Conflict and Health最新文献

{"title":"Event-Based surveillance (EBS) implementation in unstable and conflict settings: lessons learned from Sudan.","authors":"Elfatih M Malik, Sze Man Yiu, Muzhgan Habibi, Ismaiel Mohamed Ismaiel, Aisha Yousif Ridwan, Ahmad Izzoddeen, Mazza Abasher Alzain, Muntasir Mohamed Osman, Leen Daoud, Nada Gafar, Sayed Himmat, Haitham Bashier, Mahmoud Sadek, Muhammad Ali Raja","doi":"10.1186/s13031-026-00769-2","DOIUrl":"10.1186/s13031-026-00769-2","url":null,"abstract":"<p><strong>Background: </strong>Event-Based Surveillance (EBS) collects signal information from communities and other sources to improve the early detection and response to outbreaks or other public health threats. With the ongoing conflict in Sudan, a major disruption has posed to the health services including Indicator-Based Surveillance (IBS), and EBS has become particularly imperative during this challenging time. This article documents the experience of EBS implementation in Sudan, highlights the practical measures to keep EBS functioning in responding to the evolving war, and shares the lessons learned.</p><p><strong>Methods: </strong>A descriptive qualitative synthesis and desk review of the EBS project aggregated reports, tools, and documents were carried out. Data were organized into themes and analyzed manually using a thematic analysis, paying particular attention to the best practices in the development of EBS, innovations, challenges, and lessons learned.</p><p><strong>Results: </strong>EBS in Sudan has successfully established and sustained a network of community volunteers nationwide. The EBS unit collaborated with partners and implemented many innovative ideas to train and communicate with the EBS focal persons at the state level and community volunteers during the conflict. Data and information generated by the system were integrated with the IBS data and used for decision-making at the Emergency Operating Centre (EOC). The drivers for success include careful selection of volunteers, addressing their needs, and maintaining communication with them.</p><p><strong>Conclusions: </strong>Despite the limited resources and the current war, the system kept functioning, and its core activities were maintained. The commitment of both partners and the Government of Sudan is an asset that should be strategically leveraged to expand this surveillance to areas that can benefit from EBS the most.</p>","PeriodicalId":54287,"journal":{"name":"Conflict and Health","volume":" ","pages":""},"PeriodicalIF":6.4,"publicationDate":"2026-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13014937/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146215014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intervention provision and engagement in Colombia's PAPSIVI - a national psychosocial support service for over half a million victims of armed conflict.","authors":"Charlotte Constable Fernandez, Alida Acosta-Ortiz, María Camila García Durán, Elisavet Pappa, Rob Saunders, Francesca Solmi, William Tamayo-Agudelo, Fabio Idrobo, Vaughan Bell","doi":"10.1186/s13031-026-00760-x","DOIUrl":"10.1186/s13031-026-00760-x","url":null,"abstract":"<p><strong>Background: </strong>Colombia's PAPSIVI program is the world's largest psychosocial support service for victims of armed conflict providing support for over half a million civilians. However, service delivery has only previously been examined in small studies, making it difficult to understand to what extent PAPSIVI delivers interventions that are adequately targeted to individuals with the most serious exposures to the armed conflict, and to what extent attendees remain engaged with interventions.</p><p><strong>Methods: </strong>We investigated how different conflict exposures related to PAPSIVI intervention assignment and engagement. We linked anonymised national data from the register of victims of the Colombian armed conflict to data from N = 534,818 PAPSIVI attenders. Analysis used logistic and linear regression with cluster robust standard errors, adjusted for a range of potential confounders.</p><p><strong>Results: </strong>Intervention types were broadly provided in line with PAPSIVI guidelines, with victims experiencing torture, sexual violence, and forced recruitment more likely to receive individual sessions, while community-level impacts received community interventions. Female sex, ethnic minority status, and receiving state-subsidised healthcare were associated with higher intervention engagement. Those with previous mental health diagnoses had increased odds of attending individual or family sessions but lower odds of group or community sessions, consistent with recommendations for more intensive intervention for those with higher mental health needs. 29% of individual session attendees only received a single session, potentially indicating early dropout or unsuitable service provision for a proportion of attendees.</p><p><strong>Conclusions: </strong>This study provides insights into support provision for civilian victims of conflict indicating that psychosocial support provision can be managed effectively at very large scales.