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Community disaster exposure and first onset of depression: A panel analysis of nationally representative South African data, 2008–2017

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Title Community disaster exposure and first onset of depression: A panel analysis of nationally representative South African data, 2008–2017
 
Creator Tomita, A.
Ncama, B. P.
Moodley, Y.
Davids, R.
Burns, J. K.
Mabhaudhi, Tafadzwanashe
Modi, A. T.
Slotow, R.
 
Subject communities
exposure
disaster risk reduction
mental health
depression
socioeconomic aspects
models
 
Description Sub-Saharan Africa faces unprecedented disasters, with climate change expected to exacerbate the frequency and severity of unpredictable and stressful catastrophic events. Unlike developed nations, reconstruction in developing nations is hindered by resource constraints, with certain communities potentially experiencing multiple and enduring effects of disasters. Despite the potential danger of such cumulative community disaster exposure on mental health (e.g. depression), large-scale population-level evidence for the region is limited. We investigated the association between exposure to cumulative disaster and the first onset of depression in a nationally representative survey in South Africa. We used panel data from the South African National Income Dynamics Study (SA-NIDS) from 2008–2017, consisting of 17,255 adult study participants who were depression free at baseline. Risk of first depression onset between individuals exposed and unexposed to community disaster was measured, accounting for multiple disaster exposure over time by fitting generalized estimating equation (GEE) regression models. Data on the geographic location of disasters were obtained from the South African government gazette, and mapped with the government delineated SA-NIDS households’ locations. Of the sampled individuals, 2,986 were exposed to disaster during the study duration (17.3%). Increased cumulative community disaster was significantly associated with the likelihood of depression onset (adjusted relative risk [aRR] = 1.20, p
 
Date 2022-04-06
2022-04-30T23:39:09Z
2022-04-30T23:39:09Z
 
Type Journal Article
 
Identifier Tomita, A.; Ncama, B. P.; Moodley, Y.; Davids, R.; Burns, J. K.; Mabhaudhi, Tafadzwanashe; Modi, A. T.; Slotow, R. 2022. Community disaster exposure and first onset of depression: A panel analysis of nationally representative South African data, 2008–2017. PLOS Climate, 1(4):e0000024. [doi: https://doi.org/10.1371/journal.pclm.0000024]
2767-3200
https://hdl.handle.net/10568/119431
https://journals.plos.org/climate/article/file?id=10.1371/journal.pclm.0000024&type=printable
https://doi.org/10.1371/journal.pclm.0000024
H051086
 
Language en
 
Rights CC-BY-4.0
Open Access
 
Format 1(4):e0000024.
 
Source PLOS Climate