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21-07-2020

Social cohesion and quality of life among survivors of a natural disaster

Auteurs: Yuki Shigemoto, Ichiro Kawachi

Gepubliceerd in: Quality of Life Research | Uitgave 12/2020

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Abstract

Purpose

The purpose of the current study was to examine the association between social cohesion and two domains of quality of life (QOL) among individuals affected by Hurricane Ike, which made landfall on September 13, 2008. Psychosocial and physical QOL were measured using the Short form of the Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q-SF; Endicottn et al. in Psychopharmacol Bull 29: 321–326, 1993).

Methods

The participants were 658 survivors who participated in the Galveston Bay Recovery Study (GBRS; National Center for Disaster Mental Health Research, Galea, and Norris in Galveston Bay Recovery Study, 2008–2010, Inter-university Consortium for Political and Social Research [distributor], Ann Arbor, MI, https://​doi.​org/​10.​3886/​ICPSR34801.​v1, 2016). Assessments were conducted at approximately 3, 6, and 15 months after the disaster. Longitudinal structural equation modeling was conducted to examine the association between social cohesion and both psychosocial and physical QOL at 6 and 15 months after the hurricane.

Results

The results revealed no significant association between social cohesion and physical QOL at either 6 or 15 months. Furthermore, no association was found between social cohesion and psychosocial QOL at 6 months. However, there was a significant positive association between social cohesion and psychosocial QOL at 15 months, even after controlling for the previous levels of posttraumatic stress and demographic variables.

Conclusion

The current study highlights a potential effect of social cohesion on QOL, specifically the psychosocial domain, which may manifest after 6 months among survivors of a hurricane. The current results also suggest the importance of long-term programs and interventions to help survivors adjust after experiences of disaster.
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Due to the possibility of conceptual overlap at the measurement level between social cohesion and psychosocial QOL, we conducted an exploratory factor analysis (EFA) including all items from social cohesion and QOL psychosocial. The one-factor solution had a poor fit (S-Bχ2(90) = 386.09, p < .001, SRMR = .097, CFI = .776, and RMSEA = .071 (90% CI [.064, .078])) compared to the two-factor solution (S-Bχ2(76) = 150.11, p < .001, SRMR = .040, CFI = .944, and RMSEA = .038 (90% CI [.029, .048])). Although the three-factor solution also produced a good model fit (S-Bχ2(63) = 129.35, p < .001, SRMR = .032, CFI = .950, and RMSEA = .040 (90% CI [.030, .050])), none of the items loaded significantly on the third factor and the items maintained the same loading patterns as the two-factor solution, which produced a separate factor each for social cohesion and psychological QOL. These results support the notion that our measures of social cohesion and psychosocial QOL were not contaminated and that they do represent unique and non-overlapping constructs. Factor loadings, eigenvalues, and correlation coefficient from the two-factor solution are included in the supplemental material.
 
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Metagegevens
Titel
Social cohesion and quality of life among survivors of a natural disaster
Auteurs
Yuki Shigemoto
Ichiro Kawachi
Publicatiedatum
21-07-2020
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 12/2020
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-020-02590-7

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