</p>","PeriodicalId":54287,"journal":{"name":"Conflict and Health","volume":" ","pages":""},"PeriodicalIF":6.4,"publicationDate":"2026-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12998117/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146167931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Breaking barriers: addressing systemic inequities in chronic disease care for displaced populations.","authors":"Joseph Opeolu Ashaolu, Retshak Ezra Gunen, Kehinde R Isaac, Sylvain Y M Some","doi":"10.1186/s13031-026-00767-4","DOIUrl":"10.1186/s13031-026-00767-4","url":null,"abstract":"<p><strong>Background: </strong>Internally displaced persons (IDPs) in conflict-affected populations are disproportionately affected by non-communicable diseases (NCDs), while system-level barriers to healthcare access are under-researched. This mixed-methods research investigates the interplay between structural, socioeconomic, and NCD-related barriers to accessing care by IDPs with NCDs in Nigeria, identifying disparities in access.</p><p><strong>Methods: </strong>We carried out a cross-sectional study (March-August 2024) among three IDP camps in Benue State, Nigeria, recruiting 345 adults (≥ 18 years) with hypertension, diabetes, asthma, or cancer. Quantitative surveys measured barriers (distance, cost, insecurity) using validated instruments, while qualitative interviews (n = 25 IDPs, 10 providers) investigated lived experiences. Multivariate logistic regression and Cox proportional hazards models predicted access delays, supported by thematic analysis of qualitative data.</p><p><strong>Results: </strong>Structural barriers revealed that distance (> 5 km) doubled the access difficulties when combined with insecurity (OR = 3.17, 95% CI: 2.22-4.53, p < 0.001), while cost barriers were most significant for cancer (OR = 3.12, CI: 1.62-6.00) and diabetes (OR = 2.33, CI: 1.40-3.88). Demographic inequalities showed that low education raised odds of access barriers by 49% (p = 0.002); women had 24% lower odds than men (p = 0.049). Disease-specific delays demonstrates a median treatment delays of 14 days (hypertension), 21 days (diabetes), and 42 days (cancer). Qualitative themes showed that IDPs valued food more than care, viewed clinics as insecure, and believed NCDs were ignored in humanitarian response.</p><p><strong>Conclusions: </strong>IDPs with NCDs encounter worsening, discriminatory barriers based on structural and socioeconomic inequities. Policy actions need to incorporate decentralized NCD care, financial protection, and security-assured transportation. Disease-specific programming and health literacy interventions are essential to curb disparities in prolonged displacement.</p>","PeriodicalId":54287,"journal":{"name":"Conflict and Health","volume":" ","pages":""},"PeriodicalIF":6.4,"publicationDate":"2026-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12990650/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146151270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing the barriers to maternal, newborn and child health service utilization in internally displaced people (IDPs): a community-based cross-sectional study in Banadir, Somalia.","authors":"Salad Halane, Adam A Mohamed, Mohamed Bashir Said, Mohamed Mustaf Ahmed, Abdiwali Mohamed Ahmed, Mohamed Dahir Hersi, Jamilu Sani","doi":"10.1186/s13031-026-00766-5","DOIUrl":"10.1186/s13031-026-00766-5","url":null,"abstract":"<p><strong>Background: </strong>Maternal, newborn, and child health (MNCH) services are critical for reducing maternal and child mortality, particularly in conflict-affected regions. In Somalia's Banadir region, ongoing displacement and fragile health infrastructure limit access to these essential services. This study examines the barriers to MNCH service utilization among internally displaced persons (IDPs) in Banadir.</p><p><strong>Methods: </strong>A community-based cross-sectional study was conducted among 548 women of reproductive age (15-49 years) residing in IDP settlements. A multistage random sampling technique was used to select participants. Data were collected through structured interviewer-administered questionnaires, assessing perceived financial barriers and distance to health facilities. Data were analyzed using SPSS version 26. Logistic regression was performed to determine factors influencing MNCH service utilization, with adjusted odds ratios (AORs) and 95% confidence intervals (CIs) reported.</p><p><strong>Results: </strong>Significant predictors of MNCH service utilization included maternal education, immunization status, and age. Women with formal education were more likely to access antenatal care (ANC) (AOR = 2.61, 95% CI: 1.02-6.65, p = 0.044), skilled birth attendance (SBA) (AOR = 3.46, 95% CI: 1.76-6.80, p < 0.001), and postnatal care (PNC) (AOR = 2.65, 95% CI: 1.34-5.23, p = 0.005). Immunized women (those reporting having received immunizations) had significantly higher odds of using ANC (AOR = 13.40, 95% CI: 8.09-22.3, p < 0.001), SBA (AOR = 3.98, 95% CI: 2.07-7.63, p < 0.001), and PNC (AOR = 3.22, 95% CI: 1.97-5.24, p < 0.001). Limited healthcare access, financial constraints, and distance to facilities remained major barriers.