The Impact of Early Life War Exposure on Mental Health among Older Adults in Northern and Central Vietnam

被引：9

作者：

Kovnick, Miles O. ^{[1
]}

Young, Yvette ^{[2
]}

Tran, Nhung ^{[3
,4
]}

Teerawichitchainan, Bussarawan ^{[5
,6
]}

Tran, Toan Khanh ^{[7
]}

Korinek, Kim ^{[3
,4
]}

机构：

[1] Univ Utah, Salt Lake City, UT 84112 USA

[2] Univ Utah, Dept Sociol, Vietnam Hlth & Aging Study, Salt Lake City, UT 84112 USA

[3] Univ Utah, Dept Sociol, 380 S 1530 E,Room 301, Salt Lake City, UT 84112 USA

[4] Univ Utah, Asia Ctr, Salt Lake City, UT 84112 USA

[5] Natl Univ Singapore, Dept Sociol, Singapore, Singapore

[6] Natl Univ Singapore, Ctr Family & Populat Res, Singapore, Singapore

[7] Hanoi Med Univ, Publ Hlth Family Med Dept, Hanoi, Vietnam

来源：

JOURNAL OF HEALTH AND SOCIAL BEHAVIOR | 2021年 / 62卷 / 04期

基金：

美国国家卫生研究院;

关键词：

late-life mental health; psychological distress; suicide ideation; Vietnam War; war stress exposure; POSTTRAUMATIC-STRESS-DISORDER; SUICIDAL IDEATION; CUMULATIVE INEQUALITY; MILITARY SERVICE; LONG ARM; COMBAT; RISK; CHILDHOOD; SYMPTOMS; TRAUMA;

D O I：

10.1177/00221465211039239

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Most Vietnamese young adults who experienced the American War were exposed to war-related violence, which can exert a lifelong impact. We analyze survey data collected among northern and central Vietnamese older adults in the 2018 Vietnam Health and Aging Study (N = 2,447) to examine the association between various war traumas, psychological distress, and suicidal ideation. Informed by life course and stress process perspectives, we use structural equation models with multiple mediators to analyze the relationship between mental health outcomes and five types of wartime stress exposure: loss of family and friends, witnessing death, malevolent living conditions, life threat, and moral injury. Our findings reveal enduring mental health impacts of war among survivors. Wartime stress exposure's influence on mental health is mediated by recent comorbidities and stressful life events. Loss of family members, witnessing death, and malevolent living conditions during war are particularly salient risks for psychological distress.

引用

页码：526 / 544

页数：19

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