IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0241036.html
   My bibliography  Save this article

Post-traumatic stress, social, and physical health: A mediation and moderation analysis of Syrian refugees and Jordanians in a border community

Author

Listed:
  • Tara M Powell
  • Oe Jin Shin
  • Shang-Ju Li
  • Yuan Hsiao

Abstract

Objectives: This study examined the mediating or moderating relationship of social health on physical health and post-traumatic stress symptoms among displaced Syrians and Jordanians at high risk for physical and mental health ailments. Frequency of mental health symptoms stratified by demographic factors was also explored. We hypothesized social health would mediate and/or moderate the relationship between physical and post-traumatic stress symptoms (PTSS). Methods: This cross-sectional study includes 598 adults between 18 and 75 years old recruited from three health centers in the city of Irbid, Jordan, 20 km away from the Syrian border. Post-traumatic stress symptoms (PTSS) were measured through the primary care post-traumatic stress disorder checklist. Physical and social health were assessed through the Duke Health Profile. One-way ANOVA and independent samples T-tests examined mean scores of social health, PTSS, physical health stratified by age, gender, nationality, education level, and trauma exposure. Bivariate correlations explored the relationship between social health, PTSS, and physical health. PROCESS macro tested social health as a moderator and mediator on the association of the physical health and PTSS. Results: Social health moderated and mediated the relationship between physical health and PTSS. Males reported (t = 2.53, p