</p><p><strong>Conclusion: </strong>Barriers to MNCH service utilization in IDP settings are multi-faceted, with education, immunization, and socio-economic constraints playing key roles. Strengthening community-based interventions, integrating MNCH services with immunization programs, and addressing structural barriers could enhance maternal and child health outcomes in Banadir.</p>","PeriodicalId":54287,"journal":{"name":"Conflict and Health","volume":" ","pages":"14"},"PeriodicalIF":3.4,"publicationDate":"2026-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12896184/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146151206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychosocial support for schoolchildren in wartime Ukraine: community-based access and parent-reported perceived helpfulness.","authors":"Olena Yelizarova, Tetiana Stankevych, Alla Parats, Viktor Yelizarov, Olha Puzanova, Natalia Lebedynets, Svitlana Hozak","doi":"10.1186/s13031-026-00762-9","DOIUrl":"10.1186/s13031-026-00762-9","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Since the onset of the full-scale war in Ukraine in 2022, numerous initiatives have been launched to strengthen mental health and psychosocial support (MHPSS), particularly for children and adolescents. Community-based psychosocial support has been declared a national priority; however, the availability, accessibility, and perceived helpfulness of such support remain insufficiently documented at the population level under conditions of ongoing conflict.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;This study aimed to characterize access to psychosocial support among Ukrainian schoolchildren during wartime and to assess parent-reported perceived helpfulness of received support, with particular attention to social and community factors shaping help-seeking and perceived benefit.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Between 2022 and 2025, a nationwide survey was conducted among parents and caregivers of school-aged children (N = 7,551). Indicators were introduced iteratively across survey waves in response to evolving wartime conditions; analyses for each outcome were restricted to the years in which the respective item was measured. Binary logistic regression models were used to examine associations between sociodemographic, psychosocial, and contextual factors and (2022-2025) help-seeking and (2023-2025) perceived helpfulness.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Overall, 12.0% of parents reported that their children needed psychological support, while 9.9% reported contacting a psychologist. Among those who accessed services, 68.1% rated the received support as helpful. Perceived helpfulness was lower among children with anxiety and depressive symptoms (53.9%). The presence of potential anxiety and depressive symptoms in children was the strongest predictor of help-seeking (OR = 3.31; 95% CI: 2.69-4.09) and was also associated with lower perceived helpfulness (OR = 0.55; 95% CI: 0.37-0.81). In contrast, parental anxiety was independently associated with increased help-seeking (OR = 1.24; 95% CI: 1.01-1.53), but not with perceived helpfulness. Urban residence and displacement were positively associated with service use, whereas rural residence and lack of migration experience were associated with lower access. While parental education and general social support were not significant predictors of help-seeking, higher levels of social support were associated with greater perceived helpfulness, highlighting the role of interpersonal and community resources. Parent-reported perceived helpfulness appears to be shaped not only by children's mental health needs but also by parental well-being and broader social context. Based on these findings, a multisectoral model was developed to improve identification, referral, and support pathways for children in crisis.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Substantial gaps persist between perceived need and access to psychosocial support for Ukrainian schoolchildren during wartime, particularly in rural ","PeriodicalId":54287,"journal":{"name":"Conflict and Health","volume":" ","pages":""},"PeriodicalIF":6.4,"publicationDate":"2026-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12983549/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146144767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pathways to self-reliance: a pilot trial of an integrated livelihoods and psychosocial program for displaced women in Colombia.","authors":"Lindsay Stark, Arturo Harker Roa, Diany Castellar, Adriana Monar, Marcela Venegas, Kellie Leeson, Feven Gebrekidan, Ned Meerdink, Ilana Seff","doi":"10.1186/s13031-026-00764-7","DOIUrl":"10.1186/s13031-026-00764-7","url":null,"abstract":"<p><strong>Background: </strong>Forcibly displaced women face intersecting economic and psychosocial risks, yet few rigorously evaluated programs address both simultaneously. This pilot aimed to examine the preliminary feasibility and effects of the Entrepreneurship School with a Gender Lens (ESGL), an 8-9-month hybrid program combining business training, seed capital, and mental health and psychosocial support, could promote self-reliance among forcibly displaced women who have experienced or are at risk of gender-based violence (GBV).