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Community Destruction and Traumatic Stress in Post-Tsunami Indonesia
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Community Destruction and Traumatic Stress in Post-Tsunami Indonesia
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Community Destruction and Traumatic Stress in Post-Tsunami Indonesia
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Journal Article
Community Destruction and Traumatic Stress in Post-Tsunami Indonesia
2012
Overview
How are individuals affected when the communities they live in change for the worse? This question is central to understanding neighborhood effects, but few study designs generate estimates that can be interpreted causally. We address issues of inference through a natural experiment, examining posttraumatic stress at multiple time points in a population differentially exposed to the 2004 Indian Ocean tsunami. The data, from the Study of the Tsunami Aftermath and Recovery, include interviews with over 16,000 Indonesian adults before and after the event. These data are combined with satellite imagery, direct observation, and informant interviews to examine the consequences of community destruction for posttraumatic stress. Using multilevel linear mixed models, we show that community destruction worsens post-traumatic stress, net of rigorous controls for individual experiences of trauma and loss. Furthermore, the effect of community destruction persists over time and extends across a wide range of community types.
Publisher
Sage Publications,SAGE Publications,American Sociological Association
Subject
/ Adult and adolescent clinical studies
/ Adults
/ Biological and medical sciences
/ Female
/ Grief
/ Humans
/ Imagery
/ International Contexts and Health
/ Male
/ Oceans
/ Post traumatic stress disorder
/ Posttraumatic Stress Disorder
/ Poverty
/ Psychology. Psychoanalysis. Psychiatry
/ Stress
/ Stress Disorders, Post-Traumatic - diagnosis
/ Stress Disorders, Post-Traumatic - epidemiology
/ Stress Disorders, Post-Traumatic - psychology
/ Studies
/ Trauma
/ Tsunamis
