“Will you need this health at all? Will you be alive?”: using the bioecological model of mass trauma to understand HIV care experiences during the war in Ukraine DOI Creative Commons
Jill Owczarzak, Olivia Monton, Shannon Fuller

et al.

Journal of the International AIDS Society, Journal Year: 2024, Volume and Issue: 27(S3)

Published: July 1, 2024

Abstract Introduction Russia's invasion of Ukraine in February 2022 has severely impacted the healthcare system, including provision HIV care. The ongoing war is a human‐caused mass trauma, severe ecological and psychosocial disruption that greatly exceeds coping capacity community. bioecological model trauma builds on Bronfenbrenner's concept interaction between nested systems to argue social context determines impact life events individual how an responds. This paper uses explore aggression against HIV‐positive people who use drugs Ukraine, particularly vulnerable population may be negatively affected by disruptions networks, infrastructure economic conditions caused trauma. Methods Data were collected September November 2022. A convenience sample 18 recruited from community organizations work with living HIV, drug treatment programmes, clinics through direct recruitment participant referral. total nine men women recruited; age ranged 33 62 years old (mean = 46.44). Participants completed single interview explored had their daily lives access care other medical services; relationships providers workers; medication access, supply adherence. analysed using Framework Method for thematic analysis. Results profound social, emotional financial support networks participants. Changes coupled limited job opportunities rising prices, intensified difficulties Relocating different regions staying at somebody else's home, losing connections workers adherence created lengthy gaps. also experienced decreased antiretroviral therapy, concerns about accessing opioid disorder, overwhelming fears associated war, which overshadowed HIV‐related health Conclusions Our analysis reveals complex access. Maintaining competent will essential amid war.

Language: Английский

The Ukrainian Population’s War Losses and Their Psychological and Physical Health DOI
Олег Матвійович Кокун

Journal of Loss and Trauma, Journal Year: 2022, Volume and Issue: 28(5), P. 434 - 447

Published: Oct. 20, 2022

The negative impact on the psychological and physical health of civilian population is one most significant consequences war. This study was performed during fourth to fifth months war in Ukraine involved 1,243 respondents aged 18–61+ years. identified a pronounced trend, showing deterioration indicators Ukrainian that aggravated by employment, financial, or housing losses caused Our findings indicate there high need for support show direction possible interventions.

Language: Английский

Citations

27
Post-Traumatic Stress Disorder, Major Depressive Disorder, and Wildfires: A Fifth-Year Postdisaster Evaluation among Residents of Fort McMurray DOI Open Access
Wanying Mao, Medard Kofi Adu, Ejemai Eboreime

et al.

International Journal of Environmental Research and Public Health, Journal Year: 2022, Volume and Issue: 19(15), P. 9759 - 9759

Published: Aug. 8, 2022

Background: Over 90,000 residents had to be evacuated from Fort McMurray (FMM), Alberta, Canada due the wildfire that engulfed city in May 2016. Overall, about 2400 homes or 10% of housing stock were destroyed. The fire consumed 200,000 hectors forest, reaching into Saskatchewan. During major disasters, communities’ infrastructure is disrupted, and psychological, economic, environmental effects are felt for years afterwards. Objective: Five after disaster, this study assessed prevalence rate depressive disorder (MDD) post-traumatic stress (PTSD) determined demographic, clinical, other risk factors probable MDD PTSD. Methodology: A quantitative cross-sectional survey was conducted collect data through an online questionnaire administered via REDCap between 24 April 2 June 2021. Patient Health Questionnaire (PHQ-9) used assess presence symptoms respondents. PTSD Checklist DSM-5 (PCL-C) likely Descriptive, univariate, multivariate regression analyses employed. Results: 186 out 249 individuals who accessed link completed it (74.7% response rate). median age subscribers 42. sample included a majority 159 (85.5%) females; 98 (52.7%) > 40 age; 175 (94.1%) employed; 132 (71%) relationship. overall our 45.0% (76). Four variables independently predicted logistic model, including: unemployed (OR = 12.39; 95% CI: 1.21–126.37), have received mental diagnosis 4.50; 1.57−12.92), taking sedative-hypnotics 5.27; 1.01−27.39), willingness receive health counseling 4.90; 1.95–12.31). among respondents 39.6% (65). Three independent variables: depression professional 4.49; 1.40–14.44), would like 4.36, 1.54–12.34), only limited no support family 11.01, 1.92–63.20) contributed significantly model predicting while controlling model. Conclusions: According study, unemployment, sleeping pills, having prior diagnosis, increase odds following wildfires. Family may protect against development these conditions.

