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Post-disaster quality of life among older survivors five years after the Bam earthquake: implications for recovery policy
Department of Health in Emergencies and Disasters, National Institute of Health Research, Tehran University of Medical Sciences, Tehran, Iran; Disaster Public Health Department, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran..
Department of Neurobiology, Care Sciences and Society, Karolinska Institutet;Faculty of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.ORCID iD: 0000-0003-3589-318X
Harvard Humanitarian Initiative, Harvard University, Cambridge, Massachusetts, USA.
Harvard Humanitarian Initiative, Harvard University, Cambridge, Massachusetts, USA; Department of Emergency Medicine, Boston University, Cambridge, Massachusetts, USA.
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2011 (English)In: Ageing & Society, ISSN 0144-686X, E-ISSN 1469-1779, Vol. 31, no 2, 179-196 p.Article in journal (Refereed) PublishedText
Abstract [en]

Older people are among the most vulnerable in major disasters. In their aftermath, it is crucial to institute efforts that will maintain a high level of elders' quality of life (QoL). This paper presents QoL assessments of elderly survivors five years after the Bam earthquake in Iran, and evaluates the determinants. A cross-sectional analysis of 210 randomly-selected survivors was carried out in 2008 using the WHOQOL-BREF questionnaire. A comparison of the results with data on the general population showed that experiencing the earthquake may adversely affect psychological dimensions of QoL even five years after, but paradoxically the earthquake resulted in better social relationships in affected communities than in the general population. Lower QoL associated with female gender, higher age, living alone, severe earthquake-related injury, poor quality of living conditions, increased dependency in the activities of daily living, living in an urban area, and being temporarily housed. Recovery experts and donors should carry out long-term monitoring of health status and QoL in disaster-affected communities, with a focus on psychological wellbeing. Intervention programmes that emphasise post-disaster quality of care and satisfactory housing may lead to better QoL of the victims and may shorten the recovery phase.

Place, publisher, year, edition, pages
2011. Vol. 31, no 2, 179-196 p.
Keyword [en]
elderly, disaster, earthquake, quality of life, Iran
National Category
Health Sciences Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:rkh:diva-2104DOI: 10.1017/S0144686X10000772OAI: oai:DiVA.org:rkh-2104DiVA: diva2:900524
Available from: 2016-02-04 Created: 2016-02-03 Last updated: 2016-02-04Bibliographically approved

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CiteExportLink to record
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