Project-induced displacement, secondary stressors, and health.

Project-induced displacement, secondary stressors, and health.
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DOI:
10.1016/j.socscimed.2011.12.034
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发表时间:
2012-04
影响因子:
5.4
通讯作者:
Xi, Juan
Xi, Juan
中科院分区:
医学2区
文献类型:
--
作者:
Cao, Yue;Hwang, Sean-Shong;Xi, Juan

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据估计,全世界每年约有1 500万人因发展项目而流离失所。尽管受影响的人数众多,但关于项目引起的流离失所的健康和其他影响的研究却很少。本研究扩展了现有的知识,探索短期健康影响的大规模人口迁移,导致中国的三峡大坝工程。本研究在理论上以应力过程模型为指导,但我们补充了在位移文献中广泛使用的Cernea的贫困风险和重建(IRR)模型。我们的面板分析表明,流离失所与搬迁者的抑郁水平呈正相关,与对照组的自测健康呈负相关。此外,路径分析表明,流离失所也影响抑郁症和自测健康间接改变社会融合,社会经济地位和社区资源。本研究报告强调了社会融合作为一种保护机制的重要性,这是过去关于人口流离失所问题的研究中所忽视的一个因素。
It has been estimated that about 15 million people are displaced by development projects around the world each year. Despite the magnitude of people affected, research on the health and other impacts of project-induced displacement is rare. This study extends existing knowledge by exploring the short-term health impact of a large scale population displacement resulting from China’s Three Gorges Dam Project. The study is theoretically guided by the stress process model, but we supplement it with Cernea’s Impoverishment Risks and Reconstruction (IRR) model widely used in displacement literature. Our panel analysis indicates that the displacement is associated positively with relocatees’ depression level, and negatively with their self-rated health measured against a control group. In addition, a path analysis suggests that displacement also affects depression and self-rated health indirectly by changing social integration, socioeconomic status, and community resources. The importance of social integration as a protective mechanism, a factor that has been overlooked in past studies of population displacement, is highlighted in this study.
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