</p><p><strong>Methods: </strong>This pilot randomized controlled trial (RCT) was conducted with 253 Venezuelan and Colombian women living in Colombia. Eligible participants scored between 2 and 4.25 on the Self-Reliance Index (SRI) and were randomly assigned in a 2:1 ratio to the intervention (n = 175) or control (n = 78) group. The intervention included seven group workshops, one individual counselling session, and post-training business plan presentations for seed capital. Outcomes measured at baseline in March 2024 and at 8-9-month follow-up in December 2024 included overall and domain-specific self-reliance (SRI), depressive symptoms measured with the Patient Health Questionnaire-9 (PHQ-9), and resilience measured with the Brief Resilient Coping Scale (BRCS). Analyses used intent-to-treat (ITT) and instrumental variable (IV) regression models controlling for baseline scores and key covariates.</p><p><strong>Results: </strong>211 out of 253 participants completed both assessments (146 intervention, 65 control). At baseline in March 2024, mean SRI was 3.27 (SD 0.54) in the intervention group and 3.25 (SD 0.52) in the control group. At endline in December 2024, assignment to the intervention was associated with statistically significant positive changes in overall self-reliance (B = 0.195, CI 0.026-0.364; p < 0.05) and in the domains of food security, employment, and debt. Effects were stronger among participants who completed the program and received seed capital. No statistically significant effects were observed for depressive symptoms or resilience.</p><p><strong>Conclusion: </strong>ESGL shows preliminary promise in maintaining or improving economic self-reliance among forcibly displaced women in urban Colombia. A fully powered RCT is needed to confirm these initial findings and examine potential mental health effects. Future research should also assess longer-term impacts and optimize delivery in urban humanitarian contexts.</p>","PeriodicalId":54287,"journal":{"name":"Conflict and Health","volume":" ","pages":""},"PeriodicalIF":6.4,"publicationDate":"2026-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12983543/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146144770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction: Exploring the role of cash-based interventions in alleviating food insecurity among the forcibly displaced: the case of Rohingya refugees, Bangladesh.","authors":"Meshack Achore, Thelma Zulfawu Abu, Pindar Yawulda Mbaya, Eugene Osei Yeboah","doi":"10.1186/s13031-026-00752-x","DOIUrl":"10.1186/s13031-026-00752-x","url":null,"abstract":"","PeriodicalId":54287,"journal":{"name":"Conflict and Health","volume":"20 1","pages":"11"},"PeriodicalIF":3.4,"publicationDate":"2026-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12884615/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146144757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond survival: how social support and psychological security protect war-disabled individuals from post-traumatic stress in Yemen.","authors":"Fuad Taleb, Zakaria Mani, Asmaa Altaheri","doi":"10.1186/s13031-026-00761-w","DOIUrl":"10.1186/s13031-026-00761-w","url":null,"abstract":"<p><strong>Background: </strong>Armed conflict in Yemen has led to severe physical disabilities and profound psychological distress among survivors. Understanding how social support and psychological security interact to protect mental well-being is crucial for post-conflict rehabilitation. Therefore this study aimed to assess the levels and prevalence of post-traumatic stress disorder (PTSD), perceived social support, and psychological security among individuals with war-related disabilities in Yemen, and to examine the mediating role of psychological security in the relationship between social support and PTSD.</p><p><strong>Method: </strong>A cross-sectional study was conducted at a rehabilitation center in Taiz City from January to September 2025. Participants (n = 117) with conflict-related physical disabilities completed the Multidimensional Scale of Perceived Social Support (MSPSS), the Psychological Security Scale (PSS), and the PTSD Checklist for DSM-5 (PCL-5). Mediation analysis was performed using the PROCESS macro.</p><p><strong>Results: </strong>The probable PTSD prevalence was 29.9% (95% CI 22.4%-38.7%). Perceived social support had a significant indirect effect on PTSD symptoms through psychological security (p < 0.05), but no significant direct effect. Psychological security statistically mediated the association between perceived social support and PTSD symptoms.</p><p><strong>Conclusion: </strong>Psychological security may play a crucial role in the association between perceived social support and PTSD symptoms among war-disabled individuals. Rehabilitation programs should prioritize interventions that enhance both social support networks and psychological security to reduce PTSD symptoms.