Evidence map›Paper›PMID 40635106›Full record

ArticleBMC global and public health2025

Resilience measurement for environmental shocks and stressors: scale development and psychometric assessment for coastal urban informal settlements in Fiji and Indonesia.

Hemali H Oza, Allison P Salinger, Ruzka Taruc, Autiko Tela, S Fiona Barker, Karin Leder, Matthew C Freeman, Thomas Clasen, Sheela S Sinharoy

Abstract read
In one paragraph

Article in BMC global and public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Exploring Determinants of Community Flood Resilience in Southeast Asia: A Systematic Review.International journal of environmental research and public health · 2026
    Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Hemali H OzaGangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA. Hemali.harish.oza@emory.edu.ORCID http://orcid.org/0000-0002-5432-3919
Allison P SalingerHubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA.ORCID http://orcid.org/0000-0001-7335-027X
Ruzka TarucFaculty of Public Health, Hasanuddin University, Makassar, Indonesia.ORCID http://orcid.org/0000-0002-4208-4957
Autiko TelaSchool of Public Health and Primary Care, College of Medicine, Nursing and Health Sciences, Suva, Fiji.ORCID http://orcid.org/0009-0002-6128-955X
S Fiona BarkerSchool of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.ORCID http://orcid.org/0000-0002-9203-5766
Karin LederSchool of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.ORCID http://orcid.org/0000-0003-1368-1039
Matthew C FreemanGangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA.ORCID http://orcid.org/0000-0002-1517-2572
Thomas ClasenGangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA.ORCID http://orcid.org/0000-0003-4062-5788
Sheela S SinharoyHubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA.ORCID http://orcid.org/0000-0003-3077-3824

Funding

IRACDA Fellowships in Research and Science Training (FIRST)K12GM000680 · NIGMS · EMORY UNIVERSITY · PI BROWN, LOU ANN S, MCCARTY, NAEL A · 2000 to 2024
$41.2M
Graduate and Postdoctoral Training in ToxicologyT32ES012870 · NIEHS · EMORY UNIVERSITY · PI Carmen Joseph Marsit · 2004 to 2026
$9.1M
NIEHS NIH HHS 5T32ES12870-17NIEHS NIH HHS T32 ES012870NIGMS NIH HHS K12 GM000680NIGMS NIH HHS K12 GM000680/GM/NIGMS NIHWellcome Trust
6 · The paper itself

Abstract

backgroundClimate change and weather-related hazards, such as droughts and floods, pose substantial threats to the human health and well-being, especially for those in low-income households and informal settlements. Resilience, defined as the ability to cope, adapt, and recover, is critical for communities to manage these evolving threats. While there has been increased interest in ensuring that global public health and development programs contribute to resilience, the lack of valid and user-friendly resilience measurement tools limits the evidence base on the effectiveness of interventions to build resilience.

methodsWe developed scales to measure economic, environmental, and social resilience to environmental shocks/stressors among urban informal settlements in low- and middle-income countries. Using an evidence-based conceptual framework, we collected data from 882 households in coastal informal settlements in Makassar, Indonesia and Suva, Fiji. We used factor analysis and item response theory approaches and assessed internal scale validity, reliability, and measurement equivalence.

resultsAnalysis supported a one-factor model for economic resilience, which showed a positive correlation with a financial satisfaction item, providing evidence of internal construct validity. The results also indicated a four-factor model for social resilience, with subscales for inclusion, social cohesion, collective efficacy and action, and preparedness. These subscales correlated with relevant external items-community satisfaction and perceived safety-supporting internal construct validity. The environmental resilience scale performed poorly in item response theory analysis and requires substantial refinement. The economic resilience scale demonstrated configural, metric, and scalar equivalence, suggesting that scores are comparable between households in Indonesia and Fiji. The social resilience scales showed only configural equivalence, indicating potential differences in how items relate to the underlying construct across countries. Both the economic and social resilience scales demonstrated acceptable reliability, with omega coefficients > 0.70.

conclusionsWe developed and internally validated scales to measure economic and social resilience to environmental disturbances that quantify resilience as a latent construct and are grounded in resilience theory. These scales are suitable for application in urban informal settlements in Indonesia and Fiji. We recommend their use, with re-validation as needed, in the monitoring and evaluation of resilience-building interventions and policies targeting urban households in low-income settings.

Indexed as

ClimateInformal settlementsMeasurementResilienceScaleUrban

Identifiers

PMID40635106
PMCPMC12243337

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.