Almedom Astier, Tesfamichael Berhe, Mohammed Zein, Mascie-Taylor Nick, Muller Jocelyn, Alemu Zemui
Tufts University, Boston, MA 02155, USA.
Afr Health Sci. 2005 Dec;5(4):310-4. doi: 10.5555/afhs.2005.5.4.310.
to assess the impact of prolonged displacement on the resilience of Eritrean mothers.
an adapted SOC scale (short form) was administered. Complementary qualitative data were gathered from study participants' spontaneous reactions to and commentaries on the SOC scale.
Displaced women's SOC scores were significantly less than those of the non-displaced: Mean = 54.84; SD = 6.48 in internally displaced person (IDP) camps, compared to non-displaced urban and rural/pastoralist: Mean = 48. 94, SD = 11.99; t = 3.831, p < .001. Post hoc tests revealed that the main difference is between IDP camp dwellers and urban (non-displaced). Rural but traditionally mobile (pastoralist or transhumant) communities scored more or less the same as the urban non-displaced--i.e., significantly higher than those in IDP camps (p < 0.05). Analysis of variance confirmed that gender is critical: displacement has significantly negative effects on women compared to men: RR = .262, p < .001. SOC scores of urban and pastoralist/transhumant groups were similar, while women in IDP camps were lower scoring--RR = .268, p < .001.
The implications of these findings for health policy are critical. It is incumbent on the international health institutions including the World Health Organization and regional as well as local players to address the plight of internally displaced women, their families and communities in Eritrea and other places of dire conditions such as, for example Darfur in the Sudan.
评估长期流离失所对厄立特里亚母亲恢复力的影响。
采用了经过改编的SOC量表(简表)。从研究参与者对SOC量表的自发反应和评论中收集了补充性定性数据。
流离失所妇女的SOC得分显著低于未流离失所的妇女:境内流离失所者营地中的均值 = 54.84;标准差 = 6.48,而未流离失所的城市和农村/牧民群体的均值 = 48.94,标准差 = 11.99;t = 3.831,p <.001。事后检验表明,主要差异存在于境内流离失所者营地居民与城市(未流离失所者)之间。农村但传统上具有流动性的(牧民或游牧)社区得分与城市未流离失所者大致相同——即显著高于境内流离失所者营地中的得分(p < 0.05)。方差分析证实性别至关重要:与男性相比,流离失所对女性有显著的负面影响:相对风险 = 0.262,p <.001。城市和牧民/游牧群体的SOC得分相似,而境内流离失所者营地中的女性得分较低——相对风险 = 0.268,p <.001。
这些研究结果对卫生政策的影响至关重要。包括世界卫生组织在内的国际卫生机构以及区域和地方相关方有责任解决厄立特里亚以及其他情况严峻地区(例如苏丹的达尔富尔)境内流离失所妇女、其家庭和社区的困境。