Flood exposure and psychological distress among Ghanaian adults in flood-prone settings.

Journal: The Science of the total environment

Volume: 835

Issue: 

Year of Publication: 2022

Affiliated Institutions:  Department of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana. Electronic address: kabass.cass@knust.edu.gh. Aging and Development Unit, African Population and Health Research Center, Nairobi, Kenya. Electronic address: RGyasi@aphrc.org. Department of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana. Electronic address: danielkatey@gmail.com. Department of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana. Electronic address: fosterfrempong@yahoo.com. Department of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana. Electronic address: garskofi@yahoo.co.uk.

Abstract summary 

Urban floods have long-term mental health implications, yet this subject remains largely neglected in flood-related studies. This paper examines the psychological distress (PD) of adults exposed to floods in Ghana. Cross-sectional data involving 767 flood-prone community-dwelling household heads aged ≥20 years were analyzed [mean = 47.3 years (SD = 13.7); males = 61.4%]. We used the Exposure to Flood-related Events Scale, and PD was assessed with the Kessler Psychological Distress Scale (K10). Ordinary Least Squares (OLS) regressions evaluated crude and adjusted associations of flood exposure with PD. The mean scores of PD (37[SD = 8]) and exposure to flood events (6[SD = 3]) significantly varied by age and sex (p < .05). After full adjustment for potential confounders, exposure to flood events was significantly and positively associated with PD index in the total sample (β = 0.030; p < .005), among male participants (β = 0.019; p < .05) and female participants (β = 0.048; p < .001). Furthermore, age-wise analysis revealed significant association of flood exposure with PD in young adults (β = 0.033; p < .001) but not in older adults (β = 0.048; p = .062). Exposure to floods increased the risk of PD. Policy and public health efforts to manage PD should include selective flood reduction interventions, including land use regulations and sustained public education.

Authors & Co-authors:  Abass Gyasi Katey Frempong Garsonu

Study Outcome 

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Statistics
Citations : 
Authors :  5
Identifiers
Doi : 10.1016/j.scitotenv.2022.155481
SSN : 1879-1026
Study Population
Male,Males,Female
Mesh Terms
Aged
Other Terms
Flood-related events;Household heads;Perennial floods;Post-traumatic stress disorder;Public education;Public health
Study Design
Study Approach
Country of Study
Ghana
Publication Country
Netherlands