@article{ref1,
title="Long-term effects of housing damage on survivors' health in rural China: evidence from a survey 10 Years after the 2008 Wenchuan earthquake",
journal="Social science and medicine (1982)",
year="2020",
author="Han, Yang and Wei, Jianwen and Zhao, Yandong",
volume="270",
number="",
pages="e113641-e113641",
abstract="BACKGROUND: Disaster experiences have long-term health effects. However, less is known about the pathways of the association between disaster experiences and  people's long-term health. We aimed to examine the long-term (10-year) effect of  housing damage in the 2008 Wenchuan earthquake on survivors' health and to explore  the pathways of the long-term effect. <br><br>METHODS: We used data from a survey conducted  in 2018 in rural areas affected by the 2008 Wenchuan earthquake. The survey  collected information on housing damage caused by the earthquake from survivors aged  18 years old or above. Our primary outcome was dichotomous self-rated health in  2018. We considered decreased living standards and debt burden as mediators. To  examine the long-term effect of housing damage on health, we performed multivariable  binary logistic regression models. We also performed mediation analyses using the  &quot;KHB-method&quot;. <br><br>RESULTS: Compared with no/slight damage, serious damage (odds ratio  (OR): 1.50, 95% confidence interval (CI): 1.11,2.04) and collapse (OR: 1.57, 95% CI:  1.13,2.18) were associated with a higher risk of poor health. Decreased living  standards and debt burden mediated 8.49% and 4.79%, respectively, of the association  between serious damage and poor health and 10.64% and 6.10%, respectively, of the  association between collapse and poor health. <br><br>CONCLUSION: Housing damage in a  natural disaster is a long-term risk for survivors' health. Long-term policies and  interventions are necessary to protect and promote the health of survivors who  experience housing damage. In addition to house reconstruction assistance, policies  and interventions can be designed to promote living standards and financial  situations to protect survivors' health.<p /> <p>Language: en</p>",
language="en",
issn="0277-9536",
doi="10.1016/j.socscimed.2020.113641",
url="http://dx.doi.org/10.1016/j.socscimed.2020.113641"
}