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Published in: BMC Public Health 1/2020

Open Access 01-12-2020 | Natural Disasters | Research article

Experiences of rural women with damages resulting from an earthquake in Iran: a qualitative study

Authors: Javad Yoosefi Lebni, Farhad Khorami, Farbod Ebadi Fard Azar, Bahar Khosravi, Hossein Safari, Arash Ziapour

Published in: BMC Public Health | Issue 1/2020

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Abstract

Background

Women, with more vulnerabilities and less access to resources, are often seen as victims of natural disasters. Therefore, the present study aimed to investigate the experiences of rural women with damages resulting from an earthquake in Iran.

Methods

In this research, a qualitative approach, as well as the conventional content analysis was employed. The study population consisted of rural women residing in the earthquake-stricken areas of Sarpol-e Zahab and Salas-e Babajani counties in Kermanshah Province, Iran. Semi-structured interviews were used for data collection. Moreover, sampling was purposeful, theoretical saturation was achieved by conducting 22 interviews, and the data analysis process was performed according to the steps proposed by Graneheim and Lundman. For the strength and transferability of the research, Lincoln and Guba’s Evaluative Criteria were used.

Results

There were seven categories regarding the experiences of rural women after the earthquakes including neglecting the health needs; tension in the family and marital relations; gender inequality in the provision of assistance; feeling insecure; ignoring the ruling culture of the region; concealing needs for fear of stigmatization, and incoherent mourning as well as two categories regarding their reactions to and interaction with the earthquake consequences including positive and negative interactions.

