scholarly journals Migration and Mental Health in the Aftermath of Disaster: Evidence from Mt. Merapi, Indonesia

2019 ◽  
Author(s):  
Jonathan A. Muir ◽  
Michael R. Cope ◽  
Leslie R. Angeningsih ◽  
Jorden Jackson ◽  
Ralph B. Brown

Migration is a standard survival strategy in the context of disasters. While prior studies have examined factors associated with return migration following disasters, an area that remains relatively under explored is whether moving home to one's original community results in improved health and well-being compared to other options such as deciding to move on. In the present study, we seek to address this gap in the literature through examining whether return migration, compared to other migration options, results in superior improvements to mental health. We draw upon data from a pilot study conducted 16 months after a series of volcanic eruptions in Merapi, Indonesia. Using ordinal logistic regression, we find that compared to respondents who were still displaced, respondents who had ``moved home'' were less likely to report poor mental health status (OR = 0.50 [95\% CI = 0.26, 0.95]). Likewise, respondents who had ``moved on'' were less likely to report poor mental health status (OR = 0.38 [95\% CI = 0.13, 1.04]). The results suggest that while moving home was an improvement from being displaced, it may have been better to move on, as this yielded superior associations with self-reported mental health.

Author(s):  
Jonathan A. Muir ◽  
Michael R. Cope ◽  
Leslie R. Angeningsih ◽  
Jorden E. Jackson ◽  
Ralph B. Brown

Migration is a standard survival strategy in the context of disasters. While prior studies have examined factors associated with return migration following disasters, an area that remains relatively underexplored is whether moving home to one’s original community results in improved health and well-being compared to other options such as deciding to move on. In the present study, our objective is to explore whether return migration, compared to other migration options, results in superior improvements to mental health. We draw upon data from a cross-sectional pilot study conducted 16 months after a series of volcanic eruptions in Merapi, Indonesia. Using ordinal logistic regression, we find that compared to respondents who were still displaced (reference category), respondents who had “moved home” were proportionally more likely to report good mental health (proportional odds ratios (POR) = 2.02 [95% CI = 1.05, 3.91]) compared to average or poor mental health. Likewise, respondents who had “moved on” were proportionally more likely to report good mental health (POR = 2.64 [95% CI = 0.96, 7.77]. The results suggest that while moving home was an improvement from being displaced, it may have been better to move on, as this yielded superior associations with self-reported mental health.


2013 ◽  
Vol 50 (5) ◽  
pp. 553-559 ◽  
Author(s):  
Catharine Chambers ◽  
Shirley Chiu ◽  
Allison N. Scott ◽  
George Tolomiczenko ◽  
Donald A. Redelmeier ◽  
...  

2020 ◽  
Author(s):  
M Tasdik Hasan

Background: Depression is a major morbidity and the most common mental disorder among the medical students in medical schools globally. Undergraduate students suffer stress more due to their academic curriculum than the students of other faculties. In low resource settings like Bangladesh, there is a dearth in research on mental health of undergraduate medical students. This pilot study was conducted to add to the existing limited evidence by reporting the prevalence of depression, describing sleeping pattern & suicidal tendencies among medical students. Relevantly, we have investigated to the overall mental health status among the medical students in Bangladesh. Methods: This cross-sectional study was conducted in two medical colleges of Dhaka in between July 2013 to December 2013, among 221 Bangladeshi medical students from first to fifth year. By convenient sampling technique, data were collected by a pretested, structured, self-administered questionnaire and analysis was done by SPSS 18.0 version. Depression were assessed by validated PHQ-9 tool among the respondents. Goldberg’s General Health Questionnaire (GHQ-28) was used for assessing overall mental health status. Results: Depression was found in 38.9% of participants with 3.6%, 14.5%, 20.8% of being either severe, moderate and mild depression respectively. 17.6% medical students had suicidal tendency or attempted suicide at least for once after attending medical school. The sleeping hours were inadequate and altered after starting this stressful academic course. 33.5% medical students had poor mental health status. There was a statistically significant association between poor mental health status with age group of less than 22 years and initial academic study year (1st to 3rd of MBBS).Conclusion: The findings are suggestive of a higher prevalence of depression among early year medical students and marginal predominance in males. Suicidal tendency is also higher. These calls for further investigation with situation analysis, qualitative explorations and surveys to explore the burden of such disorders in Bangladesh.


2016 ◽  
Vol 12 (1) ◽  
pp. 96-103 ◽  
Author(s):  
Jafar Hassanzadeh ◽  
Mohsen Asadi-Lari ◽  
Haleh Ghaem ◽  
Aziz Kassani ◽  
Mohsen Niazi ◽  
...  

