Village Characteristics Associated With Posttraumatic Stress Symptoms in Postconflict Liberia

被引:10
作者
Rockers, Peter C. [1 ,2 ]
Kruk, Margaret E. [3 ,4 ]
Saydee, Geetor [5 ]
Varpilah, Tornorlah [6 ]
Galea, Sandro [1 ,7 ]
机构
[1] Univ Michigan, Sch Publ Hlth, Dept Epidemiol, Ann Arbor, MI 48109 USA
[2] Harvard Univ, Sch Publ Hlth, Dept Global Hlth & Populat, Boston, MA 02115 USA
[3] Univ Michigan, Sch Publ Hlth, Dept Hlth Management & Policy, Ann Arbor, MI 48109 USA
[4] Columbia Univ, Mailman Sch Publ Hlth, Dept Hlth Policy & Management, New York, NY USA
[5] Republ Liberia Minist Hlth & Social Welf, Monrovia, Liberia
[6] Univ Liberia, Inst Populat Studies, Monrovia, Liberia
[7] Columbia Univ, Mailman Sch Publ Hlth, Dept Epidemiol, New York, NY USA
关键词
MENTAL-HEALTH; CONFLICT; CONTEXT; WAR;
D O I
10.1097/EDE.0b013e3181df5fae
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background: Group-level factors may be associated with mental health. We assessed whether various village-level variables were associated with posttraumatic stress symptoms in a resettled post-conflict population in Liberia. Methods: Individual surveys were administered to a population-based sample (n = 1434). We used multilevel random intercept linear regression models to estimate associations between individual-and village-level variables and posttraumatic-stress-symptom score. Results: In a multilevel model taking into account individual-level covariates, living in a village with higher mean number of traumatic experiences or greater history of displacement was associated with a higher symptom score. Conversely, living in a village with a more equal distribution of household wealth was associated with lower symptom score. Conclusions: Characteristics of communities, as well as of individuals, may be important determinants of posttraumatic stress in low-income countries, such as Liberia, that are recovering from conflict.
引用
收藏
页码:454 / 458
页数:5
相关论文
共 27 条
[1]  
AHERN J, 2006, J EPIDEMIOL COMMUNIT, V60
[2]  
[Anonymous], JOINT NEEDS ASS
[3]  
Colletta NatJ., 2000, Violent Conflict and the Transformation of Social Capital: Lessons from Cambodia, Rwanda, Guatemala, and Somalia
[4]   Social capital and mental illness: a systematic review [J].
De Silva, MJ ;
McKenzie, K ;
Harpham, T ;
Huttly, SRA .
JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH, 2005, 59 (08) :619-627
[5]  
DEJONG JT, 2001, JAMA, V286
[6]   Context, composition and heterogeneity: Using multilevel models in health research [J].
Duncan, C ;
Jones, K ;
Moon, G .
SOCIAL SCIENCE & MEDICINE, 1998, 46 (01) :97-117
[7]  
Ellis Stephen., 2001, The Mask of Anarchy: the Destruction of Liberia and the Religious Dimension of an African Civil War
[8]   Estimating wealth effects without expenditure data - Or tears: An application to educational enrollments in states of India [J].
Filmer, D ;
Pritchett, LH .
DEMOGRAPHY, 2001, 38 (01) :115-132
[9]   Does social cohesion modify the association between area income deprivation and mental health? A multilevel analysis [J].
Fone, David ;
Dunstan, Frank ;
Lloyd, Keith ;
Williams, Gareth ;
Watkins, John ;
Palmer, Stephen .
INTERNATIONAL JOURNAL OF EPIDEMIOLOGY, 2007, 36 (02) :338-345
[10]  
GERALD B, 1990, INDEPENDENT 0129