Conclusions

Paying more attention to the needs of rural women, taking the culture governing the village into account at the time of service delivery, and helping them with positive adaptations are some indispensable measures that should be taken.
Literature
1.
go back to reference Wu Z, Xu J, He L. Psychological consequences and associated risk factors among adult survivors of the 2008 Wenchuan earthquake. BMC Ppsychiatry. 2014;14(1):126–37.CrossRef Wu Z, Xu J, He L. Psychological consequences and associated risk factors among adult survivors of the 2008 Wenchuan earthquake. BMC Ppsychiatry. 2014;14(1):126–37.CrossRef
2.
go back to reference Paton D, Sagala S, Okada N, Jang L-J, Bürgelt PT, Gregg CE. Making sense of natural hazard mitigation: personal, social and cultural influences. Environ Hazards. 2010;9(2):183–96.CrossRef Paton D, Sagala S, Okada N, Jang L-J, Bürgelt PT, Gregg CE. Making sense of natural hazard mitigation: personal, social and cultural influences. Environ Hazards. 2010;9(2):183–96.CrossRef
3.
go back to reference Şalcıoğlu E, Başoğlu M. Psychological effects of earthquakes in children: prospects for brief behavioral treatment. World J Pediatr. 2008;4(3):165–72.PubMedCrossRef Şalcıoğlu E, Başoğlu M. Psychological effects of earthquakes in children: prospects for brief behavioral treatment. World J Pediatr. 2008;4(3):165–72.PubMedCrossRef
4.
go back to reference Budhathoki SS, Bhattachan M, Castro-Sánchez E, Sagtani RA, Rayamajhi RB, Rai P, et al. Menstrual hygiene management among women and adolescent girls in the aftermath of the earthquake in Nepal. BMC Womens Health. 2018;18(1):33–41.PubMedPubMedCentralCrossRef Budhathoki SS, Bhattachan M, Castro-Sánchez E, Sagtani RA, Rayamajhi RB, Rai P, et al. Menstrual hygiene management among women and adolescent girls in the aftermath of the earthquake in Nepal. BMC Womens Health. 2018;18(1):33–41.PubMedPubMedCentralCrossRef
5.
go back to reference Stoner S. Exploring social vulnerability to earthquakes in the capital Regional District, British Columbia Canada; 2011. Stoner S. Exploring social vulnerability to earthquakes in the capital Regional District, British Columbia Canada; 2011.
6.
go back to reference Bathrellos GD, Gaki-Papanastassiou K, Skilodimou HD, Papanastassiou D, Chousianitis KG. Potential suitability for urban planning and industry development using natural hazard maps and geological–geomorphological parameters. Environ Earth Sci. 2012;66(2):537–48.CrossRef Bathrellos GD, Gaki-Papanastassiou K, Skilodimou HD, Papanastassiou D, Chousianitis KG. Potential suitability for urban planning and industry development using natural hazard maps and geological–geomorphological parameters. Environ Earth Sci. 2012;66(2):537–48.CrossRef
7.
go back to reference Ekanayake S, Prince M, Sumathipala A, Siribaddana S, Morgan C. “We lost all we had in a second”: coping with grief and loss after a natural disaster. World Psychiatry. 2013;12(1):69–75.PubMedPubMedCentralCrossRef Ekanayake S, Prince M, Sumathipala A, Siribaddana S, Morgan C. “We lost all we had in a second”: coping with grief and loss after a natural disaster. World Psychiatry. 2013;12(1):69–75.PubMedPubMedCentralCrossRef
8.
go back to reference Varela E, Koustouki V, Davos CH, Eleni K. Psychological consequences among adults following the 1999 earthquake in Athens, Greece. Disasters. 2008;32(2):280–91.PubMedCrossRef Varela E, Koustouki V, Davos CH, Eleni K. Psychological consequences among adults following the 1999 earthquake in Athens, Greece. Disasters. 2008;32(2):280–91.PubMedCrossRef
9.
go back to reference Soltani Nejad A, Barshan A, Baniasad A, Soltani Nejad A, Sam A, Sadie A. Investigating social vulnerability of the elderly in the earthquakes of Bam, Varzaghan, and Ahar. Iran J Ageing. 2017;12(3):360–71. Soltani Nejad A, Barshan A, Baniasad A, Soltani Nejad A, Sam A, Sadie A. Investigating social vulnerability of the elderly in the earthquakes of Bam, Varzaghan, and Ahar. Iran J Ageing. 2017;12(3):360–71.
10.
