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Perceived Service Need After Hurricane Sandy in a Representative Sample of Survivors: The Roles of Community-Level Damage and Individual-Level Stressors

Published online by Cambridge University Press:  25 April 2016

Laura Sampson ,
Sarah R. Lowe ,
Oliver Gruebner ,
Gregory H. Cohen  and
Sandro Galea
Laura Sampson*
Affiliation:
Department of Epidemiology, Boston University School of Public Health, Boston, Massachusetts
Sarah R. Lowe
Affiliation:
Department of Psychology, Montclair State University, Montclair, New Jersey
Oliver Gruebner
Affiliation:
Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Harvard University, Boston, Massachusetts
Gregory H. Cohen
Affiliation:
Department of Epidemiology, Boston University School of Public Health, Boston, Massachusetts Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York.
Sandro Galea
Affiliation:
Department of Epidemiology, Boston University School of Public Health, Boston, Massachusetts Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York.
*
Correspondence and reprint requests to Laura Sampson, Boston University, Department of Epidemiology, 715 Albany St, Boston, MA 02118 (e-mail: [email protected]).
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Abstract

Objective

We aimed to explore how individually experienced disaster-related stressors and collectively experienced community-level damage influenced perceived need for mental health services in the aftermath of Hurricane Sandy.

Methods

In a cross-sectional study we analyzed 418 adults who lived in the most affected areas of New York City at the time of the storm. Participants indicated whether they perceived a need for mental health services since the storm and reported on their exposure to disaster-related stressors (eg, displacement, property damage). We located participants in communities (n=293 census tracts) and gathered community-level demographic data through the US Census and data on the number of damaged buildings in each community from the Federal Emergency Management Agency Modeling Task Force.

Results

A total of 7.9% of participants reported mental health service need since the hurricane. Through multilevel binomial logistic regression analysis, we found a cross-level interaction (P=0.04) between individual-level exposure to disaster-related stressors and community-level building damage. Individual-level stressors were significantly predictive of individual service needs in communities with building damage (adjusted odds ratio: 2.56; 95% confidence interval: 1.58-4.16) and not in communities without damage.

Conclusion

Individuals who experienced individual stressors and who lived in more damaged communities were more likely to report need for services than were other persons after Hurricane Sandy. (Disaster Med Public Health Preparedness. 2016;10:428–435)

Keywords

community mental health serviceshurricanestress disorderspost-traumatic
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 10 , Special Issue 3: Superstorm Sandy , June 2016 , pp. 428 - 435
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2016 