Language: Английский

Citations

20
The impact of family income and parental factors on children's resilience and mental well‐being DOI
William Bruno, Rebecca Dehnel, Wael K. Al‐Delaimy

et al.

Journal of Community Psychology, Journal Year: 2023, Volume and Issue: 51(5), P. 2052 - 2064

Published: Jan. 9, 2023

Although there is robust evidence on the intergenerational transmission of trauma-related distress, much less known about relation family income and parental resilience mental well-being traumatized children. We aimed to determine association between perceived financial stability, depression their children among Syrian refugees in Jordan. carried out a survey 363 parent-child dyads from refugee clinic Northern Measures resilience, trauma, symptoms illnesses, demographics were reported by mother child. evaluated associations children's health. Resilience was highest parents who that met needs, (65.77 [standard deviation (SD) 15.96]), lower for those or stated needs only fairly well (62.77 [SD 17.56]). lowest poorly (48.02 23.24]). Parent positively correlated with child (β = 0.076 [95% confidence interval 0.035-0.12], p < 0.001). Depression most closely scores children, stability. Income plays modifying role associations, this being least pronounced within families financially secure. These findings can help develop interventions target transgenerational impacts according status.

Language: Английский

Citations

11
How to assess neighborhood resilience in the context of public health emergencies? Insights from an indicator assessment in Berlin-Neukölln, Germany DOI Creative Commons

Georgianna Manafa,

Tillman Schmitz,

Jeffrey Butler

et al.

Cities & Health, Journal Year: 2025, Volume and Issue: unknown, P. 1 - 23

Published: Jan. 3, 2025

Resilience focuses on strengthening communities to better prepare for future expected and unknown crises. Incorporating a resilience perspective into public health practice offers important benefits by addressing issues in urban neighborhoods both terms of prevention response. However, few studies are available that quantify spatially explicit manner. The aims this study therefore develop health-related indicator the neighborhood-level areas. We developed composite based Baseline Indicators Communities framework capture capacities apply it case Berlin, Germany. Our key results identification spatial patterns Berlin-Neukölln. provide insights advantages challenges incorporating practice, highlighting importance analyzing small-scale data identify areas target interventions effectively. Furthermore, we discuss conceptual methodological challenges, including definition resilience, selection, balance between general specific resilience. This marks an first step towards resilience-focused approach health, opening new directions research.

Language: Английский

Citations

0
Associations between social determinants of health and mental health disorders among U.S. population: a cross-sectional study DOI Creative Commons

Sasimonthakan Tanarsuwongkul,

Jihong Liu,

Monica B. Spaulding

et al.

Epidemiology and Psychiatric Sciences, Journal Year: 2025, Volume and Issue: 34

Published: Jan. 1, 2025

Abstract Aims The impact of social determinants health (SDOH) on mental is increasingly realized. A comprehensive study examining the associations SDOH with disorders has yet to be accomplished. This evaluated between five domains and summary score in United States. Methods We analyzed data from a diverse group participants enrolled All Us research programme, programme gather one million people living States, cross-sectional design. primary exposure was based Healthy People 2030: education access quality, economic stability, healthcare community context, neighbourhood built environment. calculated by adding each adverse risk (any vs. no SDOH). Our outcomes were diagnoses major depression (MD) (i.e., depressive disorder, recurrent MD or remission) anxiety (AD) generalized AD other anxiety-related disorders). Multiple logistic regression models used determine adjusted odd ratios (aORs) for and/or ADs after controlling covariates. Results total 63,162 identified (22,277 [35.3%] age 50–64 years old; 41,876 [66.3%] female). 77,624 (25,268 [32.6%] 52,224 [67.3%] Factors associated greater odds included having less than college degree, annual household income 200% federal poverty level, housing concerns, lack transportation, food insecurity, unsafe neighbourhoods. Having insurance lower both (aOR, 0.48; 95% confidence interval [CI], 0.46–0.51 aOR, 0.44; CI, 0.42–0.47, respectively). strongly likelihood 1.97; 1.89–2.06 1.69; 1.63–1.75, Conclusions found all higher AD. strong correlations indicate possible use as measure developing disorders.

