Skip to main content

Advertisement

Log in

Elderly and Disaster Mental Health: Understanding Older Persons’ Vulnerability and Psychosocial Well-Being Two Years after Tsunami

  • Published:
Ageing International Aims and scope Submit manuscript

Abstract

The paper captures the post disaster lived experiences of elderly in a developing country context with special emphasis on vulnerability and psycho-social well-being. Drawing from social science literature, an older person’s risk of suffering harm post disasters is the conceptualized as the outcome of a set of related risks namely: the risk of being exposed to a threat, the risk of lacking the resources to deal with a threat, and the risk of a threat materializing. The study uses a qualitative multiple case study approach and is based on 175 in-depth case studies of tsunami-affected families. The results highlight the key changes in the social status of elderly and their support seeking experiences 2 yrs post tsunami. The framework of psychosocial well-being emerging from the study identifies macro structural factors that contribute to older person’s vulnerability, the threats, the resources, and the proximate social experiences that impinge on individual lives. The analysis of the lived experiences of the elderly reveal that the interpretation of the outcomes shaped by the support seeking experiences, largely determines the perception of psychosocial well-being among elderly.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  • Adams, V., Kaufman, S. R., Van Hattum, T., & Moody, S. (2011). Aging disaster: mortality, vulnerability, and long-term recovery among Katrina survivors. Medical Anthropology, 30(3), 247–270.

    Article  Google Scholar 

  • Aldrich, N., & Benson, W. F. (2007). Disaster preparedness and the chronic disease needs of vulnerable older adults.

  • Alipour, F., Khankeh, H. R., Fekrazad, H., Kamali, M., Rafiey, H., Foroushani, P. S., & Ahmadi, S. (2014). Challenges for resuming normal life after earthquake: A qualitative study on rural areas of Iran. PLoS currents, 6.

  • Aneshensel, C. S. (1996). Consequences of psychosocial stress: The universe of stress outcomes. In H. B. Kaplan (Ed.), Psychosocial stress: Perspectives on structure, theory, life course, and methods (pp. 111–136). San Diego: Academic Press.

    Google Scholar 

  • Aneshensel, C. S. (2005). Research in mental health: Social etiology versus social consequences. Journal of Health and Social Behavior, 46(3), 221–228.

    Article  Google Scholar 

  • Aneshensel, Carol S., Jo C. Phelan, and Alex Bierman. (2012). The sociology of mental health: Surveying the field. Handbooks of Sociology and Social Research Handbook of the Sociology of Mental Health, 1–19.

  • Averill, P. M., & Beck, J. G. (2000). Post-traumatic stress disorder in older adults: A conceptual review. Journal of Anxiety Disorders, 14(2), 133–156.

    Article  Google Scholar 

  • Barua, A., & Kar, N. (2010). Screening for depression in elderly Indian population. Indian Journal of Psychiatry, 52(2), 150–153.

    Article  Google Scholar 

  • Binley, Sally and Theo Stickley. (2013). Theories for public mental health and mental health promotion. In T. Stickley and N. Wright (Eds.), Theories for Mental Health Nursing: A Guide for Practice (pp. 147). Nottingham, Sage.

  • Bolin, B. (2006). Race, class, ethnicity, and disaster vulnerability. In H. Rodriguez, E. Quarantelli, & R. Dynes (Eds.), Handbook of disaster research (pp. 113–129). New York, NY: Springer.

    Google Scholar 

  • Brodie, M., Weltzien, E., Altman, D., Blendon, R. J., & Benson, J. M. (2006). Experiences of hurricane Katrina evacuees in Houston shelters: Implications for future planning. American Journal of Public Health, 96(8), 1402–1408.

    Article  Google Scholar 

  • Campbell, J. (2007). Introduction applying the 'Disaster Lens' to older adults. Generations, 31(4), 5–7.

    Google Scholar 

  • Cao, X., Chen, L., Tian, L., & Jiang, X. (2015). Psychological distress and health-related quality of life in relocated and nonrelocated older survivors after the 2008 Sichuan earthquake. Asian Nursing Research, 9(4), 271–277.

