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与冲突相关的暴力强度和酒精使用对心理健康的影响:以哥伦比亚为例。

The effect of conflict-related violence intensity and alcohol use on mental health: The case of Colombia.

作者信息

Salas-Ortiz Andrea, Moreno-Serra Rodrigo, Kreif Noemi, Suhrcke Marc, Casas German

机构信息

Centre for Health Economics, University of York. United Kingdom.

Luxembourg Institute of Socioeconomic Research. Luxembourg.

出版信息

SSM Popul Health. 2024 Feb 8;25:101626. doi: 10.1016/j.ssmph.2024.101626. eCollection 2024 Mar.

DOI:10.1016/j.ssmph.2024.101626
PMID:38405166
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10884503/
Abstract

We investigated the causal impact of conflict-related violence on individual mental health and its potential pathways in Colombia. Using data from before and after the 2016 peace accord between the Colombian government and the Revolutionary Armed Forces of Colombia (FARC), we adopted a difference-in-differences empirical design combined with instrumental variables estimation. We also used formal mediation analysis to investigate a possible mediating role of alcohol consumption in the relationship between conflict exposure and mental health. Our results did not support the hypothesis that changes in exposure to conflict violence after the peace accord causally led to any changes in individual mental health. We were unable to identify a statistically significant mediating effect of alcohol consumption in the relationship between exposure to conflict violence and mental health.

摘要

我们在哥伦比亚调查了与冲突相关的暴力对个人心理健康的因果影响及其潜在途径。利用哥伦比亚政府与哥伦比亚革命武装力量(FARC)2016年和平协议前后的数据,我们采用了双重差分实证设计并结合工具变量估计。我们还使用了正式的中介分析来研究饮酒在冲突暴露与心理健康关系中可能的中介作用。我们的结果不支持这样的假设,即和平协议后冲突暴力暴露的变化会因果性地导致个人心理健康的任何变化。我们无法确定饮酒在冲突暴力暴露与心理健康关系中的统计学显著中介效应。

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本文引用的文献

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Mental health disorders in population displaced by conflict in Colombia: Comparative analysis against the National Mental Health Survey 2015.哥伦比亚冲突导致人口流离失所者的精神健康障碍:与 2015 年全国精神健康调查的对比分析。
Rev Colomb Psiquiatr (Engl Ed). 2023 Apr-Jun;52(2):121-129. doi: 10.1016/j.rcpeng.2021.04.007. Epub 2023 Jul 13.
2
Addressing recall bias in (post-)conflict data collection and analysis: lessons from a large-scale health survey in Colombia.应对(冲突后)数据收集与分析中的回忆偏差:来自哥伦比亚一项大规模健康调查的经验教训
Confl Health. 2022 Apr 8;16(1):14. doi: 10.1186/s13031-022-00446-0.
3
Common mental disorders and coping strategies amongst internally displaced Colombians: A systematic review.
常见精神障碍及应对策略在哥伦比亚国内流离失所者中的研究:系统综述。
Glob Public Health. 2022 Dec;17(12):3440-3454. doi: 10.1080/17441692.2022.2049343. Epub 2022 Mar 8.
4
The impact of civil conflict on child health: Evidence from Colombia.内战对儿童健康的影响:来自哥伦比亚的证据。
Econ Hum Biol. 2022 Jan;44:101074. doi: 10.1016/j.ehb.2021.101074. Epub 2021 Oct 28.
5
Inequalities in catastrophic health expenditures in conflict-affected areas and the Colombian peace agreement: an oaxaca-blinder change decomposition analysis.受冲突影响地区灾难性卫生支出的不平等与哥伦比亚和平协议:一个基于 Oaxaca-Blinder 分解的分析。
Int J Equity Health. 2021 Sep 29;20(1):217. doi: 10.1186/s12939-021-01555-7.
6
Conflict violence reduction and pregnancy outcomes: A regression discontinuity design in Colombia.冲突暴力减少与妊娠结局:哥伦比亚的回归不连续设计。
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