Language: Английский

Citations

0
Pathway from Earthquake Fear to Post-Traumatic Growth: The Roles of Resilience, Self-Efficacy, and Positive Childhood Memories Among Survivors of the 2023 Türkiye Earthquakes DOI Creative Commons
Yakup İme, Rumeysa Hoşoğlu,

Nihan Arslan

et al.

Psychiatric Quarterly, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 23, 2025

Language: Английский

Citations

0
‘Strong Kids’: Effects of drama therapy on child resilience after the 2021 German flood disaster DOI Creative Commons
Sabine C. Koch,

Sarah Stange,

N. Ernst

et al.

The Arts in Psychotherapy, Journal Year: 2025, Volume and Issue: unknown, P. 102254 - 102254

Published: Feb. 1, 2025

Language: Английский

Citations

0
Factors Associated with Resilience in Children During a Disaster: A Scoping Review DOI

Roxanna Shabahang,

A. Arena,

I. Navis

et al.

Disaster Medicine and Public Health Preparedness, Journal Year: 2025, Volume and Issue: 19

Published: Jan. 1, 2025

Abstract Objective This scoping review maps and assesses the literature on resilience in children affected by disasters, identifying critical factors that contribute to resilience, including social support, mental health, family function, socioeconomic status. Methods A search was conducted across PubMed, CINAHL Complete, MEDLINE, Google Scholar, Scopus for studies published between 2002 2023, focusing adolescents (ages 0-18) natural or man-made disasters. Studies adults, PTSD, adverse childhood experiences were excluded. Data extraction thematically synthesized examine factors. Results Of 244 articles, 16 met inclusion criteria. Social support emerged as a key factor 8 studies, 6 linked higher fewer health symptoms. Five during COVID-19 highlighted adaptive behaviors, while dynamics community 5 studies. Socioeconomic status, explored 4 revealed complex influences. Conclusions emotional are crucial after Targeted interventions could significantly improve outcomes. Limitations include few child-focused uncontrolled confounders. Future research should focus interventions, especially lower populations.

Language: Английский

Citations

0
Tawhid of The Sky and Tawhid of The Earth: Theological Reflections of the People of Medan Post-Natural Disaster DOI Creative Commons
Anri Naldi, Lestari Dara Cinta Utami Ginting, Rahmansyah Fadlul Al Karim Rambe

et al.

Pharos Journal of Theology, Journal Year: 2025, Volume and Issue: 106.2

Published: March 1, 2025

This study explores the theological reflections of Medan city's residents following a natural disaster, focusing on application tawhid sky (the relationship between humans and God) earth humans, others, nature) in addressing ecological social crises. It emphasizes need for holistic religious understanding to mitigate impacts increasingly frequent disasters enhance community ties with God nature, thereby fostering solidarity. The research uses qualitative case design in-depth interviews leaders, local officials, volunteers, affected residents, supplemented by literature studies including Qur'an, Hadith, relevant Tafsir. Data analysis employs interactive model Miles, Huberman, Saldana, source triangulation validate findings. Results reveal that flood disaster prompted deep reflections, increasing awareness importance spiritual relationships responsibilities towards nature others. is seen as divine test an opportunity boost awareness, also strengthening solidarity through actions based values. Challenges remain implementing these principles public policy sustainable practices. Integration values into mitigation policies, environmental management, empowerment recommended. Additionally, underscores SDG 17: Partnerships Goals enhancing response resilience strategies, highlighting effective multi-sector partnerships are crucial comprehensive recovery long-term resilience.

Language: Английский

Citations

0
Geopsychiatry and Its Integration into Psychiatry Residency Curricula: A Very First Global Survey for Faculty and Psychiatry Residents DOI Creative Commons
Júlio Torales, Anthon Daniel Torres-Romero, Iván Barrios

et al.

Published: April 1, 2025

Language: Английский

Citations

0