    Article  Google Scholar 

  • Chan, E. Y. (2009). Why are older peoples' health needs forgotten post-natural disaster relief in developing countries? A healthcare provider survey of 2005 Kashmir, Pakistan earthquake. American Journal of Disaster Medicine, 4(2), 107–112.

    Article  Google Scholar 

  • Chan, E. Y. Y., Lin, C. L. Y., Lee, P. P. Y., Zheng, I., Cheung, E. Y. L., & Lam, S. C. (2011). (A135) preliminary results of post-flooding impacts on rural elderly in Hainan Province, China. Prehospital and Disaster Medicine, 26(S1), s38–s38.

    Google Scholar 

  • Cherniack, E. (2008). The impact of natural disasters on the elderly. American Journal of Disaster Medicine, 3, 133–139.

    Article  Google Scholar 

  • Cornell, V. J. (2014). How does the lived experience of older people influence their preparedness for emergency events. Flinders University of South Australia, School of Nursing and Midwifery.

  • Durant Jr., T. J. (2011). The utility of vulnerability and social capital theories in studying the impact of hurricane Katrina on the elderly. Journal of Family Issues, 32(10), 1285–1302.

    Article  Google Scholar 

  • Durkheim, Emile. ([1897] 1951). Suicide: A study in sociology. Translated by J.A. Spaulding & G. Simpson. Glencoe, IL, Free Press.

  • Elder Jr., G. H., & Clipp, E. C. (1988). Wartime losses and social bonding: Influence across 40 years in men's lives. Psychiatry, 51, 177–198.

    Article  Google Scholar 

  • Elder Jr., G. H., & Clipp, E. C. (1989). Combat experience and emotional health: Impairment and resilience in later life. Journal of Personality, 57, 311–341.

    Article  Google Scholar 

  • Elder Jr., G. H., Shanahan, M. J., & Clipp, E. C. (1994). When war comes to men's lives: Life course patterns in family, work, and health. Psychology and Aging, 9(Special Issue), 5–16.

    Article  Google Scholar 

  • Fernandez, L., Byard, D., Lin, C., Benson, S., & Barbera, J. A. (2002). Frail elderly as disaster victims: Emergency management strategies. Prehospital Disaster Medicine, 17(2), 67–74.

    Article  Google Scholar 

  • Fussell, E. (2006). Leaving New Orleans: Social stratification, networks, and hurricane evacuation. Understanding Katrina: Perspectives from the Social Sciences, the Forum of the Social Science Research Council. Retrieved July 14, 2006 from http://understandingkatrina.ssrc.org/Fussell/

  • Garcia, L., Lapa, M. M. I., & Palompon, D. (2016). Surviving typhoon Yolanda (Haijan): Experiences of older adults in a rural area in the Philippines. International Journal of Sciences, 5(11).

  • Gershon, R. R., Portacolone, E., Nwankwo, E. M., Zhi, Q., Qureshi, K. A., & Raveis, V. H. (2017). Psychosocial influences on disaster preparedness in San Francisco recipients of home care. Journal of Urban Health, 94(5), 606–618.

    Article  Google Scholar 

  • Graziano, R. (2004). Trauma and Aging. Journal of Gerontological Social Work, 40(4), 3–21.

    Article  Google Scholar 

  • Gulden, J., Stewart, M. K., & Stewart, C. E. (2011). (A134) Special Needs of the Elderly During Disasters–Suggested Strategies and Lessons Learned from the 2007 Tulsa, Oklahoma Ice Storm. Prehospital and Disaster Medicine, 26(S1), s38–s38.

    Article  Google Scholar 

  • Henderson, T. L., Roberto, K. A., & Kamo, Y. (2010). Older adults’ responses to Hurricane Katrina: Daily hassles and coping strategies. Journal of Applied Gerontology, 29(1), 48–69.

