Conflict and well-being: a comparative study of health-related quality of life, stress, and insecurity of university students in the West Bank and Jordan

Asi, Yara M.; Unruh, Lynn; Liu, Xinliang

doi:10.1007/s11136-018-1802-y

Cited by 9 publications

(8 citation statements)

References 42 publications

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“…As demonstrated by a cross-national comparative study involving Palestinian and Jordanian adults, levels of well-being and QoL were more vital among Palestinians. In contrast, stress levels were lesser than in their Jordanian counterpart due to the Palestinian cultural resilience, despite Jordanians living in peace and relatively free (Asi et al ., 2018 ). Finally, resilience emerged as positively associated with positive emotions and good psychological functioning among Palestinian adults (Kteily-Hawa et al ., 2020 ).…”

Section: Theoretical Backgroundmentioning

confidence: 99%

War-related quality of life is associated with depressive symptoms and hopelessness among Palestinians: sense of belonging and resilience as mediating variables

2022

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Background The current study was designed to test the correlation between quality of life, depressive symptoms, and hopelessness, and whether sense of belonging and resilience mediating the correlation between quality of life, depressive symptoms, and hopelessness in a society characterized by high level of political violence and prolonged trauma. Methods Structural equation modeling (SEM) was performed to test the conceptual model, where quality of life was identified as a predictor variable, sense of belonging and resilience as mediating variables, and depressive symptoms and hopelessness as outcome variables. The participants of the study were 437 Palestinian adults: 190 males and 247 females, they were recruited using online methods; emails, Facebook, and Twitter. Findings Results indicated that quality of life negatively correlated with depressive symptoms (r = −0.603; p < 0.01), and hopelessness (r = −0.453; p < 0.01), and positively correlated with resilience (r = 0.534; p < 0.05), and sense of belonging (r = 0.428; p < 0.01). Results of SEM indicated the correlation between quality of life, depressive symptoms, and hopelessness was fully mediated by the sense of belonging and resilience. Conclusions Our study sheds light on resilience and sense of belonging as protective factors against ongoing traumatic experiences among Palestinians. Future research should be addressed to understand better the features of resilience and sense of belonging that can help maintain psychological functioning in conditions of chronic and ongoing violence, the personal and historical antecedents of such protective factors, and the factors that can directly or indirectly undermine them.

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Section: Theoretical Backgroundmentioning

confidence: 99%

War-related quality of life is associated with depressive symptoms and hopelessness among Palestinians: sense of belonging and resilience as mediating variables

2022

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“…It has been used by clinicians, researchers and public health officials to measure the effects of diseases and treatments [9,10]. In the literature about conflict-affected populations, HRQoL has been assessed most frequently through the Short-Form Health Survey 36-item (SF-36) [11][12][13] and the World Health Organisation Quality of Life-BREF (WHOQOL-BREF) [14,15]. To the best of our knowledge (and perhaps surprisingly), the instrument most commonly used in the general HRQoL literature, EQ-5D [16], has not been used among conflict-affected people, and evidence is lacking about its validity to measure HRQoL in these populations.…”

