title: Pre-typhoon socioeconomic status factors predict post-typhoon psychiatric symptoms in a Vietnamese sample.
abstract: OBJECTIVE
  Exposure to natural disasters has been associated with increased risk for various forms of psychopathology. Evidence indicates that socioeconomic status (SES) may be important for understanding post-disaster psychiatric distress; however, studies of SES-relevant factors in non-Western, disaster-exposed samples are lacking. The primary aim of the current study was to examine the role of pre-typhoon SES-relevant factors in relation to post-typhoon psychiatric symptoms among Vietnamese individuals exposed to Typhoon Xangsane.
  
  
  METHODS
  In 2006, Typhoon Xangsane disrupted a mental health needs assessment in Vietnam in which the Self Reporting Questionnaire-20 (SRQ-20), and the Demographic and Health Surveys Wealth Index, a measure of SES created for use in low-income countries, were administered pre-typhoon. The SRQ-20 was re-administered post-typhoon.
  
  
  RESULTS
  Results of a linear mixed model indicated that the covariates of older age, female sex, and higher levels of pre-typhoon psychiatric symptoms were associated with higher levels of post-typhoon psychiatric symptoms. Analysis of SES indicators revealed that owning fewer consumer goods, having lower quality of household services, and having attained less education were associated with higher levels of post-typhoon symptoms, above and beyond the covariates, whereas quality of the household build, employment status, and insurance status were not related to post-typhoon psychiatric symptoms.
  
  
  CONCLUSIONS
  Even after controlling for demographic characteristics and pre-typhoon psychiatric symptoms, certain SES factors uniquely predicted post-typhoon psychiatric distress. These SES characteristics may be useful for identifying individuals in developing countries who are in need of early intervention following disaster exposure.
authors.affiliation: Virginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University, 800 East Leigh Street, Biotech 1, Suite 101, Richmond, VA, 23219-1534, USA.
authors.forename: Ruth C
authors.initials: RC
authors.lastname: Brown
authors.forename: Stephen K
authors.initials: SK
authors.lastname: Trapp
authors.forename: Erin C
authors.initials: EC
authors.lastname: Berenz
authors.forename: Tim Bernard
authors.initials: TB
authors.lastname: Bigdeli
authors.forename: Ron
authors.initials: R
authors.lastname: Acierno
authors.forename: Trinh Luong
authors.initials: TL
authors.lastname: Tran
authors.forename: Lam Tu
authors.initials: LT
authors.lastname: Trung
authors.forename: Nguyen Thanh
authors.initials: NT
authors.lastname: Tam
authors.forename: Tran
authors.initials: T
authors.lastname: Tuan
authors.forename: La Thi
authors.initials: LT
authors.lastname: Buoi
authors.forename: Tran Thu
authors.initials: TT
authors.lastname: Ha
authors.forename: Tran Duc
authors.initials: TD
authors.lastname: Thach
authors.forename: Ananda B
authors.initials: AB
authors.lastname: Amstadter
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D044466:Asian People / Q000523:psychology* / Q000706:statistics & numerical data; D055867:Cyclonic Storms; D004190:Disasters; D005260:Female; D006798:Housing; D006801:Humans; D016014:Linear Models; D008297:Male; D001523:Mental Disorders / Q000191:economics* / Q000453:epidemiology; D008603:Mental Health; D008875:Middle Aged; D011569:Psychiatric Status Rating Scales; D011788:Quality of Life; D017678:Sex Distribution; D012737:Sex Factors; D012959:Socioeconomic Factors; D013315:Stress, Psychological / Q000191:economics / Q000523:psychology*; D011795:Surveys and Questionnaires; D014744:Vietnam / Q000453:epidemiology
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