    Article  Google Scholar 

  • Hikichi, H., Aida, J., Kondo, K., Tsuboya, T., Matsuyama, Y., Subramanian, S. V., & Kawachi, I. (2016). Increased risk of dementia in the aftermath of the 2011 great East Japan earthquake and tsunami. Proceedings of the National Academy of Sciences, 113(45), E6911–E6918.

    Article  Google Scholar 

  • Iversen, R. R., & Armstrong, A. L. (2008). Hurricane Katrina and New Orleans: What might a sociological embeddedness perspective offer disaster research and planning? Analyses of Social Issues and Public Policy, 8(1), 183–209.

    Article  Google Scholar 

  • Jia, Z., Tian, W., Liu, W., Cao, Y., Yan, J., & Shun, Z. (2010). Are the elderly more vulnerable to psychological impact of natural disaster? A population-based survey of adult survivors of the 2008 Sichuan earthquake. BMC Public Health, 10(1), 172.

    Article  Google Scholar 

  • Johnson, H. L., Ling, C. G., & McBee, E. C. (2015). Multi-disciplinary care for the elderly in disasters: An integrative review. Prehospital and Disaster Medicine, 30(1), 72–79.

    Article  Google Scholar 

  • Kar, N. (2016). Care of older persons during and after disasters: Meeting the challenge. Journal of Geriatric Care and Research 2016, 3 (1): 7, 12.

  • Knight, B. G., Gatz, M., Heller, K., & Bengtson, V. L. (2000). Age and emotional response to the Northridge earthquake: A longitudinal analysis. Psychology and Aging, 15, 627–634.

    Article  Google Scholar 

  • Kraaij, V., & De Wilde, E. J. (2001). Negative life events and depressive symptoms in the elderly: A life span perspective. Aging & Mental Health, 5(1), 84–91.

    Article  Google Scholar 

  • Kulka, R. A., Schlenger, W. E., Fairbank, J. A., Hough, R. L., Jordan, B. K., Marmar, C. R., & Weiss, D. S. (Eds.). (1990). Trauma and the Vietnam war generation: Report of findings from the national Vietnam veterans readjustment study. New York: Brunner/Mazel.

    Google Scholar 

  • Mapsofindia. (2010). Tsunami Affected Areas in India. https://www.mapsofindia.com/maps/tsunami-in-india/tsunami-affected-area-india.html. Accessed on 7 June 2020.

  • McGuire, L. C., Ford, E. S., & Okoro, C. A. (2007). Natural disasters and older US adults with disabilities: Implications for evacuation. Disasters, 31(1), 49–56.

    Article  Google Scholar 

  • Merton, Robert K. ed. ([1938] 1968). Social structure and anomie. In Social theory and social structure (pp. 185–214). New York, The Free Press.

  • Neria, Y., Nandi, A., & Galea, S. (2008). Post-traumatic stress disorder following disasters: a systematic review. Psychological Medicine, 38(4), 467–480.

    Article  Google Scholar 

  • Oe, M., Fujii, S., Maeda, M., Nagai, M., Harigane, M., Miura, I., et al. (2016). Three-year trend survey of psychological distress, post-traumatic stress, and problem drinking among residents in the evacuation zone after the Fukushima Daiichi nuclear power plant accident [the Fukushima health management survey]. Psychiatry and Clinical Neurosciences, 70(6), 245–252.

    Article  Google Scholar 

  • Parker, G., Lie, D., Siskind, D. J., Martin-Khan, M., Raphael, B., Crompton, D., & Kisely, S. (2016). Mental health implications for older adults after natural disasters–a systematic review and meta-analysis. International Psychogeriatrics, 28(1), 11–20.

    Article  Google Scholar 

  • Pearlin, L. I., Schieman, S., Fazio, E. M., & Meersman, S. C. (2005). Stress, health, and the life course: Some conceptual perspectives. Journal of Health and Social Behavior, 46(2), 205–219.

    Article  Google Scholar 

  • Pekovic, V., Seff, L., & Rothman, M. (2007). Planning for and responding to special needs of elders in natural disasters. Generations, 31(4), 37–41.

