Posttraumatic Stress Disorder and Community Collective Efficacy following the 2004 Florida Hurricanes
View/ Open
Author
Ursano, Robert J.
McKibben, Jodi B. A.
Reissman, Dori B.
Liu, Xian
Wang, Leming
Fullerton, Carol S.
Published Version
https://doi.org/10.1371/journal.pone.0088467Metadata
Show full item recordCitation
Ursano, Robert J., Jodi B. A. McKibben, Dori B. Reissman, Xian Liu, Leming Wang, Robert J. Sampson, and Carol S. Fullerton. 2014. “Posttraumatic Stress Disorder and Community Collective Efficacy following the 2004 Florida Hurricanes.” PLoS ONE 9 (2): e88467. doi:10.1371/journal.pone.0088467. http://dx.doi.org/10.1371/journal.pone.0088467.Abstract
There is a paucity of research investigating the relationship of community-level characteristics such as collective efficacy and posttraumatic stress following disasters. We examine the association of collective efficacy with probable posttraumatic stress disorder and posttraumatic stress disorder symptom severity in Florida public health workers (n = 2249) exposed to the 2004 hurricane season using a multilevel approach. Anonymous questionnaires were distributed electronically to all Florida Department of Health personnel nine months after the 2004 hurricane season. The collected data were used to assess posttraumatic stress disorder and collective efficacy measured at both the individual and zip code levels. The majority of participants were female (80.42%), and ages ranged from 20 to 78 years (median = 49 years); 73.91% were European American, 13.25% were African American, and 8.65% were Hispanic. Using multi-level analysis, our data indicate that higher community-level and individual-level collective efficacy were associated with a lower likelihood of having posttraumatic stress disorder (OR = 0.93, CI = 0.88–0.98; and OR = 0.94, CI = 0.92–0.97, respectively), even after adjusting for individual sociodemographic variables, community socioeconomic characteristic variables, individual injury/damage, and community storm damage. Higher levels of community-level collective efficacy and individual-level collective efficacy were also associated with significantly lower posttraumatic stress disorder symptom severity (b = −0.22, p<0.01; and b = −0.17, p<0.01, respectively), after adjusting for the same covariates. Lower rates of posttraumatic stress disorder are associated with communities with higher collective efficacy. Programs enhancing community collective efficacy may be an important part of prevention practices and possibly lead to a reduction in the rate of posttraumatic stress disorder post-disaster.Other Sources
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3921167/pdf/Terms of Use
This article is made available under the terms and conditions applicable to Other Posted Material, as set forth at http://nrs.harvard.edu/urn-3:HUL.InstRepos:dash.current.terms-of-use#LAACitable link to this page
http://nrs.harvard.edu/urn-3:HUL.InstRepos:11879810
Collections
- FAS Scholarly Articles [18292]
Contact administrator regarding this item (to report mistakes or request changes)
Related items
Showing items related by title, author, creator and subject.
-
Impact of Tobacco-Related Health Warning Labels across Socioeconomic, Race and Ethnic Groups: Results from a Randomized Web-Based Experiment
Cantrell, Jennifer; Vallone, Donna M.; Thrasher, James F.; Nagler, Rebekah H; Feirman, Shari P.; Muenz, Larry R.; He, David Y.; Viswanath, Kasisomayajula (Public Library of Science, 2013)Background: The U.S. Family Smoking Prevention and Tobacco Control Act of 2009 requires updating of the existing text-only health warning labels on tobacco packaging with nine new warning statements accompanied by pictorial ... -
Workplace Determinants of Social Capital: Cross-Sectional and Longitudinal Evidence from a Finnish Cohort Study
Oksanen, Tuula; Kawachi, Ichiro; Kouvonen, Anne; Takao, Soshi; Suzuki, Etsuji; Virtanen, Marianna; Pentti, Jaana; Kivimäki, Mika; Vahtera, Jussi (Public Library of Science, 2013)Objective: To examine which contextual features of the workplace are associated with social capital. Methods: This is a cohort study of 43,167 employees in 3090 Finnish public sector workplaces who responded to a survey ... -
Neighborhood Influences on Perceived Social Support Among Parents: Findings from the Project on Human Development in Chicago Neighborhoods
Tendulkar, Shalini Ahuja; Koenen, Karestan C.; Dunn, Erin Cathleen; Buka, Stephen L.; Subramanian, S.V. Venkata (Public Library of Science, 2012)Background: Social support is frequently linked to positive parenting behavior. Similarly, studies increasingly show a link between neighborhood residential environment and positive parenting behavior. However, less is ...