Vulnerability and recovery: Long-term mental and physical health trajectories following climate-related disasters

被引:8
|
作者
Li, Ang [1 ,4 ]
Toll, Mathew [1 ,4 ]
Martino, Erika [1 ]
Wiesel, Ilan [2 ,4 ]
Botha, Ferdi [3 ,4 ]
Bentley, Rebecca [1 ,4 ]
机构
[1] Univ Melbourne, Fac Med Dent & Hlth Sci, NHMRC Ctr Res Excellence Hlth Housing, Ctr Hlth Policy,Melbourne Sch Populat & Global Hlt, Level 4,207 Bouverie St, Parkville, Vic 3010, Australia
[2] Univ Melbourne, Fac Sci, Sch Geog Earth & Atmospher Sci, Parkville, Vic, Australia
[3] Univ Melbourne, Melbourne Inst Appl Econ & Social Res, Fac Business & Econ, Parkville, Vic, Australia
[4] Australian Res Council, Ctr Excellence Children & Families Life Course, Canberra, Act, Australia
基金
英国医学研究理事会;
关键词
Australia; Climate change; Social vulnerability; Extreme weather events; Group-based multi-trajectory models; Disaster recovery; Post-disaster trajectory; LOW-INCOME; PSYCHOLOGICAL DISTRESS; HURRICANE KATRINA; IMPACTS; STRESS;
D O I
10.1016/j.socscimed.2023.115681
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Extreme weather and climate-related disaster events are associated with a range of adverse health outcomes. People are not equally vulnerable to the adversity, experiencing varied patterns of long-term health trajectories in recovery depending on their vulnerabilities, capacities, and resiliencies. This study aims to identify latent mental and physical health trajectories and their associations with person-and place-based pre-disaster pre-dictors. Using an Australian, population-based, longitudinal dataset spanning 2009-19, group-based multi -tra-jectory modelling was applied to identify the distinct mental, social, emotional, and physical health trajectories of people who had experienced damage to their home following a climate-related disaster event. Multinomial logistic regression was used to assess a series of social vulnerability predictors (demographic, socioeconomic, housing, health, neighbourhood, and geographical) of health patterns. We identified three distinct health tra-jectories. Most individuals experienced small or minimal health impacts at the time of the disaster year followed by a fast recovery. However, one-fifth of the exposed population were severely affected during and post disaster. This cohort had the worst mental and physical health prior to the disaster and experienced the largest decreases in mental and physical health and the lowest recoveries. Pre-existing mental and physical conditions were the most substantial risk factors, increasing the probability of experiencing high impact and slow recovery by 61% for mental health and 51% for physical health. In addition, vulnerability in the form of housing affordability stress, lower household income, and lack of community attachment, participation and safety were also significant independent risk factors for ongoing post-disaster health problems. Critically, people's mental and physical health recovery is dependent on pre-disaster vulnerabilities in health, resource access, and capacities. These findings could assist policymakers and health practitioners to more effectively target people most at risk and design prevention and response strategies to prevent the exacerbation of poor health and wellbeing.
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页数:19
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