    Google Scholar 

  • Portacolone, E. (2011). The myth of independence for older Americans living alone in the Bay Area of San Francisco: A critical reflection. Ageing & Society, 31(5), 803–828.

    Article  Google Scholar 

  • Rafiey, H., Momtaz, Y. A., Alipour, F., Khankeh, H., Ahmadi, S., Khoshnami, M. S., & Haron, S. A. (2016). Are older people more vulnerable to long-term impacts of disasters? Clinical Interventions in Aging, 11, 1791–1795.

    Article  Google Scholar 

  • Ramsay, T., Manderson, L., & Smith, W. (2010). Changing a mountain into a mustard seed: Spiritual practices and responses to disaster among New York Brahma Kumaris. Journal of Contemporary Religion, 25(1), 89–105.

    Article  Google Scholar 

  • Rosenkoetter, M. M., Covan, E. K., Cobb, B. K., Bunting, S., & Weinrich, M. (2007). Perceptions of older adults regarding evacuation in the event of a natural disaster. Public Health Nursing, 24(2), 160–168.

    Article  Google Scholar 

  • Ruskin, P. E., & Talbott, J. A. (1996). Aging and posttraumatic stress disorder. Washington, DC: American Psychiatric Press.

    Google Scholar 

  • Saenz, M. C. (2011). (A136) elderly in emergency. Prehospital and Disaster Medicine, 26(S1), s38–s39.

    Article  Google Scholar 

  • Sanders, S., Bowie, S. L., & Bowie, Y. D. (2004). Chapter 2 lessons learned on forced relocation of older adults: The impact of hurricane Andrew on health, mental health, and social support of public housing residents. Journal of Gerontological Social Work, 40(4), 23–35.

    Article  Google Scholar 

  • Schröder-Butterfill, E., & Marianti, R. (2006). A framework for understanding old-age vulnerabilities. Ageing & Society, 26(1), 9–35.

    Article  Google Scholar 

  • Soltani Nejad, A., Barshan, A., Baniasad, A., Soltani Nejad, A., Sam, A., & Sadie, A. (2017). Investigating social vulnerability of the elderly in the earthquakes of bam, Varzaghan, and Ahar. Iranian Journal of Ageing, 12(3), 360–371.

    Google Scholar 

  • Thoits, Peggy A. (1999). Sociological approaches to mental illness. Pp. 121–138 in a.V. Horwitz & T.L. Scheid (Eds.), A handbook for the study of mental health: Social contexts, theories, and systems (pp. 121–138). New York, Cambridge University Press.

  • Thoits, P. A. (2010). Stress and health: Major findings and policy implications. Journal of Health And Social Behavior, 51(1_suppl), S41–S53.

    Article  Google Scholar 

  • World Disaster Report (2004). Heat Waves: The Developed World's Hidden Disaster, IFRC, 36–51. Retrieved from http://www.ifrc.org/PageFiles/89755/WDR2004/58000-WDR2004-LR.pdf

  • Zhoabao, J., Tian, W., Liu, W., Cao, Y., Yan, J., & Shun, Z. (2010). Are the elderly more vulnerable to psychological impact of natural disaster? A population-based survey of adult survivors of the 2008 Sichuan earthquake. BMC Public Health, 10, 1–11.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jacquleen Joseph.

Ethics declarations

Conflict of Interest

The authors declare that they have no conflict of interest.

Informed Consent

Informed consent was obtained from all individual participants included in the study. Identification information is not included in the article.

Research Involving Human Participants

The study is a retrospective study and does not involve any manipulation of independent variable in the human subjects.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Joseph, J., Jaswal, S. Elderly and Disaster Mental Health: Understanding Older Persons’ Vulnerability and Psychosocial Well-Being Two Years after Tsunami. Ageing Int 46, 235–252 (2021). https://doi.org/10.1007/s12126-020-09375-w

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12126-020-09375-w

Keywords

Navigation