Department of Health Management and Informatics, College of Health and Public Affairs, University of Central Florida, Orlando, FL, USA.
Qual Life Res. 2018 May;27(5):1381-1391. doi: 10.1007/s11136-018-1802-y. Epub 2018 Feb 5.
A significant body of research indicates that the conflict environment is detrimental to the quality of life and well-being of civilians. This study assesses the health-related quality of life, stress, and insecurity of the West Bank, which has been engaged in conflict for seven decades, in comparison to a demographically and culturally similar population in Jordan, a neighboring nation with no conflict. We expect the Jordanian sample to report better functioning.
We collected 793 surveys from university students (mean age = 20.2) in Nablus, West Bank (398 [50.2%]) and Irbid, Jordan (395 [49.8%]). The survey instrument consisted of the SF-36 to measure HRQoL, the PSS-4 to measure stress, and an insecurity scale, along with demographic characteristics.
Our findings indicate that outcomes in the West Bank were not significantly worse than in Jordan, and in some cases represented better functioning, especially in the SF-36 measures.
Our counterintuitive results suggest that health and well-being outcomes are dependent on many factors in addition to conflict. For one, it may be that the better perceived health and well-being of the Palestinians is because they have developed a culture of resilience. Additionally, Jordanians are undergoing a period of instability due to internal struggles and surrounding conflicts.
大量研究表明，冲突环境对平民的生活质量和福祉有害。本研究评估了西岸的健康相关生活质量、压力和不安全状况，与没有冲突的邻国约旦在人口统计学和文化上相似的人群进行了比较。我们预计约旦样本的功能更好。
我们从纳布卢斯（西岸）的大学生（平均年龄 20.2 岁）中收集了 793 份调查问卷（398 名[50.2%]）和约旦伊尔比德（395 名[49.8%]）。调查工具包括 SF-36 来衡量 HRQoL、PSS-4 来衡量压力以及不安全感量表，以及人口统计学特征。
我们的研究结果表明，西岸的结果并不比约旦差，在某些情况下代表了更好的功能，特别是在 SF-36 测量方面。
我们的反直觉结果表明，健康和福祉结果不仅取决于冲突，还取决于许多其他因素。一方面，巴勒斯坦人的健康和福祉可能更好，因为他们已经形成了一种适应力强的文化。此外，约旦人由于内部斗争和周围冲突而正经历一段不稳定时期。
