Rebecca M Schwartz1, Rehana Rasul2, Samantha M Kerath3, Alexis R Watson4, Wil Lieberman-Cribbin5, Bian Liu5, Emanuela Taioli6. 1. Department of Occupational Medicine, Epidemiology and Prevention, Hofstra Northwell School of Medicine and the Feinstein Institute for Medical Research, Great Neck, New York; Department of Population Health Science and Policy and Institute for Translational Epidemiology, Icahn School of Medicine at Mount Sinai, New York City, New York; The Center for Disaster Health, Trauma, and Resilience, New York City, New York. 2. Department of Biostatistics, Feinstein Institute for Medical Research, Manhasset, New York; The Center for Disaster Health, Trauma, and Resilience, New York City, New York. 3. Biomedical Science, Feinstein Institute for Medical Research, Manhasset, New York. 4. Department of Occupational Medicine, Epidemiology and Prevention, Northwell Health, Great Neck, New York. 5. Department of Population Health Science and Policy and Institute for Translational Epidemiology, Icahn School of Medicine at Mount Sinai, New York City, New York; The Center for Disaster Health, Trauma, and Resilience, New York City, New York. 6. Department of Population Health Science and Policy and Institute for Translational Epidemiology, Icahn School of Medicine at Mount Sinai, New York City, New York; Department of Thoracic Surgery, The Center for Disaster Health, Trauma, and Resilience, New York City, New York.
Abstract
OBJECTIVE: To assess the effect of displacement due to Hurricane Sandy on mental health outcomes among residents of the greater New York City (NYC) area. DESIGN: Prospective, cross sectional. SETTING: NYC area residents, including Queens, Staten Island, and Long Island. PARTICIPANTS: In a 4.25 year period (June 2012 to September 2016), a convenience sample of 1,615 adult residents from the greater NYC area completed validated measures of hurricane exposure (including displacement), perceived stress, depression, anxiety, and post-traumatic stress disorder (PTSD) symptoms as well as indicators of alcohol, illicit substance, and tobacco use. MAIN OUTCOME MEASURES: Perceived stress, depression, anxiety and PTSD symptoms and alcohol, illicit substance, and tobacco use. RESULTS: Multivariable analyses indicated that displaced participants were more likely to have PTSD (adjusted odds ratio [AOR]: 2.21, 95% CI: 1.73-2.82), depression (AOR: 1.37, 95% CI: 1.05-1.79) and anxiety symptoms (AOR: 1.30, 95% CI: 1.01-1.67) and had a 1.16 unit increase in perceived stress score (SE = 0.38) compared to nondisplaced participants. Staying with friends/family versus at a shelter was significantly associated with a 48 percent decreased odds of having PTSD symptoms (AOR: 0.52, 95% CI: 0.31-0.88) and of being a current tobacco user (AOR: 0.52, 95% CI: 0.30-0.92). CONCLUSIONS: Displacement is associated with negative mental health outcomes, particularly displacement to shelters. Disaster preparedness efforts should involve increasing mental health resources to those who are displaced and providing support services within the shelter setting.
OBJECTIVE: To assess the effect of displacement due to Hurricane Sandy on mental health outcomes among residents of the greater New York City (NYC) area. DESIGN: Prospective, cross sectional. SETTING: NYC area residents, including Queens, Staten Island, and Long Island. PARTICIPANTS: In a 4.25 year period (June 2012 to September 2016), a convenience sample of 1,615 adult residents from the greater NYC area completed validated measures of hurricane exposure (including displacement), perceived stress, depression, anxiety, and post-traumatic stress disorder (PTSD) symptoms as well as indicators of alcohol, illicit substance, and tobacco use. MAIN OUTCOME MEASURES: Perceived stress, depression, anxiety and PTSD symptoms and alcohol, illicit substance, and tobacco use. RESULTS: Multivariable analyses indicated that displaced participants were more likely to have PTSD (adjusted odds ratio [AOR]: 2.21, 95% CI: 1.73-2.82), depression (AOR: 1.37, 95% CI: 1.05-1.79) and anxiety symptoms (AOR: 1.30, 95% CI: 1.01-1.67) and had a 1.16 unit increase in perceived stress score (SE = 0.38) compared to nondisplaced participants. Staying with friends/family versus at a shelter was significantly associated with a 48 percent decreased odds of having PTSD symptoms (AOR: 0.52, 95% CI: 0.31-0.88) and of being a current tobacco user (AOR: 0.52, 95% CI: 0.30-0.92). CONCLUSIONS: Displacement is associated with negative mental health outcomes, particularly displacement to shelters. Disaster preparedness efforts should involve increasing mental health resources to those who are displaced and providing support services within the shelter setting.
Authors: Andrea López-Cepero; H June O'Neill; Abrania Marrero; Luis M Falcon; Martha Tamez; José F Rodríguez-Orengo; Josiemer Mattei Journal: Soc Psychiatry Psychiatr Epidemiol Date: 2022-09-01 Impact factor: 4.519
Authors: Rebecca M Schwartz; Stephanie Tuminello; Samantha M Kerath; Janelle Rios; Wil Lieberman-Cribbin; Emanuela Taioli Journal: Int J Environ Res Public Health Date: 2018-05-13 Impact factor: 3.390
Authors: Shahram Moosavi; Bernard Nwaka; Idowu Akinjise; Sandra E Corbett; Pierre Chue; Andrew J Greenshaw; Peter H Silverstone; Xin-Min Li; Vincent I O Agyapong Journal: Front Psychiatry Date: 2019-09-18 Impact factor: 4.157