Kidnapping-Induced Trauma and secondary stress in armed conflicts: a comparative study among women in hostage families, volunteers, and the General Population.

IF 3.5 4区 医学 Q1 HEALTH POLICY & SERVICES Israel Journal of Health Policy Research Pub Date : 2024-11-04 DOI:10.1186/s13584-024-00650-8
Shahar Livne, Ilana Feldblum, Sara Kivity, Naama Shamir-Stein, Einat Brand, Shir Cohen, Eran Rotman, Hagai Levine, Mor Saban
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Abstract

Background: Exposure to armed conflict negatively impacts health. However, there is limited data on secondary stress from ambiguous loss contexts, such as kidnapping. In this study we aimed to quantify changes in modifiable health behaviors and well-being among women in hostage families and hostage crisis volunteers versus the general female population within the first two months of the 2023 Israel-Hamas war.

Methods: A cross-sectional online survey was conducted on 318 Hebrew-speaking women aged 18-75 in Israel comparing: (1) a general population sample (n = 245); (2) hostage crisis volunteers (n = 40); and (3) hostage family members (n = 33). Participants provided demographic information, details on chronic illnesses, and responded to Likert-scale questions covering self-rated health, mental health, and lifestyle habits before the conflict and in current state.

Results: Hostage family members reported the most severe health impacts, followed by volunteers. Fair/poor physical health status increased significantly in all groups during the war, with hostages' families reporting the highest rate (61.6%). Mental health deterioration was more pronounced among hostages' families, with 84% expressing a need for mental health support. Hostages' families also reported the highest rates of sleep problems, reduced adherence to a healthy lifestyle, and weight loss. Mental and physical health declined significantly across the exposed groups, as measured by multiple assessments, with hostage families experienced the most pronounced impairments across various domains of well-being.

Conclusions: This period of conflict severely harmed the well-being of all women in the study population. Women from all three groups - hostage families, volunteers, and those from the general population - experienced health deterioration due to varying levels of stress and exposure to conflict-related factors. Hostage families faced the greatest impact with nearly all members of this group showing significant health damage. Long-term support is needed to help restore post-conflict health for all affected women. Further research may be needed to determine the most effective interventions for addressing these impacts across the different groups.

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武装冲突中绑架引发的创伤和继发性压力:对人质家庭中的妇女、志愿者和普通民众的比较研究。
背景:武装冲突会对健康产生负面影响。然而,有关绑架等模棱两可的损失背景所造成的二次压力的数据却很有限。在这项研究中,我们旨在量化 2023 年以色列-哈马斯战争爆发后头两个月内,人质家庭中的女性和人质危机志愿者与普通女性相比在可改变的健康行为和幸福感方面的变化:对以色列 318 名 18-75 岁讲希伯来语的女性进行了横断面在线调查,并对以下人群进行了比较:(1) 普通人群样本(n = 245);(2) 人质危机志愿者(n = 40);(3) 人质家庭成员(n = 33)。参与者提供了人口统计学信息、慢性病详情,并回答了李克特量表(Likert-scale)问题,内容包括冲突前和冲突后的自我健康评价、心理健康和生活习惯:人质家庭成员报告的健康影响最严重,其次是志愿者。在战争期间,所有群体的身体健康状况都显著恶化,其中人质家属的健康状况恶化率最高(61.6%)。人质家属的心理健康状况恶化更为明显,84%的家属表示需要心理健康支持。人质家属还报告了最高比例的睡眠问题、健康生活方式坚持率下降和体重下降。根据多项评估结果,所有受影响群体的心理和身体健康状况都显著下降,其中人质家属在各方面健康状况的损害最为明显:结论:冲突时期严重损害了研究对象中所有妇女的福祉。由于受到不同程度的压力和冲突相关因素的影响,所有三个群体的妇女--人质家庭、志愿者和普通人群--的健康状况都有所恶化。人质家庭受到的影响最大,该群体几乎所有成员的健康都受到严重损害。需要提供长期支持,帮助所有受影响妇女恢复冲突后健康。可能需要开展进一步研究,以确定最有效的干预措施,消除不同群体受到的这些影响。
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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
期刊最新文献
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