</p>","PeriodicalId":54287,"journal":{"name":"Conflict and Health","volume":" ","pages":""},"PeriodicalIF":6.4,"publicationDate":"2026-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12977514/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146138082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Consensus on key domains for emergency medical teams deployment evaluation: a Delphi method study.","authors":"Tiffany Yeung, Daniel G Bausch, Arlinda Cerga Pashoja, Joanna Schellenberg","doi":"10.1186/s13031-026-00751-y","DOIUrl":"10.1186/s13031-026-00751-y","url":null,"abstract":"<p><strong>Background: </strong>Emergency Medical Teams (EMT) deploy to provide urgent care during and after sudden onset disasters. Although the World Health Organisation has set standards for EMTs on training, personnel, and operations, there is presently no standardised evaluation framework to assess deployments.</p><p><strong>Methods: </strong>As a step towards creation of an EMT deployment evaluation framework with an agreed upon common set of criteria, we used a two-round modified Delphi method to elicit perspectives from key stakeholders, including EMT members, researchers, funders, representatives of deploying governments, and host organisations. We asked participants to rate themes and questions relevant to EMT evaluation, derived from a previous study, using a four-point Likert scale, with consensus considered reached when 75% or more respondents rated the themes or questions 'slightly suitable' or 'highly suitable'.</p><p><strong>Results: </strong>Two rounds of the Delphi process were completed by 15 and 16 participants, respectively, with all first-round participants plus an additional person participating in the second round. Participants reached consensus on all 23 proposed themes and 162 of 165 (98%) proposed questions, with near unanimous views on many: 17 themes and 55 questions reached 100% consensus.</p><p><strong>Conclusions: </strong>Based on the consensus findings and guided by the pillar themes and questions outlined in the World Health Organization's After Action Review guidance, we proposed a preliminary structure for an EMT evaluation. These findings can serve as a foundation to inform the future design of a standardised evaluation framework. Further refinement through iterative testing and stakeholder consultation will enhance the framework's practicality and adaptability.</p>","PeriodicalId":54287,"journal":{"name":"Conflict and Health","volume":" ","pages":""},"PeriodicalIF":6.4,"publicationDate":"2026-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12927219/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146127217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The overlapping effects of climate change and conflict on mental health of vulnerable populations: a scoping review.","authors":"Rawan Iriqat, Annikki Herranen-Tabibi, Zachary Sendar, Abdallah Abu-Jlambo, Wael K Al-Delaimy","doi":"10.1186/s13031-026-00758-5","DOIUrl":"10.1186/s13031-026-00758-5","url":null,"abstract":"<p><strong>Background: </strong>The mental health impacts of climate change and armed conflict are well-documented separately, yet little is known about their intersection and the compounding effects on vulnerable populations exposed to both crises.</p><p><strong>Aims/objective: </strong>This scoping review aims to map the current evidence on the combined effects of climate change and conflict-related hazards on mental health outcomes. Specifically, we categorize the pathways through which climate change and conflict interact to influence psychological well-being.</p><p><strong>Methods: </strong>We searched seven databases (PubMed, APA PsycINFO, CINAHL, Embase, Scopus, the Cochrane Library, and Google Scholar) and conducted a comprehensive gray literature search. We included populations directly affected by armed conflict and climate hazards simultaneously. Eligible studies reported mental health outcomes, including but not limited to posttraumatic stress disorder, anxiety, depression, well-being, or resilience.</p><p><strong>Results: </strong>The initial search yielded 2,865 records, 27 of which met the inclusion criteria after deduplication and screening. Populations studied aligned with the Vulnerable Populations Conceptual Model, which includes women, children, the elderly, and other high-risk groups. Slow-onset climate hazards, particularly drought, were the most frequently examined. Geographically, research was focused primarily on sub-Saharan Africa and parts of Asia. The evidence included a nearly equal distribution of conceptual and empirical studies (13 and 14 respectively), with displacement and lack of resources being the dominant pathways mediating the interaction between climate and conflict on mental health.</p><p><strong>Conclusion: </strong>Despite growing evidence, substantial gaps remain regarding the effects of climate change and conflict on mental health outside Africa and parts of Asia. Mental health initiatives should prioritize populations exposed to both climate and conflict hazards, addressing displacement, vulnerability, and resilience through integrated, context-sensitive interventions.</p>","PeriodicalId":54287,"journal":{"name":"Conflict and Health","volume":" ","pages":""},"PeriodicalIF":6.4,"publicationDate":"2026-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12955018/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146115052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}