A Qualitative Study of Disaster Resilience of Chinese Adolescents Five Years after Super Typhoon Rammasun

Authors

  • Yane Yan Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand and Lecturer, School of Nursing, Hainan Medical University, Haikou City, China.
  • Sue Turale Visiting Professor, Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand.
  • Pimpaporn Klunklin Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand.
  • Areewan Klunklin Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand and School of Nursing, Panyapiwat Institute of Management, Nonthaburi, Thailand.

DOI:

https://doi.org/10.60099/prijnr.2023.262007

Keywords:

Adaptation, Adolescents, China, Coping, Disaster resilience, Disaster nursing, Nursing, Qualitative description, Super Typhoon Rammasun

Abstract

Adolescents and younger children are more vulnerable during and after disasters than adults, and their ability to develop resilience depends on many factors, including culture and context. However, adolescents’ experiences and voices need to be considered more often in disaster research, since their understanding of disaster resilience is not known in depth. This study aimed to understand Chinese adolescents’ disaster resilience experiences five years after their exposure to the Super Typhoon Rammasun. A qualitative descriptive design was applied. As far as the researchers are aware, this was the first qualitative study in China to explore adolescents’ disaster experiences and disaster resilience. In-depth interviews were conducted in Hainan province, on an island in the South China Sea, with 30 high school adolescents exposed to Super Typhoon Rammasun. Data were collected from March to October 2019 and analyzed using content analysis.
Analysis revealed rich findings and three categories emerged reflecting how the adolescents experienced disaster resilience: 1) Experiencing challenges, with three subcategories (Disrupted daily life, Loss and damage, and Negative emotions); 2) Coping and adaptive strategies, with four subcategories (Seeking support, Gaining strength from role models, Role engagement, and Self-managing); and 3) Adaptation after facing typhoon, with three subcategories (Being strong to deal with difficulty, Having good immunity, and Improved knowledge and skills in dealing with typhoons). The findings can provide understanding and inform nurses and other healthcare professionals in disaster preparation, disaster management and community resilience, as well as educators and policymakers, to support and develop disaster resilience in adolescents. Disaster resilience is enhanced by fostering interventions to help those exposed to disasters respond and recover from disaster impacts, considering culture and context. Future clinical screening and research could use the adaptive outcomes in our findings as indicators for developing long-term disaster resilience among adolescents.

References

World Health Organization. Tropical cyclones [Internet]. 2022. [cited 2022 Nov 10]. Available from: https:// www.who.int/health-topics/tropical-cyclones#tab=tab_1.

Fuchs R, Glaude M, Hansel T, Osofsky J, Osofsky H. Adolescent risk substance use behavior, post-traumatic stress, depression, and resilience: innovative considerations for disaster recovery. Subst Abus. 2021;42(3):358-65. doi:10.1080/08897077.2020.1784357.

Dass-Brailsford P, Thomley RSH, Jain D, Jarrett ES. The mental health consequences of Hurricane Matthew on Haitian children and youth: an exploratory study. J Child Adolesc Trauma. 2022;15(3):899-909. doi: 10.1007/ s40653-021-00413-6.

Liu Y, Cui B, Batchelor WD, Zhang C. Evaluation on the meteorological service for mitigating the severe impacts of Typhoon Rammasun. Trop Conserv Sci. 2021;14:194 0082921992660. doi: 10.1177/1940082921992660.

Patton GC, Sawyer SM, Santelli JS, Ross DA, Afifi R, Allen NB, et al. Our future: a Lancet commission on adolescent health and well-being. Lancet. 2016;387(10036): 2423-78. doi: 10.1016/S0140-6736(16)00579-1.

Richter LM, Ahun MN, Besharati S, Naicker SN, Orri M. Adolescent mental health problems and adult human capital: findings from the South African Birth to Twenty Plus Cohort at 28 years of age. J Adolesc Health. 2021; 69(5):782-9. doi: 10.1016/j.jadohealth.2021.04.017.

Laksmita OD, Chung MH, Liao YM, Haase JE, Chang PC. Predictors of resilience among adolescent disaster survivors: a path analysis. J Adv Nurs. 2020;76(8):2060-71. doi: 10.1111/JAN.14396.

Bonanno GA, Diminich ED. Annual research review: positive adjustment to adversity–trajectories of minimal–impact resilience and emergent resilience. J Child Psychol Psychiatry. 2013;54(4):378-401. doi: 10.1111/jcpp. 12021.

Luthar SS, Cicchetti D, Becker B. The construct of resilience: a critical evaluation and guidelines for future work. Child Dev. 2000;71(3):543-62. doi: 10.2307/1132374.

Ungar M, Theron L. Resilience and mental health: how multisystemic processes contribute to positive outcomes. Lancet Psychiatry. 2020;7(5):441-8. doi: 10.1016/ S2215-0366(19)30434-1.

Masten AS, Lucke CM, Nelson KM, Stallworthy IC. Resilience in development and psychopathology: multisystem perspectives. Annu Rev Clin Psychol. 2021;17:521-49. doi: 10.1146/annurev-clinpsy-081219-120307.

Calhoun LG, Tedeschi RG. The foundations of post-traumatic growth: an expanded framework. In: Calhoun LG, Tedeschi RG, editors. Handbook of post-traumatic growth: research & practice: Lawrence Erlbaum Associates; 2006. pp. 3-23.

Rice V, Liu B. Personal resilience and coping with implications for work. Part I: A review. Work. 2016;54(2):325-33. doi: 10.3233/WOR-162300.

