Understanding of human vulnerability to environmental change has advanced in recent years, but measuring vulnerability and interpreting mobility across many sites differentially affected by change remains a significant challenge. Drawing on longitudinal data collected on the same respondents who were living in coastal areas of Indonesia before the 2004 Indian Ocean tsunami and were re-interviewed after the tsunami, this paper illustrates how the combination of population-based survey methods, satellite imagery and multivariate statistical analyses has the potential to provide new insights into vulnerability, mobility and impacts of major disasters on population well-being. The data are used to map and analyze vulnerability to post-tsunami displacement across the provinces of Aceh and North Sumatra and to compare patterns of migration after the tsunami between damaged areas and areas not directly affected by the tsunami. The comparison reveals that migration after a disaster is less selective overall than migration in other contexts. Gender and age, for example, are strong predictors of moving from undamaged areas but are not related to displacement in areas experiencing damage. In our analyses traditional predictors of vulnerability do not always operate in expected directions. Low levels of socioeconomic status and education were not predictive of moving after the tsunami, although for those who did move, they were predictive of displacement to a camp rather than a private home. This survey-based approach, though not without difficulties, is broadly applicable to many topics in human-environment research, and potentially opens the door to rigorous testing of new hypotheses in this literature.
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http://dx.doi.org/10.1080/00045608.2014.892351 | DOI Listing |
Australas J Dermatol
January 2025
The Frazer Institute, The University of Queensland, Brisbane, Queensland, Australia.
Background: Recent Australian trends indicate that shave biopsies for diagnosing lesions suspicious of melanoma are increasing, yet reasons for this remain relatively unknown. We sought to understand which factors influence Australian clinicians' use of shave biopsy for managing thin lesions suspicious of melanoma in sites of low cosmetic sensitivity.
Methods: We used a convergent, exploratory mixed-methods design, with a cross-sectional online survey (n = 59) and semi-structured qualitative interviews (n = 15).
JMIR Med Inform
January 2025
Department of Medical Informatics, Amsterdam University Medical Center, University of Amsterdam, Amsterdam, the Netherlands.
Background: The field of digital health solutions (DHS) has grown tremendously over the past years. DHS include tools for self-management, which support individuals to take charge of their own health. The usability of DHS, as experienced by patients, is pivotal to adoption.
View Article and Find Full Text PDFAust J Rural Health
February 2025
The George Institute for Global Health, University of New South Wales, Sydney, New South Wales, Australia.
Objective: To measure current levels and experiences of food and water security in Walgett to guide a community-led program and to provide a baseline measure.
Design: A community-led cross-sectional survey conducted in April 2022 by trained local researchers.
Setting: Walgett, a regional town in NSW, Australia.
Arch Public Health
January 2025
Netherlands Institute for Health Services Research (Nivel), Utrecht, The Netherlands.
Background: Non-specific symptoms, such as headaches and sleep problems, are more common after disasters. They can become chronic, and impact emotional and physical functioning. However, limited research has focused on such symptoms in the context of a pandemic.
View Article and Find Full Text PDFBMC Health Serv Res
January 2025
Department of Management sciences and health Economics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
Purpose: Understanding patient experience is crucial for advancing patient-centered care and improving hospital service quality. This study aimed to design and validate a Persian version of a patient experience assessment questionnaire to evaluate hospital services.
Methods: This descriptive-analytical study on tool development was conducted cross-sectionally during 2021-2022 in Iran.
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