go back to reference Nobakht HN, Ojagh FS, Dale KY. Risk factors of post-traumatic stress among survivors of the 2017 Iran earthquake: the importance of peritraumatic dissociation. Psychiatry Res. 2019;271:702–7.PubMedCrossRef Nobakht HN, Ojagh FS, Dale KY. Risk factors of post-traumatic stress among survivors of the 2017 Iran earthquake: the importance of peritraumatic dissociation. Psychiatry Res. 2019;271:702–7.PubMedCrossRef
11.
go back to reference Irshad H, Mumtaz Z, Levay A. Long-term gendered consequences of permanent disabilities caused by the 2005 Pakistan earthquake. Disasters. 2012;36(3):452–64.PubMedCrossRef Irshad H, Mumtaz Z, Levay A. Long-term gendered consequences of permanent disabilities caused by the 2005 Pakistan earthquake. Disasters. 2012;36(3):452–64.PubMedCrossRef
12.
go back to reference Ruwanpura KN. Temporality of disasters: the politics of women's livelihoods ‘after’the 2004 tsunami in Sri Lanka. Singapore J Trop Geography. 2008;29(3):325–40.CrossRef Ruwanpura KN. Temporality of disasters: the politics of women's livelihoods ‘after’the 2004 tsunami in Sri Lanka. Singapore J Trop Geography. 2008;29(3):325–40.CrossRef
13.
go back to reference Norris FH, Perilla JL, Ibañez GE, Murphy AD. Sex differences in symptoms of posttraumatic stress: does culture play a role? J Traum Stress. 2001;14(1):7–28.CrossRef Norris FH, Perilla JL, Ibañez GE, Murphy AD. Sex differences in symptoms of posttraumatic stress: does culture play a role? J Traum Stress. 2001;14(1):7–28.CrossRef
14.
go back to reference Perilla JL, Norris FH, Lavizzo EA. Ethnicity, culture, and disaster response: identifying and explaining ethnic differences in PTSD six months after hurricane Andrew. J Soc Clin Psychol. 2002;21(1):20–45.CrossRef Perilla JL, Norris FH, Lavizzo EA. Ethnicity, culture, and disaster response: identifying and explaining ethnic differences in PTSD six months after hurricane Andrew. J Soc Clin Psychol. 2002;21(1):20–45.CrossRef
15.
go back to reference Neumayer E, Plümper T. The gendered nature of natural disasters: the impact of catastrophic events on the gender gap in life expectancy, 1981–2002. Ann Associat Am Geographers. 2007;97(3):551–66.CrossRef Neumayer E, Plümper T. The gendered nature of natural disasters: the impact of catastrophic events on the gender gap in life expectancy, 1981–2002. Ann Associat Am Geographers. 2007;97(3):551–66.CrossRef
16.
go back to reference Gaillard J-C, Clavé E, Vibert O, Denain J-C, Efendi Y, Grancher D, et al. Ethnic groups’ response to the 26 December 2004 earthquake and tsunami in Aceh, Indonesia. Natur Hazards. 2008;47(1):17–38.CrossRef Gaillard J-C, Clavé E, Vibert O, Denain J-C, Efendi Y, Grancher D, et al. Ethnic groups’ response to the 26 December 2004 earthquake and tsunami in Aceh, Indonesia. Natur Hazards. 2008;47(1):17–38.CrossRef
17.
go back to reference Blain LM, Galovski TE, Robinson T. Gender differences in recovery from posttraumatic stress disorder: a critical review. Aggress Violent Behav. 2010;15(6):463–74.CrossRef Blain LM, Galovski TE, Robinson T. Gender differences in recovery from posttraumatic stress disorder: a critical review. Aggress Violent Behav. 2010;15(6):463–74.CrossRef
18.
go back to reference Soffer Y, Goldberg A, Adini B, Cohen R, Ben-Ezra M, Palgi Y, et al. The relationship between demographic/educational parameters and perceptions, knowledge and earthquake mitigation in Israel. Disasters. 2011;35(1):36–44.PubMedCrossRef Soffer Y, Goldberg A, Adini B, Cohen R, Ben-Ezra M, Palgi Y, et al. The relationship between demographic/educational parameters and perceptions, knowledge and earthquake mitigation in Israel. Disasters. 2011;35(1):36–44.PubMedCrossRef
19.
go back to reference Cao X, Jiang X, Li X, Lo M-cJH, Li R. Family functioning and its predictors among disaster bereaved individuals in China: eighteen months after the Wenchuan earthquake. PloS One. 2013;8(4):e60738.PubMedPubMedCentralCrossRef Cao X, Jiang X, Li X, Lo M-cJH, Li R. Family functioning and its predictors among disaster bereaved individuals in China: eighteen months after the Wenchuan earthquake. PloS One. 2013;8(4):e60738.PubMedPubMedCentralCrossRef
20.
