Health-related quality of life and mental health in the medium-term aftermath of the Prestige oil spill in Galiza (Spain): a cross-sectional study

BMC Public Health. 2007 Sep 17:7:245. doi: 10.1186/1471-2458-7-245.

Abstract

Background: In 2002 the oil-tanker Prestige sank off the Galician coast. This study analyzes the effect of this accident on health-related quality of life (HRQoL) and mental health in the affected population.

Methods: Using random sampling stratified by age and sex, 2700 residents were selected from 7 coastal and 7 inland Galician towns. Two exposure criteria were considered: a) residential exposure, i.e., coast versus interior; and b) individual exposure-unaffected, slightly affected, or seriously affected-according to degree of personal affectation. SF-36, GHQ-28, HADS and GADS questionnaires were used to assess HRQoL and mental health. Association of exposure with suboptimal scores was summarized using adjusted odds ratios (OR) obtained from logistic regression.

Results: For residential exposure, the SF-36 showed coastal residents as having a lower likelihood of registering suboptimal HRQoL values in physical functioning (OR:0.69; 95%CI:0.54-0.89) and bodily pain (OR:0.74; 95%CI:0.62-0.91), and a higher frequency of suboptimal scores in mental health (OR:1.28; 95%CI:1.02-1.58). None of the dimensions of the other questionnaires displayed statistically significant differences. For individual exposure, no substantial differences were observed, though the SF-36 physical functioning dimension rose (showed better scores) with level of exposure (91.51 unaffected, 93.86 slightly affected, 95.28 seriously affected, p < 0.001).

Conclusion: Almost one and a half years after the accident, worse HRQoL and mental health levels were not in evidence among subjects exposed to the oil-spill. Nevertheless, some of the scales suggest the possibility of slight impact on the mental health of residents in the affected areas.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Cross-Sectional Studies
  • Disasters*
  • Environmental Pollutants / adverse effects*
  • Female
  • Health Surveys
  • Humans
  • Male
  • Mental Disorders / etiology*
  • Middle Aged
  • Petroleum*
  • Quality of Life*
  • Spain / epidemiology
  • Surveys and Questionnaires

Substances

  • Environmental Pollutants
  • Petroleum