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References

1. Guha-Sapir, D, Hoyois, P, Below, R. Annual Disaster Statistical Review 2013: The Numbers and Trends. Brussels, Belgium: Centre for Research on the Epidemiology of Disasters (CRED), Université Catholique de Louvain; September 2014.Google Scholar
2. Galea, S, Nandi, A, Vlahov, D. The epidemiology of post-traumatic stress disorder after disasters. Epidemiol Rev. 2005;27(1):78-91. http://dx.doi.org/10.1093/epirev/mxi003.CrossRefGoogle ScholarPubMed
3. Weathers, FW, Blake, DD, Schnurr, PP, et al. The Life Events Checklist for DSM-5 (LEC-5). http://www.ptsd.va.gov/professional/assessment/te-measures/life_events_checklist.asp. Last updated February 23, 2016. Accessed April 6, 2016.Google Scholar
4. Neria, Y, Nandi, A, Galea, S. Post-traumatic stress disorder following disasters: a systematic review. Psychol Med. 2008;38(4):467-480. http://dx.doi.org/10.1017/S0033291707001353.Google Scholar
5. Boscarino, JA, Hoffman, SN, Adams, RE, et al. Mental health outcomes among vulnerable residents after Hurricane Sandy: implications for disaster research and planning. Am J Disaster Med. 2014;9(2):107-120. http://dx.doi.org/10.5055/ajdm.2014.0147.Google Scholar
6. Boscarino, JA, Hoffman, SN, Kirchner, HL, et al. Mental health outcomes at the Jersey Shore after Hurricane Sandy. Int J Emerg Ment Health. 2013;15(3):147-158.Google Scholar
7. Kessler, RC, Galea, S, Gruber, MJ, et al. Trends in mental illness and suicidality after Hurricane Katrina. Mol Psychiatry. 2008;13(4):374-384. http://dx.doi.org/10.1038/sj.mp.4002119.CrossRefGoogle ScholarPubMed
8. Weisler, RH, Barbee, JG, Townsend, MH. Mental health and recovery in the gulf coast after Hurricanes Katrina and Rita. JAMA. 2006;296(5):585-588. http://dx.doi.org/10.1001/jama.296.5.585.Google Scholar
9. Pietrzak, RH, Southwick, SM, Tracy, M, et al. Posttraumatic stress disorder, depression, and perceived needs for psychological care in older persons affected by Hurricane Ike. J Affect Disord. 2012;138(1-2):96-103. http://dx.doi.org/10.1016/j.jad.2011.12.018.CrossRefGoogle ScholarPubMed
10. Wang, PS, Aguilar-Gaxiola, S, Alonso, J, et al. Use of mental health services for anxiety, mood, and substance disorders in 17 countries in the WHO world mental health surveys. Lancet. 2007;370(9590):841-850. http://dx.doi.org/10.1016/S0140-6736(07)61414-7.Google Scholar
11. Wang, PS, Gruber, MJ, Powers, RE, et al. Disruption of existing mental health treatments and failure to initiate new treatment after Hurricane Katrina. Am J Psychiatry. 2008;165(1):34-41. http://dx.doi.org/10.1176/appi.ajp.2007.07030502.CrossRefGoogle ScholarPubMed
12. Wang, PS, Lane, M, Olfson, M, et al. Twelve-month use of mental health services in the united states: results from the national comorbidity survey replication. Arch Gen Psychiatry. 2005;62(6):629-640. http://dx.doi.org/10.1001/archpsyc.62.6.629.Google Scholar
13. Goldmann, E, Galea, S. Mental health consequences of disasters. Annu Rev Public Health. 2014;35(1):169-183. http://dx.doi.org/10.1146/annurev-publhealth-032013-182435.CrossRefGoogle ScholarPubMed
14. Maguen, S, Neria, Y, Conoscenti, LM, et al. Depression and prolonged grief in the wake of disasters. In: Neria Y, Galea S, Norris FH, eds. Mental Health and Disasters. Cambridge, United Kingdom: Cambridge University Press; 2009:116-130. http://dx.doi.org/10.1017/CBO9780511730030.007.Google Scholar
15. Frankenberg, E, Nobles, J, Sumantri, C. Community destruction and traumatic stress in post-tsunami Indonesia. J Health Soc Behav. 2012;53(4):498-514. http://dx.doi.org/10.1177/0022146512456207.Google Scholar
16. Phifer, JF, Norris, FH. Psychological symptoms in older adults following natural disaster: nature, timing, duration, and course. J Gerontol. 1989;44(6):S207-S212. http://dx.doi.org/10.1093/geronj/44.6.S207.Google Scholar
17. Hobfoll, SE. Conservation of resources. A new attempt at conceptualizing stress. Am Psychol. 1989;44(3):513-524. http://dx.doi.org/10.1037/0003-066X.44.3.513.Google Scholar