go back to reference Lowe SR, Rhodes JE, Scoglio AA. Changes in marital and partner relationships in the aftermath of hurricane Katrina: an analysis with low-income women. Psychol Women Q. 2012;36(3):286–300.PubMedPubMedCentralCrossRef Lowe SR, Rhodes JE, Scoglio AA. Changes in marital and partner relationships in the aftermath of hurricane Katrina: an analysis with low-income women. Psychol Women Q. 2012;36(3):286–300.PubMedPubMedCentralCrossRef
21.
go back to reference Eklund L, Tellier S. Gender and international crisis response: do we have the data, and does it matter? Disasters. 2012;36(4):589–608.PubMedCrossRef Eklund L, Tellier S. Gender and international crisis response: do we have the data, and does it matter? Disasters. 2012;36(4):589–608.PubMedCrossRef
22.
go back to reference Demirchyan A, Petrosyan D, Armenian HK. Rate and predictors of postpartum depression in a 22-year follow-up of a cohort of earthquake survivors in Armenia. Arch Women's Mental Health. 2014;17(3):229–37.CrossRef Demirchyan A, Petrosyan D, Armenian HK. Rate and predictors of postpartum depression in a 22-year follow-up of a cohort of earthquake survivors in Armenia. Arch Women's Mental Health. 2014;17(3):229–37.CrossRef
23.
go back to reference Campbell DW, Campbell JC, Yarandi HN, O’Connor AL, Dollar E, Killion C, et al. Violence and abuse of internally displaced women survivors of the 2010 Haiti earthquake. Int J Public Health. 2016;61(8):981–92.PubMedPubMedCentralCrossRef Campbell DW, Campbell JC, Yarandi HN, O’Connor AL, Dollar E, Killion C, et al. Violence and abuse of internally displaced women survivors of the 2010 Haiti earthquake. Int J Public Health. 2016;61(8):981–92.PubMedPubMedCentralCrossRef
24.
go back to reference Chan KL, Zhang Y. Female victimization and intimate partner violence after the may 12, 2008, Sichuan earthquake. Violence Victims. 2011;26(3):364–76.PubMedCrossRef Chan KL, Zhang Y. Female victimization and intimate partner violence after the may 12, 2008, Sichuan earthquake. Violence Victims. 2011;26(3):364–76.PubMedCrossRef
25.
go back to reference Liu Z, Zeng Z, Xiang Y, Hou F, Li J, Li T, et al. A cross-sectional study on posttraumatic impact among Qiang women in Maoxian county 1 year after the Wenchuan earthquake, China. Asia Pacific J Public Health. 2012;24(1):21–7.CrossRef Liu Z, Zeng Z, Xiang Y, Hou F, Li J, Li T, et al. A cross-sectional study on posttraumatic impact among Qiang women in Maoxian county 1 year after the Wenchuan earthquake, China. Asia Pacific J Public Health. 2012;24(1):21–7.CrossRef
26.
go back to reference Qu Z, Wang X, Tian D, Zhao Y, Zhang Q, He H, et al. Posttraumatic stress disorder and depression among new mothers at 8 months later of the 2008 Sichuan earthquake in China. Arch Women's Mental Health. 2012;15(1):49–55.CrossRef Qu Z, Wang X, Tian D, Zhao Y, Zhang Q, He H, et al. Posttraumatic stress disorder and depression among new mothers at 8 months later of the 2008 Sichuan earthquake in China. Arch Women's Mental Health. 2012;15(1):49–55.CrossRef
27.
go back to reference Speziale HS, Streubert HJ, Carpenter DR. Qualitative research in nursing: advancing the humanistic imperative. London: Lippincott Williams & Wilkins; 2011. Speziale HS, Streubert HJ, Carpenter DR. Qualitative research in nursing: advancing the humanistic imperative. London: Lippincott Williams & Wilkins; 2011.
28.
go back to reference Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004;24(2):105–12.PubMedCrossRef Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004;24(2):105–12.PubMedCrossRef
29.
go back to reference Marshall MN. Sampling for qualitative research. Family Pract. 1996;13(6):522–6.CrossRef Marshall MN. Sampling for qualitative research. Family Pract. 1996;13(6):522–6.CrossRef
30.
go back to reference Onwuegbuzie AJ, Leech NL. Validity and qualitative research: an oxymoron? Q Quant. 2007;41(2):233–49.CrossRef Onwuegbuzie AJ, Leech NL. Validity and qualitative research: an oxymoron? Q Quant. 2007;41(2):233–49.CrossRef
31.
