Background: Conflict profoundly impacts community health and well-being. While post-conflict research exists, little is known about initial effects during active hostilities.
Objective: To assess self-reported changes in health behaviors, distress, and care access within one month of regional warfare onset in a conflict-affected community.
Methods: An online survey was conducted in November 2023 among 501 residents (mean age 40.5 years) of a community where war began October 7th. Measures evaluated physical health, mental health, diet, substance use, sleep, weight changes, and healthcare access before and after the declaration of war.
Results: Relative to pre-war, respondents reported significantly increased rates of tobacco (56%) and alcohol (15%) consumption, worsening sleep quality (63%), elevated distress (18% sought help; 14% needed but didn't receive it), and postponed medical care (36%). Over a third reported weight changes. Distress was higher among females and those endorsing maladaptive coping.
Conclusion: Within one month, substantial impacts on community psychosocial and behavioral health emerged. Unmet mental health needs and risk-taking behaviors were early indicators of conflict's health consequences. Continuous monitoring of conflict-affected communities is needed to inform tailored interventions promoting resilience and prevent entrenchment of harms over time.
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| http://dx.doi.org/10.1007/s10900-024-01337-6 | DOI Listing |
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