Section: Introductionmentioning

confidence: 99%

Health-related quality of life of a conflict-affected population in Colombia

2021

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Purpose We assessed the validity of the EQ-5D instrument; explored correlations between area of residence’s conflict intensity and individual health-related quality of life (HRQoL); and identified factors associated with HRQoL in a conflict-affected population in Colombia. Methods We conducted a household survey among residents of the Meta province, collecting longitudinal information about HRQoL (EQ-5D-3L instrument), health, demographic and socio-economic indicators, for years 2014 (pre-2016 peace accord), 2018 (post-peace accord) and 2019 (follow-up). After examining EQ-5D’s validity, we analysed panel data using multivariate random effects models to explore associations between area conflict levels (and other factors) and HRQoL. We scrutinised these results further through multivariate linear regressions using cross-sectional data, and provided preliminary estimates of quality-adjusted life years (QALYs) gained since the Colombian peace accord. Results In total, 1309 individuals provided information for years 2014 and 2018; 1106 individuals were followed-up in 2019. Mean EQ-5D scores in 2014, 2018 and 2019 were 0.898, 0.846 and 0.902, respectively. The tests confirmed the validity of EQ-5D. Our estimations indicated a dose–response relationship between conflict levels and HRQoL: people in lightly and heavily affected areas had 0.019 and 0.037 lower EQ-5D scores (respectively) than people in non-affected areas. Other relevant factors included age, marital status, education, assets and health status. We estimated QALY gain of 0.0343 per individual and 20,752 for all Meta adults since the peace accord. Conclusion We found EQ-5D to be a valid instrument for HRQoL measurement in a conflict-affected population. Area conflict intensity was negatively associated with individual HRQoL.

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“…Resilience is defined as the capacity to deal with trauma effectively, accomplish positive goals in the face of adversity, and apply constructive problem-solving techniques [ 43 ]. Resilience in Palestinian culture is frequently associated with the idea of “sumud,” which means steadfastness or resilience [ 44 , 45 ]. According to cross-national studies, the resilience of Palestinian cultures leads to improved psychological well-being and quality of life compared to those of their counterparts in more tranquil situations [ 46 ].…”

Section: Literature Reviewmentioning

confidence: 99%

“…Transportation networks have a significant impact on public health outcomes in addition to being necessary for enabling mobility and granting access to necessary services [ 41 ]. In Palestine, the relationship between mobility and health is complicated and uneven, ranging from restrictions placed by political boundaries to the harmful health impacts of air pollution and accidents caused by moving vehicles [ 45 ].…”

Section: Statement Of the Problemmentioning

confidence: 99%

Navigating health challenges: the interplay between occupation-imposed movement restrictions, healthcare access, and community resilience

Jabali,

Ayyoub,

Jabali

2024

BMC Public Health

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Background Transportation plays a significant role in health, community resilience, and access to basic needs such as healthcare, social services, education, and job opportunities. Health and community resilience are, however, impacted by a multitude of complex and unequal factors, such as transportation restrictions exacerbated by the Israeli occupation. The goal of the research was to examine the intricate relationships that exist in Palestine between movement restrictions imposed by occupation, health outcomes, and community resilience. Method A self-structured questionnaire, devised based on expert conversations and previous literature, was used in this descriptive, quantitative study to explore health and resilience outcomes. Age, gender, marital status, place of residence, and means of transportation were among the various factors that were utilized to describe the socio-demographics of the study sample (n = 202). The researchers employed stepwise multiple regression and descriptive statistics for the data analysis. Results Study findings indicated that transportation restrictions have significant direct and indirect health consequences. A significant direct effect is observed, signifying a negative correlation between restrictions and health; increased transportation restrictions are consistently correlated with a decline in health. The study emphasized how place of residence affects health outcomes, with higher scores for campers and people living in green line areas. It also underscores that public means of transportation are found to be better for health outcomes than private cars. Conclusion This study emphasized that roadblocks, checkpoints, and military incursions make it difficult for Palestinians to receive medical care, which has a detrimental impact on their health and well-being. It also underscores the need for significant reforms in Palestinian health and transportation systems to enhance infrastructure and healthcare access. The Palestinian Authority should invest in public transportation and community resilience programs to address transportation-related health issues, especially in villages, due to frequent settler attacks.

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Conflict and well-being: a comparative study of health-related quality of life, stress, and insecurity of university students in the West Bank and Jordan

Cited by 9 publications

References 42 publications

War-related quality of life is associated with depressive symptoms and hopelessness among Palestinians: sense of belonging and resilience as mediating variables

War-related quality of life is associated with depressive symptoms and hopelessness among Palestinians: sense of belonging and resilience as mediating variables

Health-related quality of life of a conflict-affected population in Colombia

Navigating health challenges: the interplay between occupation-imposed movement restrictions, healthcare access, and community resilience

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