go back to reference Lincoln YS, Lynham SA, Guba EG. Paradigmatic controversies, contradictions, and emerging confluences, revisited. Sage Handbook Qual Res. 2011;4:97–128. Lincoln YS, Lynham SA, Guba EG. Paradigmatic controversies, contradictions, and emerging confluences, revisited. Sage Handbook Qual Res. 2011;4:97–128.
32.
go back to reference Bloem CM, Miller AC. Disasters and women's health: reflections from the 2010 earthquake in Haiti. Prehosp Disaster Med. 2013;28(2):150–4.PubMedCrossRef Bloem CM, Miller AC. Disasters and women's health: reflections from the 2010 earthquake in Haiti. Prehosp Disaster Med. 2013;28(2):150–4.PubMedCrossRef
33.
go back to reference Hirth JM, Leyser-Whalen O, Berenson AB. Effects of a major US hurricane on mental health disorder symptoms among adolescent and young adult females. J Adol Health. 2013;52(6):765–72.CrossRef Hirth JM, Leyser-Whalen O, Berenson AB. Effects of a major US hurricane on mental health disorder symptoms among adolescent and young adult females. J Adol Health. 2013;52(6):765–72.CrossRef
34.
go back to reference Rahmani Bilandi R, Khalajabadi Farahamni F, Ahmadi F, Kazemnejad A, Mohammadi R. Exploring the perception of women about menstrual health in earthquake stricken areas. J Mazandaran Univ Med Sci. 2015;25(125):49–60. Rahmani Bilandi R, Khalajabadi Farahamni F, Ahmadi F, Kazemnejad A, Mohammadi R. Exploring the perception of women about menstrual health in earthquake stricken areas. J Mazandaran Univ Med Sci. 2015;25(125):49–60.
35.
go back to reference Liang Y, Cao R. Is the health status of female victims poorer than males in the post-disaster reconstruction in China: a comparative study of data on male victims in the first survey and double tracking survey data. BMC Womens Health. 2014;14(1):18.PubMedPubMedCentralCrossRef Liang Y, Cao R. Is the health status of female victims poorer than males in the post-disaster reconstruction in China: a comparative study of data on male victims in the first survey and double tracking survey data. BMC Womens Health. 2014;14(1):18.PubMedPubMedCentralCrossRef
36.
go back to reference Van Griensven F, Chakkraband MS, Thienkrua W, Pengjuntr W, Cardozo BL, Tantipiwatanaskul P, et al. Mental health problems among adults in tsunami-affected areas in southern Thailand. JAMA. 2006;296(5):537–48.PubMedCrossRef Van Griensven F, Chakkraband MS, Thienkrua W, Pengjuntr W, Cardozo BL, Tantipiwatanaskul P, et al. Mental health problems among adults in tsunami-affected areas in southern Thailand. JAMA. 2006;296(5):537–48.PubMedCrossRef
37.
go back to reference Rajkumar AP, Premkumar TS, Tharyan P. Coping with the Asian tsunami: perspectives from Tamil Nadu, India on the determinants of resilience in the face of adversity. Soc Sci Med. 2008;67(5):844–53.PubMedCrossRef Rajkumar AP, Premkumar TS, Tharyan P. Coping with the Asian tsunami: perspectives from Tamil Nadu, India on the determinants of resilience in the face of adversity. Soc Sci Med. 2008;67(5):844–53.PubMedCrossRef
38.
go back to reference Ibanez GE, Buck CA, Khatchikian N, Norris FH. Qualitative analysis of coping strategies among Mexican disaster survivors. Anxiety Stress Coping. 2004;17(1):69–85.CrossRef Ibanez GE, Buck CA, Khatchikian N, Norris FH. Qualitative analysis of coping strategies among Mexican disaster survivors. Anxiety Stress Coping. 2004;17(1):69–85.CrossRef
39.
go back to reference Somasundaram D. Collective trauma in northern Sri Lanka: a qualitative psychosocial-ecological study. Int J Mental Health Syst. 2007;1(1):5.CrossRef Somasundaram D. Collective trauma in northern Sri Lanka: a qualitative psychosocial-ecological study. Int J Mental Health Syst. 2007;1(1):5.CrossRef
40.
go back to reference Norris FH, Friedman MJ, Watson PJ. 60,000 disaster victims speak: part II. Summary and implications of the disaster mental health research. Psychiatry Int Biolog Proc. 2002;65(3):240–60. Norris FH, Friedman MJ, Watson PJ. 60,000 disaster victims speak: part II. Summary and implications of the disaster mental health research. Psychiatry Int Biolog Proc. 2002;65(3):240–60.
41.
