长期冲突期间的复原力和应对能力:对普通人群和疏散人群的比较分析。

IF 3.5 4区 医学 Q1 HEALTH POLICY & SERVICES
Hadas Marciano, Shaul Kimhi, Yohanan Eshel, Bruria Adini
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引用次数: 0

摘要

背景介绍2023 年 10 月 7 日,哈马斯对以色列发动突然袭击,引发了加沙地带与以色列的冲突。这场持续了六个月的战争还受到了黎巴嫩真主党以及也门和伊朗的威胁。以色列南部和北部边境地区岌岌可危的安全局势导致了大范围的人口疏散,居民们在以色列境内重新安置,但他们的回返和财产安全却处于不确定状态。本研究比较了讲希伯来语的成年人和被疏散成年人在冲突开始几个月后的复原力(社会复原力 SR、社区复原力 CR 和个人复原力 IR)、希望、士气、痛苦症状(焦虑和抑郁症状)以及感知到的危险:数据收集采用结构化的自我报告问卷,侧重于复原力和应对策略,通过两家在线小组公司进行管理。普通人群的数据收集时间为 2024 年 1 月 14-21 日(N = 1,360),疏散人群的数据收集时间为 2024 年 3 月 1-9 日(N = 372;133 人来自北部,239 人来自南部):结果:与普通人群相比,疏散人员的 SR 和 CR、希望和士气较低,而痛苦症状和危险感较高。在 IR 方面没有发现差异。回归分析确定了各组 SR 的不同主要预测因素:普通人群的希望和政府对疏散人员的支持。此外,IR 仅对疏散人员的结果有显著的预测作用,而年龄、宗教信仰和教育程度仅对普通人群有显著的预测作用。一个值得注意的相似之处出现了:在两个样本中,CR 都是第二大最有影响力的预测因素:结论:以色列全国人口都受到了持续战争的影响,但撤离者受到的影响却格外严重,随着冲突的持续,他们受到的伤害还有可能增加。与普通人相比,撤离者适应新的战时应急程序更为复杂。政策制定者和决策者必须正视撤离人员与普通民众之间的明显差异,以有效满足他们的特殊需求。然而,应当承认的是,疏散人员是一个异质性群体,有必要将其细分为若干子群体,以准确评估和应对他们所面临的独特挑战。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Resilience and coping during protracted conflict: a comparative analysis of general and evacuees populations.

Background: On October 7th, 2023, Hamas launched a surprise attack on Israel, triggering a conflict with Israel in the Gaza Strip. This ongoing war, now six months old, has also seen threats from Hezbollah in Lebanon, as well as from Yemen and Iran. The precarious security situation along Israel's southern and northern borders led to extensive evacuations, with residents relocating within Israel under uncertain conditions concerning their return and property safety. This study compares resilience (societal, SR; community, CR; and individual, IR), hope, morale, distress symptoms (anxiety and depression symptoms), and perceived danger between general Hebrew-speaking adults and evacuee adults a few months post-conflict initiation.

Methods: Data was collected using structured self-reported questionnaires focusing on resilience and coping strategies, administered through two online panel companies. The general population data was collected from January 14-21, 2024 (N = 1,360), and the evacuees' data from March 1-9, 2024 (N = 372; 133 from the north, 239 from the south).

Results: Evacuees reported lower SR and CR, hope, and morale, and higher distress symptoms and perceived danger compared to the general population. No differences in IR were found. Regression analyses identified different primary predictors of SR for each group: hope for the general population and governmental support for evacuees. Additionally, IR significantly predicted outcomes only among evacuees, whereas age, religiosity, and education were significant predictors solely in the general population. One notable similarity emerged: CR served as the second most influential predictor in both samples.

Conclusions: The entire population of Israel is affected by the ongoing war, yet evacuees endure a disproportionately severe impact, with potential for increased harm as the conflict persists. The adjustment to a new wartime emergency routine is more complex for evacuees than for the general population. It is crucial for policy and decision-makers to address the distinct differences between evacuees and the general populace to effectively meet their specific needs. Yet, it should be acknowledged that the evacuees represent a heterogenic group, necessitating a detailed subdivision into subgroups to accurately assess and address their unique challenges.

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来源期刊
CiteScore
6.20
自引率
4.40%
发文量
38
审稿时长
28 weeks
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