619, Tallinn, Estonia.
Mare TekkelDepartment of Epidemiology and Biostatistics, National Institute for Health Development, Hiiu 42, 11619, Tallinn, Estonia.
Anu AluojaDepartment of Psychiatry, University of Tartu, Raja 31, 50417, Tartu, Estonia.
Mall LeinsaluDepartment of Epidemiology and Biostatistics, National Institute for Health Development, Hiiu 42, 11619, Tallinn, Estonia.
National Institute for Health Development · EESödertörn University · SEUniversity of Tartu · EE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo study the long-term mental health consequences of the 1986 Chernobyl nuclear accident among cleanup workers from Estonia.

methodsIn 2010, 614 Estonian Chernobyl cleanup workers and 706 geographically and age-matched population-based controls completed a mail survey that included self-rated health, the Posttraumatic Stress Disorder Checklist (PCL), alcohol symptoms (AUDIT), and scales measuring depressive, anxiety, agoraphobia, fatigue, insomnia, and somatization symptoms. Respondents were dichotomized into high (top quartile) and low symptom groups on each measure.

resultsLogistic regression analysis detected significant differences between cleanup workers and controls on all measures even after adjustment for ethnicity, education, marital status, and employment status. The strongest difference was found for somatization, with cleanup workers being three times more likely than controls to score in the top quartile (OR = 3.28, 95% CI 2.39-4.52), whereas for alcohol problems the difference was half as large (OR = 1.52, 95% CI 1.16-1.99). Among cleanup workers, arrival at Chernobyl in 1986 (vs. later) was associated with sleep problems, somatization, and symptoms of agoraphobia.

conclusionThe toll of cleanup work was evident 24 years after the Chernobyl accident among Estonian cleanup workers indicating the need for focused mental health interventions.

Indexed as

Chernobyl Nuclear AccidentAlcohol-Related DisordersCase-Control StudiesEstoniaFollow-Up StudiesHealth SurveysHumansMaleMental DisordersMiddle AgedOccupational DiseasesAlcohol problemsChernobyl nuclear accidentCleanup workersEstoniaMental health

Identifiers

PMID26260948
OpenAlexW1680715720

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.