Lowe Sarah R, Young Megan N, Acosta Joie, Sampson Laura, Gruebner Oliver, Galea Sandro
1Department of Psychology,Montclair State University,Montclair,New Jersey.
2RAND,Corp, Washington DC.
Disaster Med Public Health Prep. 2018 Dec;12(6):711-717. doi: 10.1017/dmp.2017.148. Epub 2018 Feb 20.
This study aimed to examine factors associated with receipt of post-disaster support from network (eg, family or friends) and non-network (eg, government agencies) sources.
Participants (n=409) were from a population-based sample of Hurricane Sandy survivors surveyed 25-28 months post-disaster. Survivors were asked to imagine a future disaster and indicate how much they would depend on network and non-network sources of support. In addition, they reported on demographic characteristics, disaster-related exposure, post-traumatic stress, and depression. Information on the economic and social resources in survivors' communities was also collected.
Multilevel multivariable regression models found that lack of insurance coverage and residence in a neighborhood wherein more persons lived alone were associated with survivors anticipating less network and non-network support. In addition, being married or cohabiting was significantly associated with more anticipated network support, whereas older age and having a high school education or less were significantly associated with less anticipated network support.
By having survivors anticipate a future disaster scenario, this study provides insight into predictors of post-disaster receipt of network and non-network support. Further research is needed to examine how these findings correspond to survivors' received support in the aftermath of future disasters. (Disaster Med Public Health Preparedness. 2018;12:711-717).
本研究旨在探讨与从网络(如家人或朋友)和非网络(如政府机构)来源获得灾后支持相关的因素。
参与者(n = 409)来自以人群为基础的桑迪飓风幸存者样本,在灾后25 - 28个月接受调查。幸存者被要求设想未来的灾难,并指出他们在多大程度上会依赖网络和非网络支持来源。此外,他们报告了人口统计学特征、与灾难相关的暴露情况、创伤后应激和抑郁情况。还收集了幸存者社区的经济和社会资源信息。
多层次多变量回归模型发现,缺乏保险覆盖以及居住在独居人数较多的社区与幸存者预期较少的网络和非网络支持相关。此外,已婚或同居与更多预期的网络支持显著相关,而年龄较大以及拥有高中及以下学历与较少预期的网络支持显著相关。
通过让幸存者设想未来的灾难情景,本研究深入了解了灾后获得网络和非网络支持的预测因素。需要进一步研究来检验这些发现与未来灾难后幸存者实际获得的支持之间的对应关系。(《灾难医学与公共卫生防范》。2018年;12:711 - 717)