Hostname: page-component-586b7cd67f-2plfb Total loading time: 0 Render date: 2024-11-25T13:59:44.214Z Has data issue: false hasContentIssue false
  • English
  • Français

Diabetes Care Provided to Children Displaced by Hurricane Katrina

Published online by Cambridge University Press:  17 August 2015

Troy Quast  and
Karoline Mortensen
Troy Quast*
Affiliation:
College of Public Health, University of South Florida, Tampa, Florida
Karoline Mortensen
Affiliation:
School of Business Administration, University of Miami, Coral Gables, Florida.
*
Correspondence and reprint requests to Troy Quast, PhD, University of South Florida, 13201 Bruce B Downs Blvd., MDC 56, Tampa, FL 33612 (e-mail: [email protected]).
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective

Although previous studies have examined the impact of Hurricane Katrina on adults with diabetes, less is known about the effects on children with diabetes and on those displaced by the storm. We analyzed individual-level enrollment and utilization data of children with diabetes who were displaced from Louisiana and were enrolled in the Texas Medicaid Hurricane Katrina emergency waiver (TexKat).

Methods

We compared the utilization and outcomes of children displaced from Louisiana with those of children who lived in areas less affected by Hurricane Katrina. Data from both before and after the storm were used to calculate difference-in-difference estimates of the effects of displacement on the children. We analyzed 4 diabetes management procedures (glycated hemoglobin [HbA1C] tests, eye exams, microalbumin tests, and thyroid tests) and a complication from poor diabetes management (diabetic ketoacidosis).

Results

Children enrolled in the waiver generally did not experience a decrease in care relative to the control group while the waiver program was in effect. After the waiver ended, however, we observed a drop in care and an increase in complications relative to the control group.

Conclusions

Although the waiver appeared to have been largely successful immediately following Katrina, future waivers may be improved by ensuring that enrollees continue to receive care after the waivers expire. (Disaster Med Public Health Preparedness. 2015;9:480–483)

Keywords

Hurricane Katrinadisasterdiabeteschildren
Type
Brief Reports
Information
Disaster Medicine and Public Health Preparedness , Volume 9 , Issue 5 , October 2015 , pp. 480 - 483
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2015 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Groen, J, Polivka, A. Hurricane Katrina evacuees: who they are, where they are, and how they are faring. Mon Labor Rev. 2007;131(3):32-51.Google Scholar
2. Cefalu, WT, Smith, SR, Blonde, L, Fonseca, V. The Hurricane Katrina aftermath and its impact on diabetes care: observations from “ground zero”: lessons in disaster preparedness of people with diabetes. Diabetes Care. 2006;29(1):158-160.CrossRefGoogle ScholarPubMed
3. Renukuntla, VS, Hassan, K, Wheat, S, Heptulla, RA. Disaster preparedness in pediatric Type 1 diabetes mellitus. Pediatrics. 2009;124(5):e973-e977.Google Scholar
4. Zuckerman, S, Coughlin, T. Initial health policy responses to Hurricane Katrina and possible next steps. Urban Institute. http://www.urban.org/publications/900929.html. Published February 17, 2006. Accessed February 11, 2010.Google Scholar
5. Quast, T, Mortensen, K. Enrollment patterns in the Texas Medicaid emergency waiver following Hurricane Katrina. J Public Health Manage Pract. 2013;19(5):s91-s92.Google Scholar
6. Thethi, TK, Yau, LC, Shi, L, et al. Time to recovery in diabetes and comorbidities following Hurricane Katrina. Disaster Med Public Health Prep. 2010;4:S33-S38.Google Scholar
7. Fonseca, VA, Smith, H, Kuhadiya, N, et al. Impact of a natural disaster on diabetes: exacerbation of disparities and long-term consequences. Diabetes Care. 2009;32(9):1632-1638.CrossRefGoogle ScholarPubMed
8. Lambrew, J, Shalala, D. Federal health policy response to Hurricane Katrina: what it was and what it could have been. JAMA. 2006;296(11):1394-1397.Google Scholar
9. Wizemann, T, Altefogt, B. Post-Incident Recovery Considerations of the Health Care Service Delivery Infrastructure. Washington, DC: The National Academies Press; 2012.Google Scholar
10. US Department of Health and Human Services. The Affordable Care Act supports patient-centered medical homes in health centers. http://www.hhs.gov/news/press/2014pres/08/20140826a.html. Published August 26, 2014. Accessed July 27, 2015.Google Scholar