Suggested Citation

  • Tara M Powell & Oe Jin Shin & Shang-Ju Li & Yuan Hsiao, 2020. "Post-traumatic stress, social, and physical health: A mediation and moderation analysis of Syrian refugees and Jordanians in a border community," PLOS ONE, Public Library of Science, vol. 15(10), pages 1-17, October.
    • Handle: RePEc:plo:pone00:0241036
    DOI: 10.1371/journal.pone.0241036
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0241036
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0241036&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0241036?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Vikram Patel & Gary S Belkin & Arun Chockalingam & Janice Cooper & Shekhar Saxena & Jürgen Unützer, 2013. "Grand Challenges: Integrating Mental Health Services into Priority Health Care Platforms," PLOS Medicine, Public Library of Science, vol. 10(5), pages 1-6, May.
    2. David E. Bloom & Elizabeth Cafiero & Eva Jané-Llopis & Shafika Abrahams-Gessel & Lakshmi Reddy Bloom & Sana Fathima & Andrea B. Feigl & Tom Gaziano & Ali Hamandi & Mona Mowafi & Danny O’Farrell & Emre, 2012. "The Global Economic Burden of Noncommunicable Diseases," PGDA Working Papers 8712, Program on the Global Demography of Aging.
    3. Julianne Holt-Lunstad & Timothy B Smith & J Bradley Layton, 2010. "Social Relationships and Mortality Risk: A Meta-analytic Review," PLOS Medicine, Public Library of Science, vol. 7(7), pages 1-1, July.
    4. Lund, Crick & Breen, Alison & Flisher, Alan J. & Kakuma, Ritsuko & Corrigall, Joanne & Joska, John A. & Swartz, Leslie & Patel, Vikram, 2010. "Poverty and common mental disorders in low and middle income countries: A systematic review," Social Science & Medicine, Elsevier, vol. 71(3), pages 517-528, August.
    5. Breslow, L., 2006. "Health measurement in the third era of health," American Journal of Public Health, American Public Health Association, vol. 96(1), pages 17-19.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Fatin Atrooz & Sally Mohammad Aljararwah & Tzuan A. Chen & Omar F. Khabour & Samina Salim, 2023. "Understanding Mental Health Status of Syrian Refugee and Jordanian Women: Novel Insights from a Comparative Study," IJERPH, MDPI, vol. 20(4), pages 1-14, February.
    2. Fatin Atrooz & Tzuan A. Chen & Brian Biekman & Ghalya Alrousan & Johanna Bick & Samina Salim, 2022. "Displacement and Isolation: Insights from a Mental Stress Survey of Syrian Refugees in Houston, Texas, USA," IJERPH, MDPI, vol. 19(5), pages 1-12, February.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Maria Alzira Pimenta Dinis & Helder Fernando Pedrosa Sousa & Andreia de Moura & Lilian M. F. Viterbo & Ricardo J. Pinto, 2019. "Health Behaviors as a Mediator of the Association Between Interpersonal Relationships and Physical Health in a Workplace Context," IJERPH, MDPI, vol. 16(13), pages 1-9, July.
    2. Evans-Polce, Rebecca J. & Staff, Jeremy & Maggs, Jennifer L., 2016. "Alcohol abstention in early adulthood and premature mortality: Do early life factors, social support, and health explain this association?," Social Science & Medicine, Elsevier, vol. 163(C), pages 71-79.
    3. Fabio Salamanca-Buentello & Mary V Seeman & Abdallah S Daar & Ross E G Upshur, 2020. "The ethical, social, and cultural dimensions of screening for mental health in children and adolescents of the developing world," PLOS ONE, Public Library of Science, vol. 15(8), pages 1-25, August.
    4. Santini, Ziggi Ivan & Jose, Paul E. & Koyanagi, Ai & Meilstrup, Charlotte & Nielsen, Line & Madsen, Katrine R. & Koushede, Vibeke, 2020. "Formal social participation protects physical health through enhanced mental health: A longitudinal mediation analysis using three consecutive waves of the Survey of Health, Ageing and Retirement in E," Social Science & Medicine, Elsevier, vol. 251(C).
    5. Ruta Clair & Maya Gordon & Matthew Kroon & Carolyn Reilly, 2021. "The effects of social isolation on well-being and life satisfaction during pandemic," Palgrave Communications, Palgrave Macmillan, vol. 8(1), pages 1-6, December.
    6. Lena Lämmle & Alexander Woll & Gert B. M. Mensink & Klaus Bös, 2013. "Distal and Proximal Factors of Health Behaviors and Their Associations with Health in Children and Adolescents," IJERPH, MDPI, vol. 10(7), pages 1-35, July.
    7. Fernando L Vázquez & Patricia Otero & J Antonio García-Casal & Vanessa Blanco & Ángela J Torres & Manuel Arrojo, 2018. "Efficacy of video game-based interventions for active aging. A systematic literature review and meta-analysis," PLOS ONE, Public Library of Science, vol. 13(12), pages 1-24, December.
    8. Valéria Teresa Saraiva Lino & Nádia Cristina Pinheiro Rodrigues & Mônica Kramer de Noronha Andrade & Inês Nascimento de Carvalho Reis & Lucília Almeida Elias Lopes & Soraya Atie, 2019. "Association between visual problems, insufficient emotional support and urinary incontinence with disability in elderly people living in a poor district in Rio de Janeiro, Brazil: A six-year follow-up," PLOS ONE, Public Library of Science, vol. 14(5), pages 1-12, May.
    9. Regina Kuppen & Mirjam de Leede & Jolanda Lindenberg & David van Bodegom, 2023. "Collective Prevention of Non-Communicable Diseases in an Ageing Population with Community Care," IJERPH, MDPI, vol. 20(4), pages 1-14, February.
    10. Joanne Brooke & Maria Clark, 2020. "Older people’s early experience of household isolation and social distancing during COVID‐19," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(21-22), pages 4387-4402, November.
    11. Qin Xiang Ng & Kuan Tsee Chee & Michelle Lee Zhi Qing De Deyn & Zenn Chua, 2020. "Staying connected during the COVID-19 pandemic," International Journal of Social Psychiatry, , vol. 66(5), pages 519-520, August.
    12. Fredrica Nyqvist & Bernd Pape & Tony Pellfolk & Anna Forsman & Kristian Wahlbeck, 2014. "Structural and Cognitive Aspects of Social Capital and All-Cause Mortality: A Meta-Analysis of Cohort Studies," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 116(2), pages 545-566, April.
    13. Lefgren, Lars J. & Stoddard, Olga B. & Stovall, John E., 2021. "Rationalizing self-defeating behaviors: Theory and evidence," Journal of Health Economics, Elsevier, vol. 76(C).
    14. Clément Meier & Jürgen Maurer, 2022. "Buddy or burden? Patterns, perceptions, and experiences of pet ownership among older adults in Switzerland," European Journal of Ageing, Springer, vol. 19(4), pages 1201-1212, December.
    15. Lisa Te Morenga & Jason M Montez, 2017. "Health effects of saturated and trans-fatty acid intake in children and adolescents: Systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 12(11), pages 1-20, November.
    16. Jintao Li & Yan Dai & Cynthia Changxin Wang & Jun Sun, 2022. "Assessment of Environmental Demands of Age-Friendly Communities from Perspectives of Different Residential Groups: A Case of Wuhan, China," IJERPH, MDPI, vol. 19(15), pages 1-20, July.
    17. Nakagomi, Atsushi & Tsuji, Taishi & Saito, Masashige & Ide, Kazushige & Kondo, Katsunori & Shiba, Koichiro, 2023. "Social isolation and subsequent health and well-being in older adults: A longitudinal outcome-wide analysis," Social Science & Medicine, Elsevier, vol. 327(C).
    18. Haywantee Ramkissoon, 2021. "Social Bonding and Public Trust/Distrust in COVID-19 Vaccines," Sustainability, MDPI, vol. 13(18), pages 1-6, September.
    19. Di Novi, Cinzia & Martini, Gianmaria & Sturaro, Caterina, 2023. "The impact of informal and formal care disruption on older adults’ psychological distress during the COVID-19 pandemic in UK," Economics & Human Biology, Elsevier, vol. 49(C).
    20. Islay Mactaggart & Lena Morgon Banks & Hannah Kuper & G V S Murthy & Jayanthi Sagar & Joseph Oye & Sarah Polack, 2018. "Livelihood opportunities amongst adults with and without disabilities in Cameroon and India: A case control study," PLOS ONE, Public Library of Science, vol. 13(4), pages 1-17, April.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0241036. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.