Post-traumatic stress, social, and physical health: A mediation and moderation analysis of Syrian refugees and Jordanians in a border community.
Adaptation, Psychological
Adolescent
Adult
Aged
Cross-Sectional Studies
Depression
/ epidemiology
Female
Health Status
Humans
Jordan
/ epidemiology
Male
Mental Health
Middle Aged
Psychological Distance
Refugees
/ psychology
Residence Characteristics
Stress Disorders, Post-Traumatic
/ epidemiology
Syria
/ ethnology
Young Adult
Journal
PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081
Informations de publication
Date de publication:
2020
2020
Historique:
received:
22
04
2020
accepted:
07
10
2020
entrez:
23
10
2020
pubmed:
24
10
2020
medline:
15
12
2020
Statut:
epublish
Résumé
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). 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. Social health moderated and mediated the relationship between physical health and PTSS. Males reported (t = 2.53, p < .05) better physical health scores than females. Those who had less than a high school education reported lower social health (F = 13.83, p < .001); higher PTSS (F = 5.83, p < .001); and lower physical health (F = 5.76, p < .01) than more educated individuals. Syrians reported significantly higher PTSS (F = 4.13, p < .05) than Jordanians, however, there was no significant differences between nationality for physical or social health. Social health was positively associated with better physical health (r = 0.10, p < .01) and negatively with PTSS (r = -.293, p < .01). Our results support our primary hypothesis suggesting social health mediates and moderates PTSS and physical health. Secondary findings illustrate gender, educational, and income differences in physical health and PTSS. NCT03721848.
Identifiants
pubmed: 33095832
doi: 10.1371/journal.pone.0241036
pii: PONE-D-20-11520
pmc: PMC7584168
doi:
Banques de données
ClinicalTrials.gov
['NCT03721848']
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e0241036Déclaration de conflit d'intérêts
Shang-Ju Li is an employee of the funding organization, Americares. This does not alter our adherence to PLOS ONE policies on sharing data and materials.
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