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Untangling the Disaster-Depression Knot: The Role of Social Ties After Deepwater Horizon

机译:解开灾难抑郁结:深水地平线后社会纽带的作用

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摘要

The mental health consequences of disasters, including oil spills, are well known. The goal of this study is to examine whether social capital and social support mediate the effects of exposure to the Deepwater Horizon oil spill on depression among women. Data for the analysis come from the first wave of data collection for the Women and Their Children's Health Study, a longitudinal study of the health effects of women exposed to the oil spill in southern Louisiana, USA. Women were interviewed about their exposure to the oil spill, depression symptoms, structural social capital (neighborhood organization participation), cognitive social capital (sense of community and informal social control), and social support. Structural equation models indicated that structural social capital was associated with increased levels of cognitive social capital, which were associated with higher levels of social support, which in turn were associated with lower levels of depression. Physical exposure to the oil spill was associated with greater economic exposure, which in turn was associated with higher levels of depression. When all variables were taken into account, economic exposure was no longer associated with depression, and social support and cognitive social capital mediated the effect of economic exposure on depression, explaining 67% of the effect. Findings support an extension of the deterioration model of social support to include the additional coping resource of social capital. Social capital and social support were found to be beneficial for depression post-oil spill; however, they were themselves negatively impacted by the oil spill, explaining the overall negative effect of the oil spill on depression. A better understanding of the pathways between the social context and depression could lead to interventions for improved mental health in the aftermath of a disaster.
机译:灾难的精神健康后果,包括石油泄漏,是众所周知的。这项研究的目的是检验社会资本和社会支持是否可以调解深水地平线漏油事件对妇女抑郁症的影响。该分析的数据来自“妇女及其子女的健康研究”的第一波数据收集,这是对美国路易斯安那州南部发生油泄漏的妇女的健康影响的纵向研究。对妇女进行了访谈,涉及她们遭受的漏油事件,抑郁症状,结构性社会资本(邻里组织参与),认知性社会资本(社区意识和非正式社会控制感)以及社会支持。结构方程模型表明,结构性社会资本与认知社会资本水平的提高有关,认知社会资本水平的提高与社会支持的水平相关,反过来又与抑郁症的降低水平相关。物理暴露于漏油会带来更大的经济风险,进而会导致更大程度的抑郁。当考虑所有变量时,经济暴露不再与抑郁症相关,社会支持和认知社会资本介导了经济暴露对抑郁症的影响,解释了这种影响的67%。研究结果支持对社会支持恶化模型的扩展,以包括社会资本的额外应对资源。人们发现,社会资本和社会支持对石油泄漏后的萧条有利;然而,它们本身受到漏油的负面影响,从而解释了漏油对低压的总体负面影响。更好地了解社会背景与抑郁之间的关系可能会导致灾难后采取干预措施,以改善心理健康。

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