Ramadianto AS, Kusumadewi I, Agiananda F, Raharjanti NW. Symptoms of depression and anxiety in Indonesian medical students: association with coping strategy and resilience. BMC Psychiatry. 2022;22(1):1-11. doi: 10.1186/s12888-022-03745-1.

United Nations. Transforming our world: the 2030 agenda for sustainable development [Internet]. 2015. [cited 2022 Sep 13]. Available from: https://sdgs.un.org/sites/ default/files/publications/21252030%20Agenda%20 for%20Sustainable%20Development%20web.pdf.

Raghavan SS, Sandanapitchai P. Cultural predictors of resilience in a multinational sample of trauma survivors. Front Psychol. 2019;10:131. doi: 10.3389/fpsyg.2019. 00131.

McDonald-Harker C, Drolet J, Sehgal A. A strength-based approach to exploring factors that contribute to resilience among children and youth impacted by disaster. Br J Soc Work. 2021;51(5):1897-916. doi: 10.1093/bjsw/ bcab109.

Newnham EA, Gao X, Tearne J, Guragain B, Jiao F, Ghimire L, et al. Adolescents’ perspectives on the psychological effects of natural disasters in China and Nepal. Transcult Psychiatry. 2020;57(1):197-211. doi: 10.1177/1363461519893135.

Gunaratne CD, Kremer PJ. The long-term impact of the 2004 tsunami on Sri Lankan survivors: exploring the socio-cultural influences on resilience. Int J Disaster Risk Sci. 2021;64:102519. doi: 10.1016/j.ijdrr.2021.102519.

Theron L. Adolescent versus adult explanations of resilience enablers: a South African study. Youth Soc. 2017;52(1):78-98. doi: 10.1177/0044118X17731032.

Fu C, Leoutsakos J-M, Underwood C. An examination of resilience cross-culturally in child and adolescent survivors of the 2008 China earthquake using the Connor–Davidson Resilience Scale (CD-RISC). J Affect Disord. 2014; 155:149-53. doi:10.1016/j.jad.2013.10.041.

An Y, Sun X, Le Y, Zhou X. Trajectory and relation between post-traumatic stress disorder on resilience in adolescents following the Yancheng tornado. Per Individ Differ. 2020;164:110097. doi: 10.1016/j.paid.2020.110097.

Lu Y, Yang D, Niu Y, Zhang H, Du B, Jiang X. Factors associated with the resilience of Tibetan adolescent survivors five years after the 2010 Yushu earthquake. PloS One. 2020;15(4): e0231736. doi: 10.1371/journal.pone.0231736.

Turale S. A brief introduction to qualitative description: a research design worth using. Pacific Rim Int J Nurs Res. [Internet]. 2020 Jul 9 [cited 2022 Sep 12];24(3):289-91. Available from: https://he02.tci-thaijo.org/index.php/ PRIJNR/article/view/243180

Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19(6):349-57. doi: 10.1093/intqhc/ mzm042.

Holloway I, Galvin K. Qualitative research in nursing and healthcare. 4th ed. Chichester: John Wiley & Sons; 2017.

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. doi: 10.1016/j.nedt.2003.10.001.

Southwick SM, Charney DS. Resilience: the science of mastering life’s greatest challenges. 2nd ed. Cambridge: Cambridge University Press; 2018.

Ni C, Niu Y, Chiang VC-L, Jiang X. Resilience of adult survivors five years after the Wenchuan earthquake: a qualitative study. Int J Disaster Risk Reduct. 2020;51:101897. doi: 10.1016/ j.ijdrr.2020.101897.

Yancey AK, Siegel JM, McDaniel KL. Role models, ethnic identity, and health-risk behaviors in urban adolescents. Arch Pediatr Adolesc Med. 2002;156(1):55-61. doi: 10.1001/archpedi.156.1.55.

Pfefferbaum B, Van Horn RL, Pfefferbaum RL. Involving adolescents in building community resilience for disasters. Adolesc Psychiatry. 2017;7(4):253-65. doi: 10.217 4/2210676608666180112123628.

United Nations Office for Disaster Risk Reduction. Words into Action guidelines: engaging children and youth in disaster risk reduction and resilience building [Internet]. 2020. [cited 2022 Sep 14]. Available from: https://www.prevention web.net/files/67704_67704wiachildyouthdrr20206 7704undrr.pdf

Liu Y, Lu Z. The Chinese high school student’s stress in the school and academic achievement. Educ Psychol. 2011;31(1):27-35. doi: 10.1080/ 01443410.2010. 513959.

Mann CL, Gillezeau CN, Massazza A, Lyons DJ, Tanaka K, Yonekura K, et al. Fukushima triple disaster and the road to recovery: a qualitative exploration of resilience in internally displaced residents. Psychiatr Q. 2018;89(2):383-97. doi: 10.1007/s11126-017-9542-7.

Xie Q, Wong DFK. Culturally sensitive conceptualization of resilience: a multidimensional model of Chinese resilience. Transcult Psychiatry. 2021;58(3):323-34. doi: 10.1177/ 1363461520951306.

Pew Research Center. The global religious landscape: a report on the size and distribution of the world’s major religious groups as of 2010. 2012. [cited 2022 Sep 14]. Available from: https://unitedcor.org/sites/default/files/edit-contentfile/ butte_county/International%20-%20Pew%20Religious% 20Study.pdf

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Published

2023-03-27

How to Cite

1.
Yane Yan, Sue Turale, Pimpaporn Klunklin, Areewan Klunklin. A Qualitative Study of Disaster Resilience of Chinese Adolescents Five Years after Super Typhoon Rammasun. PRIJNR [Internet]. 2023 Mar. 27 [cited 2024 Oct. 8];27(2):213-29. Available from: https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/262007

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