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Journal Article

Citation

Fussell E, Lowe SR. Soc. Sci. Med. 2014; 113C: 137-144.

Affiliation

Epidemiology Department, Mailman School of Public Health, Columbia University, New York, NY, USA.

Copyright

(Copyright © 2014, Elsevier Publishing)

DOI

10.1016/j.socscimed.2014.05.025

PMID

24866205

Abstract

Previous studies in the aftermath of natural disasters have demonstrated relationships between four dimensions of displacement - geographic distance from the pre-disaster community, type of post-disaster housing, number of post-disaster moves, and time spent in temporary housing - and adverse psychological outcomes. However, to date no study has explored how these dimensions operate in tandem. The literature is further limited by a reliance on post-disaster data. We addressed these limitations in a study of low-income parents, predominantly non-Hispanic Black single mothers, who survived Hurricane Katrina and who completed pre- and post-disaster assessments (N = 392). Using latent profile analysis, we demonstrated three profiles of displacement experiences within the sample: (1) returned, characterized by return to a pre-disaster community; (2) relocated, characterized by relocation to a new community, and (3) unstably housed, characterized by long periods in temporary housing and multiple moves. Using regression analyses, we assessed the relationship between displacement profiles and three mental health outcomes (general psychological distress, posttraumatic stress, and perceived stress), controlling for pre-disaster characteristics and mental health indices and hurricane-related experiences. Relative to participants in the returned profile, those in the relocated profile had significantly higher general psychological distress and perceived stress, and those in the unstably housed profile had significantly higher perceived stress. Based on these results, we suggest interventions and policies that reduce post-disaster housing instability and prioritize mental health services in communities receiving evacuees.


Language: en

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