Health Status Among Internally Displaced Persons in Louisiana and Mississippi Travel Trailer Parks

Larrance, Ryan; Anastario, Michael; Lawry, Lynn

doi:10.1016/j.annemergmed.2006.12.004

Cited by 92 publications

(112 citation statements)

References 30 publications

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“…For example, one study found that boys not evacuated prior to Hurricane Ike were more likely to be sexually assaulted and also to perpetrate sexual violence than those who were evacuated (Temple et al, 2011). Similarly, there were higher rates of domestic violence in people displaced after Hurricane Katrina (Larrance et al, 2007). Further, this effect seems to be impacted by the level of exposure to the disaster (Harville et al, 2011), which is consistent with the current finding that participants from the high-and medium-affected communities experienced more traumatic events since the Black Saturday bushfires than participants from the lowaffected communities.…”

Section: Discussionmentioning

confidence: 99%

Psychological outcomes following the Victorian Black Saturday bushfires

Bryant

Waters

Gibbs

et al. 2014

Aust N Z J Psychiatry

151

162

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Objective: We aimed to map the prevalence and predictors of psychological outcomes in affected communities 3-4 years after the Black Saturday bushfires in the state of Victoria, Australia.Methods: Baseline assessment of a longitudinal cohort study in high-, medium-, and low-affected communities in Victoria. Participants included 1017 residents of high-, medium-, and low-affected fire communities. Participants were surveyed by means of a telephone and web-based interview between December 2011 and January 2013. The survey included measures of fire-related post-traumatic stress disorder (PTSD) and general PTSD from other traumatic events, major depressive episode, alcohol use, and general psychological distress. Results:The majority of respondents in the high-(77.3%), medium-(81.3%), and low-affected (84.9%) communities reported no psychological distress on the K6 screening scale. More participants in the high-affected communities (15.6%) reported probable PTSD linked to the bushfires than medium-(7.2%) and low-affected (1.0%) communities (odds ratio (OR): 4.57, 95% confidence interval (CI): 2.61-8.00, p = 0.000). Similar patterns were observed for depression (12.9%, 8.8%, 6.3%, respectively) (OR: 1.83, 95% CI: 1.17-2.85, p = 0.008) and severe psychological distress (9.8%, 5.0%, 4.9%, respectively) (OR: 2.08, 95% CI: 1.23-3.55, p = 0.007). All communities reported elevated rates of heavy drinking (24.7%, 18.7%, 19.6%, respectively); however, these were higher in the high-affected communities (OR: 1.39, 95% CI: 1.01-1.89, p = 0.04). Severe psychological distress was predicted by fear for one's life in the bushfires, death of someone close to them in the bushfires, and subsequent stressors. One-third of those with severe psychological distress did not receive mental health assistance in the previous month.Conclusions: Several years following the Black Saturday bushfires the majority of affected people demonstrated resilience without indications of psychological distress. A significant minority of people in the high-affected communities reported persistent PTSD, depression, and psychological distress, indicating the need for promotion of the use of health and complementary services, community-based initiatives, and family and other informal supports, to target these persistent problems.

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Section: Discussionmentioning

confidence: 99%

Psychological outcomes following the Victorian Black Saturday bushfires

Bryant

Waters

Gibbs

et al. 2014

Aust N Z J Psychiatry

151

162

View full text Add to dashboard Cite

show abstract

“…Such an increase in marital stress, domestic violence, and parental mental health problems was demonstrated in the Gulf Coast region after Hurricane Katrina. 15,16 Child abuse has also been reported to increase after major disasters. 17 Pediatricians may see children and families dealing with such issues even if the children or adults in the family did not experience the disaster itself as traumatic but instead are reacting to secondary losses or stressors.…”

Section: Negative Alterations In Cognitions and Moodmentioning

confidence: 99%

Providing Psychosocial Support to Children and Families in the Aftermath of Disasters and Crises

Demaria¹,

Krug²,

Chung³

et al. 2015

Pediatrics

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Disasters have the potential to cause short-and long-term effects on the psychological functioning, emotional adjustment, health, and developmental trajectory of children. This clinical report provides practical suggestions on how to identify common adjustment difficulties in children in the aftermath of a disaster and to promote effective coping strategies to mitigate the impact of the disaster as well as any associated bereavement and secondary stressors. This information can serve as a guide to pediatricians as they offer anticipatory guidance to families or consultation to schools, child care centers, and other child congregate care sites. Knowledge of risk factors for adjustment difficulties can serve as the basis for mental health triage. The importance of basic supportive services, psychological first aid, and professional self-care are discussed. Stress is intrinsic to many major life events that children and families face, including the experience of significant illness and its treatment. The information provided in this clinical report may, therefore, be relevant for a broad range of patient encounters, even outside the context of a disaster. Most pediatricians enter the profession because of a heartfelt desire to help children and families most in need. If adequately prepared and supported, pediatricians who are able to draw on their skills to assist children, families, and communities to recover after a disaster will find the work to be particularly rewarding.

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“…Evidence recommends that the severity of the violence increased; rapes were "more brutal, often involving multiple offenders" and increased severity of intimate partner violence (IPV) was also reported [32,41]. Displaced women in "temporary" housing in Louisiana reported rape at triple the rate expected on a population basis since their displacement [42]. In a similar study on displaced women, Anastario, Larrance and Lawry [33] found that nearly one in five women had been subject to sexual violence after the hurricane, among them, those most subject to post-disaster abuse were women of color.…”

Section: Gender Based Violence (Gbv)mentioning

confidence: 99%

Economic Efficiency or Gender Equality: Conceptualizing an Equitable “Social Framing” for Economic Evaluations to Support Gender Equality in Disaster Risk- and Environmental-Management Decision-Making

Shreve

2016

Resources

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Abstract:It is unlikely that cost-benefit approaches will be effective in identifying investments that support gender equality without a relevant "social framing". Criteria for a "social framing" are lacking, yet cost-benefit approaches often guide investment decisions for disaster risk and environmental management. Mainstream approaches typically do a poor job identifying and characterizing costs and benefits, and often fail to address distributive concerns (i.e., how costs and benefits may be distributed throughout society, to whom, etc.). Gender-blind investments may project responsibility for equality "problems" onto one sex, potentially augmenting gender inequalities and disaster risk. This article examines evidence from the gender, disaster, and development literature to identify distributive concerns and criteria for an equitable "social framing" for economic evaluations. Primary distributive concerns identified regard assumptions of women's homogeneity, agency, "active" participation, and the influence of customary practice and displacement on disaster vulnerability. The need for a "gender-responsive" "social framing" that considers the needs of men and women in relation to one another is evident. Second, cost-benefit studies focused on gender equality concerns are reviewed and the "social framing" is critiqued. Results show most studies are not "gender-responsive". Women's health concerns, often exacerbated by disasters, are sidelined by assumptions regarding distributive concerns and reductive outcome measures.

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Health Status Among Internally Displaced Persons in Louisiana and Mississippi Travel Trailer Parks

Cited by 92 publications

References 30 publications

Psychological outcomes following the Victorian Black Saturday bushfires

Psychological outcomes following the Victorian Black Saturday bushfires

Providing Psychosocial Support to Children and Families in the Aftermath of Disasters and Crises

Economic Efficiency or Gender Equality: Conceptualizing an Equitable “Social Framing” for Economic Evaluations to Support Gender Equality in Disaster Risk- and Environmental-Management Decision-Making

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