University Professor, Department of Sociology and Criminology, Old Main 211, University of Arkansas, Fayetteville, AR, 72701, USA.
Soc Sci Med. 2021 Feb;270:113634. doi: 10.1016/j.socscimed.2020.113634. Epub 2020 Dec 20.
Exposure to natural disasters predisposes individuals to significant physical and mental health consequences. Research identifies a number of stressors important to determining what might exacerbate this exposure risk, as well as what types of social/psychological resources might help mitigate these negative outcomes. Using a targeted quota sample of adults (n = 316) interviewed two months after Hurricane Harvey made landfall on the Gulf Coast of Texas in August 2017, the present study examines the intersection of vulnerabilities, stressors, and resources and their relationship with post-traumatic stress symptomatology. Stress is high among this sampled group with over one-quarter of respondents reporting high enough symptoms to meet the clinical caseness criteria for PTSD. Results show significant variation across categorical groupings of post-traumatic stress symptoms; younger persons, nonwhites, and those displaced from their home during the storm were more likely to be found in the highest symptom count category. Regression results confirm the bivariate results and as hypothesized, stressors were associated with higher symptom reporting among respondents, and social and psychological resources were associated with lower symptom reporting. With one of the only studies to report these relationships between vulnerability, stressors, and resources in the post-disaster Harvey setting, our work underscores the importance of identifying who is at risk, what factors can potentially mitigate that risk, and just how severe the consequences can be for survivors requiring mental health services after a disaster. Clearly, more work is needed, particularly on the identification of resources acting as protection against the overwhelming circumstances of exposure to devastation and destruction caused by natural disasters.
自然灾害会使个人面临严重的身心健康后果。研究确定了一些压力因素,这些因素对于确定哪些因素可能会加剧这种暴露风险以及哪些类型的社会/心理资源可能有助于减轻这些负面后果非常重要。本研究使用了 2017 年 8 月飓风哈维登陆德克萨斯州墨西哥湾沿岸后两个月对成年人(n=316)进行的目标配额抽样,调查了脆弱性、压力源和资源的交集及其与创伤后应激症状的关系。在这个抽样群体中,压力很高,超过四分之一的受访者报告的症状足以达到创伤后应激障碍的临床病例标准。结果显示,创伤后应激症状的分类分组存在显著差异;年轻人、非白人以及在风暴中流离失所的人更有可能处于症状最高计数类别。回归结果证实了双变量结果,并且正如假设的那样,压力源与受访者的更高症状报告相关,而社会和心理资源与更低的症状报告相关。本研究是灾后哈维环境中报告这些脆弱性、压力源和资源之间关系的为数不多的研究之一,我们的工作强调了确定风险人群、可能减轻风险的因素以及灾难后需要心理健康服务的幸存者的后果严重程度的重要性。显然,还需要做更多的工作,特别是要确定在暴露于自然灾害造成的破坏和毁灭的压倒性环境中作为保护措施的资源。