University Centre for Rural Health, The University of Sydney, Lismore, NSW 2480, Australia.
MAE Scholar, National Centre for Epidemiology and Population Health, Australian National University, Canberra, ACT 2600, Australia.
Int J Environ Res Public Health. 2020 Oct 21;17(20):7676. doi: 10.3390/ijerph17207676.
In 2017, marginalised groups were disproportionately impacted by extensive flooding in a rural community in Northern New South Wales, Australia, with greater risk of home inundation, displacement and poor mental health. While social capital has been linked with good health and wellbeing, there has been limited investigation into its potential benefits in post-disaster contexts, particularly for marginalised groups. Six months post-flood, a cross-sectional survey was conducted to quantify associations between flood impact, individual social capital and psychological distress (including probable post-traumatic stress disorder). We adopted a community-academic partnership approach and purposive recruitment to increase participation from socio-economically marginalised groups (Aboriginal people and people in financial hardship). These groups reported lower levels of social capital (informal social connectedness, feelings of belonging, trust and optimism) compared to general community participants. Despite this, informal social connectedness and belonging were important factors for all participant groups, associated with reduced risk of psychological distress. In this flood-prone, rural community, there is a pressing need to build social capital collectively through co-designed strategies that simultaneously address the social, cultural and economic needs of marginalised groups. Multiple benefits will ensue for the whole community: reduced inequities; strengthened resilience; improved preparedness and lessened risk of long-term distress from disaster events.
2017 年,澳大利亚新南威尔士州北部一个农村社区遭遇大规模洪灾,边缘群体受灾情况尤为严重,面临更高的房屋被淹没、流离失所和心理健康状况不佳的风险。社会资本与良好的健康和福祉有关,但在灾后环境中,其潜在益处的研究有限,特别是对于边缘群体。洪灾后 6 个月,进行了一项横断面调查,以量化洪水影响、个人社会资本和心理困扰(包括可能的创伤后应激障碍)之间的关联。我们采用了社区-学术伙伴关系方法和有针对性的招募,以增加社会经济边缘群体(原住民和经济困难人群)的参与度。与一般社区参与者相比,这些群体报告的社会资本(非正式社会联系、归属感、信任和乐观)水平较低。尽管如此,非正式社会联系和归属感对所有参与者群体都是重要因素,与降低心理困扰的风险有关。在这个容易发生洪水的农村社区,迫切需要通过共同设计的策略来集体建设社会资本,这些策略同时满足边缘群体的社会、文化和经济需求。这将为整个社区带来多重好处:减少不平等;增强韧性;提高准备程度,并减轻灾害事件带来的长期困扰风险。