There is an emerging literature on how youth are affected by the degradation of confidence in existing institutions and social order during times of political unrest and regime change. While political unrest may not involve large-scale destruction associated with wars or genocides, repeated exposure to less extreme events may also have detrimental effects on youth. The recent spate of domestic political unrest in many countries highlights the tumultuous environment that large populations of disaffected youth are wrestling with at a time in their life course when critical decisions about investments into future wellbeing are made. Exposure to ecological stressors related to political protest events (both violent and non-violent) may not only affect individuals' mental health, but also their general future orientation, leading youth to invest less in established routes of success (e.g. schooling, employment) and/or adopt risky behaviors that affect their long-run development trajectory. A handful of previous have focused narrowly on proximate psychosocial outcomes in less generalizable settings. The proposed study is significant because we use large-scale population data in combination with a third-party data source that provides exogenous geographic and time variation on protest events. This allows us to rigorously estimate the effects of exposure to political unrest on a wide range of outcomes-affective perceptions of institutional and social trust, mental health, and economic investments- for a panel of youth and young adults exposed to political revolution and associated protests events. This study will answer 3 key questions about young people's welfare during times of political unrest: 1) What is the immediate impact of exposure to political unrest on mental health and investments?; 2) What social and institutional resources moderate these effects?; and 3) Which sub-populations of youth are disproportionately affected? The primary data we will use to examine these questions is a panel of over 15,000 youths and young adults aged 14-34 who were surveyed before and after the Egyptian Revolution of 2011. With GIS information, we can link the occurrence of protest events recorded in the Armed Conflict Location & Event Data Project by district to the individuals followed in the Survey of Young People in Egypt to estimate fixed effects difference-in- difference models and examine changes in health and behavior over time. This research is unique not only because of the available rich datasets with which to examine a natural experiment of exposure to political unrest, but also because findings may be more generalizable to the host of other demographically young nations similarly experiencing political unrest. The U.S. has strategic national interests in the course of development of many of these nations and particularly how the next generation of youth will shape the geopolitical environment.

Public Health Relevance

This study will be the first to exploit a natural experiment to estimate the effects of exposure to political unrest and regime change among youth and young adults to answer three key questions: 1) What is the immediate impact of exposure to political unrest and mental health and investments?; 2) What social and institutional resources moderate these effects?; and 3) Which sub-populations of youth are disproportionately affected? We will examine these questions by linking a panel of youth and young adults aged 10-29 to geo-located information on the occurrence of political protest events to generate empirical evidence on the wellbeing of youth in a politically unstable Arab country, which may determine the future stability of countries in areas of the world where the United States has strategic national interest.

Agency
National Institute of Health (NIH)
Institute
Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Type
Small Research Grants (R03)
Project #
1R03HD082532-01A1
Application #
8968504
Study Section
Biobehavioral and Behavioral Sciences Subcommittee (CHHD)
Program Officer
Bures, Regina M
Project Start
2015-07-15
Project End
2017-06-30
Budget Start
2015-07-15
Budget End
2016-06-30
Support Year
1
Fiscal Year
2015
Total Cost
Indirect Cost
Name
University of California San Francisco
Department
Public Health & Prev Medicine
Type
Schools of Medicine
DUNS #
094878337
City
San Francisco
State
CA
Country
United States
Zip Code
94118
Liu, Jenny; Modrek, Sepideh; Sieverding, Maia (2017) The mental health of youth and young adults during the transition to adulthood in Egypt. Demogr Res 36:1721-1758