18. Wind, TR, Komproe, IH. The mechanisms that associate community social capital with post-disaster mental health: a multilevel model [published correction appears in Soc Sci Med. 2014;110:64]. Soc Sci Med. 2012;75(9):1715-1720. http://dx.doi.org/10.1016/j.socscimed.2012.06.032.CrossRefGoogle ScholarPubMed
19. Ursano, RJ, McKibben, JBA, Reissman, DB, et al. Posttraumatic stress disorder and community collective efficacy following the 2004 Florida hurricanes. PLoS One. 2014;9(2):e88467. http://dx.doi.org/10.1371/journal.pone.0088467.CrossRefGoogle ScholarPubMed
20. Centers for Disease Control and Prevention. Deaths associated with Hurricane Sandy — October–November 2012. MMWR Morb Mortal Wkly Rep. 2013;62(20):393-397.Google Scholar
21. New estimate for economic damage from Sandy: $50B. USA Today. http://www.usatoday.com/story/news/nation/2012/11/01/sandy-damage-50-billion/1674371/. Published November 1, 2012. Accessed April 6, 2016.Google Scholar
22. Toro, R. Hurricane Sandy’s Impact. http://www.livescience.com/40774-hurricane-sandy-s-impact-infographic.html. Published October 29, 2013. Accessed May 4, 2015.Google Scholar
23. Goldstein, W, Peterson, A, Zarrilli, DA. One City, Rebuilding Together: A Report on the City of New York’s Response to Hurricane Sandy and the Path Forward. http://www1.nyc.gov/assets/home/downloads/pdf/reports/2014/sandy_041714.pdf. Published April 2014. Accessed April 6, 2016.Google Scholar
24. New York City Community Development Block Grant-Disaster Recovery [NYC CDBG-DR]. Partial Action Plan A. City of New York website. http://www.nyc.gov/html/cdbg/html/home/home.shtml. Accessed April 6, 2016.Google Scholar
25. Kroenke, K, Spitzer, RL, Williams, JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001;16(9):606-613. http://dx.doi.org/10.1046/j.1525-1497.2001.016009606.x.CrossRefGoogle ScholarPubMed
26. Weathers, FW, Litz, BT, Keane, TM, et al. The PTSD Checklist for DSM-5 (PCL-5). http://www.ptsd.va.gov/professional/assessment/adult-sr/ptsd-checklist.asp. Last updated March 4, 2016. Accessed April 6, 2016.Google Scholar
27. Diagnostic and Statistical Manual of Mental Disorders: DSM-5. Washington, DC: American Psychiatric Association; 2013.Google Scholar
28. Tracy, M, Norris, FH, Galea, S. Differences in the determinants of posttraumatic stress disorder and depression after a mass traumatic event. Depress Anxiety. 2011;28(8):666-675. http://dx.doi.org/10.1002/da.20838.Google Scholar
29. FEMA Modeling Task Force. Hurricane Sandy Impact Analysis GIS datasets. February 14, 2013. Denver, CO: FEMA MOTF; 2013.Google Scholar
30. QGIS Geographic Information System [computer program]. Beaverton, OR: Open Source Geospatial Foundation Project; 2014.Google Scholar
31. Infoshare. Online/Community Studies of New York, Inc. Area comparison table [Data file]. http://www.infoshare.org.Google Scholar
32. US Census Bureau. American Community Survey 2007-2011. https://www.census.gov/programs-surveys/acs/data.html.Google Scholar
33. SAS 9.4 Software [computer program]. Version 9.4. Cary, NC: SAS Institute Inc; 2013.Google Scholar
34. Ehlers, A, Hackmann, A, Steil, R, et al. The nature of intrusive memories after trauma: the warning signal hypothesis. Behav Res Ther. 2002;40(9):995-1002. http://dx.doi.org/10.1016/S0005-7967(01)00077-8.CrossRefGoogle ScholarPubMed
35. Tipson, FS. Natural Disasters as Threats to Peace. Washington, DC: United States Institute of Peace; 2013.Google Scholar
36. Field, CB, Barros, V, Stocker, TF, et al, eds. Managing the Risks of Extreme Events and Disasters to Advance Climate Change Adaptation. Cambridge, United Kingdom: Cambridge University Press; 2012. http://dx.doi.org/10.1017/CBO9781139177245.CrossRefGoogle Scholar
37. North, CS, Pfefferbaum, B. Mental health response to community disasters: a systematic review. JAMA. 2013;310(5):507-518. http://dx.doi.org/10.1001/jama.2013.107799.Google Scholar