Mental ill-health has increased among Iranian men in the recent years. Mental health is complexly determined by sociocultural, psychological, demographic characteristics, and some health-risk behaviors such as smoking. This study aimed to explore the association(s) between demographic factors, smoking status, social capital, and poor mental health status in a sample of Iranian men. The data were derived from a survey titled “Urban Health Equity Assessment and Response Tool–2” in Tehran, Iran ( n = 11,064). A multistage sampling method was applied in the study. The General Health Questionnaire–28 was used to assess poor mental health status (range = 0-84, scores higher than 23 indicated poor mental health status). The data were analyzed using t test, chi-square test, and multivariate logistic regression. The means of age and family size were 47.14 ± 17.26 years (range = 20-91) and 3.54 ± 1.32 individuals (range = 1-15), respectively. The majority of the participants were employed (57%, n = 6,361). The prevalence of poor mental health was 36.36%, 95% confidence interval (CI) [35.46, 37.26]. The components of social capital were positively associated with poor mental health status. Family size (adjusted odds ratio [AOR] = 0.93; 95% CI [0.90, 0.96]), job status (unemployed vs. employed, AOR = 1.34; 95% CI [1.16, 1.55]), marital status (widowed and divorced vs. single, AOR = 1.09; 95% CI [1.02, 1.17]), education level (illiterate vs. academic, AOR = 1.18; 95% CI [1.09, 1.29]), and smoking status (smokers vs. nonsmokers, AOR = 1.46; 95% CI [1.31, 1.62]) were directly associated with poor mental health status in the logistic regression model. These results suggest that social capital could be an important approach for men to attain suitable mental health and reduce mental disorders. The high prevalence of poor mental health in men merits more attention in mental health policy and program planning.


2004 ◽  
Vol 2 (2) ◽  
pp. 125-138 ◽  
Author(s):  
DANIEL KARUS ◽  
VICTORIA H. RAVEIS ◽  
KATHERINE MARCONI ◽  
PETER SELWYN ◽  
CARLA ALEXANDER ◽  
...  

Objective:To describe mental health status and its correlates among clients of three palliative care programs targeting underserved populations.Methods:Mental Health Inventory (MHI-5) scores of clients from programs in Alabama (n= 39), Baltimore (n= 57), and New York City (n= 84) were compared.Results:Mean MHI-5 scores did not differ among sites and were indicative of poor mental health. Significant differences were noted among sites with regard to client sociodemographics, physical functioning, and perceptions of interpersonal relations. Results of multivariate regression models estimated for each site suggest variation in the relative importance of potential predictors among sites. Whereas poorer mental health was primarily associated with history of drug dependence at Baltimore and more physical symptomatology at New York, better mental health was most strongly correlated with more positive perceptions of interpersonal relationships at Baltimore and increasing age and more positive perceptions of meaning and purpose in life at New York.Significance of results:The data presented suggest the importance of assessing clients' history of and current need for mental health services. Evidence of a relationship between positive perceptions of meaning and purpose and better psychological function underscores the importance of existential issues for the overall well-being of those who are seriously ill.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Arash Mani ◽  
Ali Reza Estedlal ◽  
Mahsa Kamali ◽  
Seyede Zahra Ghaemi ◽  
Leila Zarei ◽  
...  

Abstract Background The current corona virus pandemic is acting as a stressor or trauma, which not only threats physical health status, but also threats mental health status and well-being of people. Currently, COVID-19 pandemic is a life-threatening unpredictable condition accompanied with a large number of uncertainties. The present study has mainly aimed to assess mental health and the relevant social factors during this pandemic in Fars province. Methods This cross-sectional study was performed on 922 participants in Fars province, Iran, using internet-based data collection technique. All the included participants filled out the General Health Questionnaire (GHQ-28). Moreover, demographic variables and some social factors were evaluated by asking some questions. All the participants were ensured of the confidentiality of the collected data, and willingly completed the questionnaire. Results Among the participants, there were 629 women (68.2%) and 293 men (31.2%). The mean age of the participants was 36.98 ± 11.08 years old. Four hundred twenty-five subjects (46.1%) obtained GHQ-28 scores above the cut-off point, and accordingly, they were suspected of having poor mental health statuses. Women, in comparison to men (OR = 2.034, 95%:1.62–3.28), and individuals aged < 50 years old, in comparison to those aged > 50 years old (OR: 4.01 95%:2.15–7.50), have poorer mental health statuses. Trusting on media, health authorities, and cooperation with policy makers, as well as having uncertainty on information about Coronavirus pandemic were also shown to be associated with poor mental health condition (P < 0.05). Conclusion The present study revealed that the number of those people with suspected poor mental health in Fars province significantly increased compared to a previous study using the same questionnaire. Furthermore, the participants who had less trust in media and policymakers were more prone to mental health problems. Therefore, it can be concluded that supporting people in these life-threatening pandemic crises is of great importance, so the policy makers and media must present reliable and valid information to people as soon as possible.


2015 ◽  
pp. 2071 ◽  
Author(s):  
Serge Brand ◽  
Nasrin Abdoli ◽  
Alirez Esmaeili ◽  
Jalal Shakeri ◽  
Edith Holsboer-Trachsler ◽  
...  

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