go back to reference Horton L. After the earthquake: gender inequality and transformation in post-disaster Haiti. Gend Dev. 2012;20(2):295–308.CrossRef Horton L. After the earthquake: gender inequality and transformation in post-disaster Haiti. Gend Dev. 2012;20(2):295–308.CrossRef
42.
go back to reference Ahmadi S, Khankeh H, Sahaf R, Dalvandi A, Hosseini SA, Alipour F. How did older adults respond to challenges after an earthquake? Results from a qualitative study in Iran. Arch Gerontol Geriat. 2018;77:189–95.CrossRef Ahmadi S, Khankeh H, Sahaf R, Dalvandi A, Hosseini SA, Alipour F. How did older adults respond to challenges after an earthquake? Results from a qualitative study in Iran. Arch Gerontol Geriat. 2018;77:189–95.CrossRef
43.
go back to reference Henderson TL, Roberto KA, Kamo Y. Older adults’ responses to hurricane Katrina: daily hassles and coping strategies. J Appl Gerontol. 2010;29(1):48–69.CrossRef Henderson TL, Roberto KA, Kamo Y. Older adults’ responses to hurricane Katrina: daily hassles and coping strategies. J Appl Gerontol. 2010;29(1):48–69.CrossRef
44.
go back to reference Glass K, Flory K, Hankin BL, Kloos B, Turecki G. Are coping strategies, social support, and hope associated with psychological distress among hurricane Katrina survivors? J Soc Clin Psychol. 2009;28(6):779–95.CrossRef Glass K, Flory K, Hankin BL, Kloos B, Turecki G. Are coping strategies, social support, and hope associated with psychological distress among hurricane Katrina survivors? J Soc Clin Psychol. 2009;28(6):779–95.CrossRef
45.
go back to reference Heid AR, Schug S, Cartwright FP, Pruchno R. Challenges faced and support received: older adults’ perceptions of hurricane Sandy. Disast Med Public Health Prepar. 2017;11(1):39–47.CrossRef Heid AR, Schug S, Cartwright FP, Pruchno R. Challenges faced and support received: older adults’ perceptions of hurricane Sandy. Disast Med Public Health Prepar. 2017;11(1):39–47.CrossRef
46.
go back to reference Goldman L, Finkelstein R, Schafer P, Pugh T. Resilient communities report. New York: New York Academy of Medicine; 2014. Goldman L, Finkelstein R, Schafer P, Pugh T. Resilient communities report. New York: New York Academy of Medicine; 2014.
47.
go back to reference Aksaray G, Kortan G, Erkaya H, Yenilmez Ç, Kaptanoğlu C. Gender differences in psychological effect of the august 1999 earthquake in Turkey. Nordic J Psychiatry. 2006;60(5):387–91.CrossRef Aksaray G, Kortan G, Erkaya H, Yenilmez Ç, Kaptanoğlu C. Gender differences in psychological effect of the august 1999 earthquake in Turkey. Nordic J Psychiatry. 2006;60(5):387–91.CrossRef
48.
go back to reference Hyodo K, Nakamura K, Oyama M, Yamazaki O, Nakagawa I, Ishigami K, et al. Long-term suicide mortality rates decrease in men and increase in women after the Niigata-Chuetsu earthquake in Japan. Tohoku J Exp Med. 2010;220(2):149–55.PubMedCrossRef Hyodo K, Nakamura K, Oyama M, Yamazaki O, Nakagawa I, Ishigami K, et al. Long-term suicide mortality rates decrease in men and increase in women after the Niigata-Chuetsu earthquake in Japan. Tohoku J Exp Med. 2010;220(2):149–55.PubMedCrossRef
49.
go back to reference Yang CH, Xirasagar S, Chung HC, Huang YT, Lin HC. Suicide trends following the Taiwan earthquake of 1999: empirical evidence and policy implications. Acta Psychiatr Scand. 2005;112(6):442–8.PubMedCrossRef Yang CH, Xirasagar S, Chung HC, Huang YT, Lin HC. Suicide trends following the Taiwan earthquake of 1999: empirical evidence and policy implications. Acta Psychiatr Scand. 2005;112(6):442–8.PubMedCrossRef
50.
go back to reference Yip P. Effects of an earthquake on suicide rates in Nantou, Taiwan. Br J Psychiatry. 2009;194(2):190.PubMedCrossRef Yip P. Effects of an earthquake on suicide rates in Nantou, Taiwan. Br J Psychiatry. 2009;194(2):190.PubMedCrossRef
Metadata
Title
Experiences of rural women with damages resulting from an earthquake in Iran: a qualitative study
Authors
Javad Yoosefi Lebni
Farhad Khorami
Farbod Ebadi Fard Azar
Bahar Khosravi
Hossein Safari
Arash Ziapour
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2020
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-020-08752-z

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