The impact of housing displacement on the mental health of low-income parents after Hurricane Katrina.
The impact of housing displacement on the mental health of low-income parents after Hurricane Katrina.
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DOI：
10.1016/j.socscimed.2014.05.025
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发表时间：
2014-07
影响因子：
5.4
通讯作者：
Lowe, Sarah R.
中科院分区：
文献类型：
--
作者：
Fussell, Elizabeth;Lowe, Sarah R.
关键词：
以往在自然灾害后的研究已经证明了流离失所的四个方面-与灾前社区的地理距离、灾后住房类型、灾后搬迁次数和在临时住房中度过的时间-与不良心理后果之间的关系。然而，迄今为止还没有研究探讨这些方面如何协同运作。由于对灾后数据的依赖，文献进一步受到限制。我们在一项针对低收入父母（主要是非西班牙裔黑人单身母亲）的研究中解决了这些局限性，这些父母在卡特里娜飓风中幸存下来，并完成了灾前和灾后评估（N = 392）。使用潜在的配置文件分析，我们展示了三个配置文件中的样本流离失所的经验：（1）返回，其特点是返回到灾前的社区;（2）搬迁，其特点是搬迁到一个新的社区，（3）不稳定的住房，其特点是长期在临时住房和多次移动。使用回归分析，我们评估了位移配置文件和三个心理健康结果（一般心理困扰，创伤后应激和感知压力）之间的关系，控制灾前特征和心理健康指数和飓风相关的经验。相对于返回配置文件中的参与者，那些在搬迁配置文件中有显着更高的一般心理困扰和感知压力，而那些在不稳定的住房配置文件中有显着更高的感知压力。根据这些结果，我们建议采取干预措施和政策，减少灾后住房不稳定，并优先考虑接收疏散人员的社区的心理健康服务。
Previous studies in the aftermath of natural disasters have demonstrated relationships between four dimensions of displacement – geographic distance from the predisaster community, type of postdisaster housing, number of postdisaster moves, and time spent in temporary housing – and adverse psychological outcomes. However, to date no study has explored how these dimensions operate in tandem. The literature is further limited by a reliance on postdisaster data. We addressed these limitations in a study of low-income parents, predominantly non-Hispanic Black single mothers, who survived Hurricane Katrina and who completed pre and postdisaster assessments (N = 392). Using latent profile analysis, we demonstrate three profiles of displacement experiences within the sample: (1) returned, characterized by return to a predisaster community; (2) relocated, characterized by relocation to a new community, and (3) unstably housed, characterized by long periods in temporary housing and multiple moves. Using regression analyses, we assessed the relationship between displacement profiles and three mental health outcomes (general psychological distress, posttraumatic stress, and perceived stress), controlling for predisaster characteristics and mental health indices and hurricane-related experiences. Relative to participants in the returned profile, those in the relocated profile had significantly higher general psychological distress and perceived stress, and those in the unstably housed profile had significantly higher perceived stress. Based on these results, we suggest interventions and policies that reduce postdisaster housing instability and prioritize mental health services in communities receiving evacuees.
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影响因子：
5
作者：
COHEN, S;KAMARCK, T;MERMELSTEIN, R
通讯作者：
MERMELSTEIN, R
影响因子：
11
作者：
Kessler, R. C.;Galea, S.;Wessely, S.
通讯作者：
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影响因子：
3.3
作者：
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通讯作者：
MASTERS, CR
DOI：
10.1073/pnas.0605726103
发表时间：
2006-10-03
影响因子：
11.1
作者：
Kates, R. W.;Colten, C. E.;Leatherman, S. P.
通讯作者：
Leatherman, S. P.
影响因子：
3.3
作者：
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通讯作者：
VanLandingham, Mark