Skip to main content Accessibility help
×
Home

Health-Related Quality of Life and the Adaptation of Residents to Harsh Post-Earthquake Conditions in China

  • Ying Liang (a1) and Peiyi Lu (a2)

Abstract

Objective

This study assessed the health-related quality of life (HRQOL) and the adaptation to harsh conditions (APHC) of residents living in post-earthquake zones in Sichuan Province, China, as well as the effect of HRQOL on APHC.

Methods

A sample survey was conducted in 5 counties in Sichuan in May and June 2013 (N=2000). The 12-item Short Form Health Survey (SF-12) was used to measure HRQOL. The APHC scale was self-developed and was based on real-life conditions in China. Confirmatory factor analysis and structural equation model were used to analyze how HRQOL affected APHC.

Results

Cronbach α coefficients indicated that the internal reliability of both scales were good. Results showed that the physical component summary significantly affected APHC, while the effect of the mental component summary was insignificant. APHC had the greatest effect on the adaptation to poor infrastructures (r=0.721) and the least effect on the adaptation to poor social security systems (r=0.608).

Conclusions

The HRQOL of residents living in post-earthquake zones positively affected APHC, particularly physical health. These findings suggested the need for governmental improvement of infrastructures in post-disaster areas. (Disaster Med Public Health Preparedness. 2014;0:1-7)

Copyright

Corresponding author

Correspondence and reprint requests to Ying Liang, Department of Social Work and Social Policy, School of Social and Behavioral Sciences, Nanjing University, Nanjing, 210023 Peoples Republic of China (E-mail: njulucy79@163.com).

References

Hide All
1. Moriarty, DG, Zack, MM, Kobau, R. The Centers for Disease Control and Prevention's Healthy Days Measures–Population tracking of perceived physical and mental health over time. Health Qual Life Outcomes. 2003;1(1):37.
2. Tian, W, Jia, Z, Duan, G, et al. Longitudinal study on health-related quality of life among child and adolescent survivors of the 2008 Sichuan earthquake. Qual Life Res. 2013;22(4):745-752.
3. Zhang, X, Hu, XR, Reinhardt, JD, et al. Functional outcomes and health-related quality of life in fracture victims 27 months after the Sichuan earthquake. J Rehab Med. 2012;44(3):206-209.
4. Smit, B, Burton, I, Klein, RJT, Street, R. The science of adaptation: a framework for assessment. Mitigation Adapt Strategies Global Change. 1999;4(3–4):199-213.
5. Füssel, HM. Adaptation planning for climate change: concepts, assessment approaches, and key lessons. Sustain Sci. 2007;2(2):265-275.
6. Berke, PR, Kartez, J, Wenger, D. Recovery after disaster: achieving sustainable development, mitigation and equity. Disasters. 1993;17(2):93-109.
7. Green, BL. Traumatic stress and disaster: mental health effects and factors influencing adaptation. Int Rev Psychiatry. 1996;2:177-210.
8. Tatsuki, S, Hayashi, H. Family system adjustment and adaptive reconstruction of social reality among the 1995 earthquake survivors. Int J Japan Sociol. 2000;9(1):81-110.
9. Takeda, J, Tamura, K, Tatsuki, S. Life recovery of 1995 Kobe Earthquake survivors in Nishinomiya City: a total-quality-management-based assessment of disadvantaged populations. Natural Hazards. 2003;29(3):567-585.
10. Tatsuki, S, Hayashi, H. Seven critical element model of life recovery: general linear model analyses of the 2001 Kobe panel survey data. Paper presented at Proceedings of the 2nd workshop for comparative study on urban earthquake disaster management; February 14, 2002; Kobe, Japan.
11. Lam, CLK, Tse, EYY, Gandek, B. Is the standard SF-12 Health Survey valid and equivalent for a Chinese population? Qual Life Res. 2005;14:539-547.
12. Liang, Y, Wu, W. Exploratory analysis of health-related quality of life among the empty-nest elderly in rural China: an empirical study in three economically developed cities in eastern China. Health Qual Life Outcomes. 2014;12:59.
13. Gandek, B, Ware, JE, Aaronson, NK, et al. Cross-validation of item selection and scoring for the SF-12 Health Survey in nine countries: results from the IQOLA Project. International Quality of Life Assessment. J Clin Epidemiol. 1998;51(11):1171-1178.
14. Failde, I, Medina, P, Ramı´rez, C, Arana, R. Assessing health-related quality of life among coronary patients: SF-36 vs SF-12. Public Health. 2009;123:615-617.
15. Johnson, JA, Coons, SJ. Comparison of the EQ-5D and SF-12 in an adult US sample. Q Life Res. 1998;7:155-166.
16. Kun, P, Wang, Z, Chen, X, et al. Public health status and influence factors after 2008 Wenchuan earthquake among survivors in Sichuan province, China: cross-sectional trial. Public Health. 2010;124:573-580.
17. Xu, J, Ou, L. Resilience and quality of life among Wenchuan earthquake survivors: the mediating role of social support. Public Health. 2014;128:430-437.
18. Xu, J, Li, Y. Meta-synthesis pattern of post-disaster recovery and reconstruction: based on actual investigation on 2008 Wenchuan earthquake. Nat Hazards. 2012;60:199-222.
19. Dunford, D, Li, Li. Earthquake reconstruction in Wenchuan: assessing the state overall plan and addressing the ‘forgotten phase’. Applied Geography. 2011;31:998-1009.
20. State Department Lushan Earthquake Recovery and Reconstruction Guidance Coordination Group. Master national plans for reconstruction work after Lushan Earthquake [in Chinese]; July 2013. http://chinaup.info/wp-content/uploads/2013/07/8566658525.pdf. 2013. Accessed July 19, 2014.
21. National Planning Team in Reconstruction Work after Wenchuan Earthquake. Master national plans for reconstruction work after Wenchuan earthquake [in Chinese]; August 12, 2008. http://www.mlr.gov.cn/xwdt/zytz/200809/t20080924_110308.htm. Accessed July 19, 2014.
22. Chen, L, Wu, F, Yang, W, Zhang, J. A comparison on ecosystem services before/after “5.12” Wenchuan earthquake. Acta Ecol Sinica. 2012;32(5):271-273.
23. Wang, YK, Fu, B, Xu, P. Evaluation the impact of earthquake on ecosystem services. Procedia Environmental Sci. 2012;13:954-966.
24. Yin, Y, Wang, F, Sun, P. Landslide hazards triggered by the 2008 Wenchuan earthquake, Sichuan, China. Landslides. 2009;6(2):139-152.
25. Zhang, L, Liu, X, Li, Y, et al. Emergency medical rescue efforts after a major earthquake: lessons from the 2008 Wenchuan earthquake. Lancet. 2012;379(9818):853-861.
26. Liang, Y, Wang, X. Developing a new perspective to study the health of survivors of Sichuan earthquakes in China: a study on the effect of post-earthquake rescue policies on survivors’ health-related quality of life. Health Res Policy Syst. 2013;11:41.
27. Liang, Y, Cao, R. Employment assistance policies of Chinese government play positive roles! The impact of post-earthquake employment assistance policies on the health-related quality of life of Chinese earthquake populations. Soc Indic Res. 2014;1-23.
28. Ke, X, Liu, C, Li, N. Social support and quality of life: a cross-sectional study on survivors eight months after the 2008 Wenchuan earthquake. BMC Public Health. 2010;10(1):573.

Keywords

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed