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Understanding Associations Between Hurricane Harvey Exposure and Mental Health Symptoms Among Greater Houston-Area Residents

Published online by Cambridge University Press:  05 February 2020

Kristin Bevilacqua Open the ORCID record for Kristin Bevilacqua [Opens in a new window] ,
Rehana Rasul ,
Samantha Schneider ,
Maria Guzman ,
Vishnu Nepal ,
Deborah Banerjee ,
Joann Schulte  and
Rebecca M. Schwartz
Kristin Bevilacqua*
Affiliation:
Department of Occupational Medicine, Epidemiology, and Prevention, Northwell Health, Great Neck, NY Joint Center for Trauma, Disaster Health and Resilience at Mount Sinai, Stony Brook University, Northwell Health, Great Neck, NY
Rehana Rasul
Affiliation:
Department of Occupational Medicine, Epidemiology, and Prevention, Northwell Health, Great Neck, NY Joint Center for Trauma, Disaster Health and Resilience at Mount Sinai, Stony Brook University, Northwell Health, Great Neck, NY Department of Biostatistics, Feinstein Institute of Medication Research at Northwell Health, Great Neck, NY
Samantha Schneider
Affiliation:
Department of Occupational Medicine, Epidemiology, and Prevention, Northwell Health, Great Neck, NY Joint Center for Trauma, Disaster Health and Resilience at Mount Sinai, Stony Brook University, Northwell Health, Great Neck, NY
Maria Guzman
Affiliation:
Department of Occupational Medicine, Epidemiology, and Prevention, Northwell Health, Great Neck, NY Joint Center for Trauma, Disaster Health and Resilience at Mount Sinai, Stony Brook University, Northwell Health, Great Neck, NY
Vishnu Nepal
Affiliation:
Houston Health Department, Houston, TX
Deborah Banerjee
Affiliation:
Houston Health Department, Houston, TX
Joann Schulte
Affiliation:
Houston Health Department, Houston, TX
Rebecca M. Schwartz
Affiliation:
Department of Occupational Medicine, Epidemiology, and Prevention, Northwell Health, Great Neck, NY Joint Center for Trauma, Disaster Health and Resilience at Mount Sinai, Stony Brook University, Northwell Health, Great Neck, NY Department of Population Health Science and Policy, Institute of Translational Epidemiology, The Icahn School of Medicine at Mount Sinai, New York, NY Department of Occupational Medicine, Epidemiology, and Prevention, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY
*
Correspondence and reprint requests to Kristin Bevilacqua, 175 Community Drive, Great Neck, NY 11021 (e-mail: [email protected]).
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Abstract

Objective:

Hurricane Harvey made landfall on August 25, 2017 and resulted in widespread flooding in Houston and the surrounding areas. This study aimed to explore the associations between exposure to Hurricane Harvey and various mental health symptoms.

Methods:

Self-reported demographics, hurricane exposure, and mental health symptomatology were obtained from residents of the greater Houston area through convenience sampling for a pilot study, 5 months after the storm from January 25-29, 2018 (N = 161).

Results:

Increased hurricane exposure score was significantly associated with increased odds for probable depression, probable anxiety, and probable posttraumatic stress disorder after adjusting for other factors associated with mental health. No significant associations were found between demographic characteristics and risk of mental health difficulties.

Conclusions:

Mental health difficulties associated with exposure to Hurricane Harvey were still present 5 months after the storm. Future disaster response programs should focus on providing long-term mental health services to hurricane survivors.

Keywords

disaster medicinehurricanesmental healthvulnerable populations
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 14 , Issue 1 , February 2020 , pp. 103 - 110
Copyright
© 2020 Society for Disaster Medicine and Public Health, Inc.

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References

REFERENCES

CNN. Hurricane Harvey aftermath. Published August 27, 2017. https://www.cnn.com/specials/us/hurricane-harvey. Accessed January 9, 2019.Google Scholar
Garfield, L. Business Insider. Houston was a ticking time-bomb for a devastating hurricane like Harvey. Published August 28, 2017. https://www.businessinsider.com/hurricane-harvey-why-houston-flooded-2017-8. Accessed January 9, 2019.Google Scholar
Zelinsky, B. National Hurricane Center. Tropical Cyclone Report Hurricane Harvey; 2018. https://www.nhc.noaa.gov/data/tcr/AL092017_Harvey.pdf. Accessed June 15, 2018.Google Scholar
Fergusson, DM, Horwood, LJ, Boden, JM, Mulder, RT. Impact of a major disaster on the mental health of a well-studied cohort. JAMA Psychiatry. 2014;71(9):1025–1031. doi: 10.1001/jamapsychiatry.2014.652.CrossRefGoogle Scholar
Lieberman-Cribbin, W, Liu, B, Schneider, S, et al.Self-reported and FEMA flood exposure assessment after Hurricane Sandy: association with mental health outcomes. PLoS One. 2017;12(1):e0170965. doi: 10.1371/journal.pone.0170965.CrossRefGoogle ScholarPubMed
Maclean, JC, Popovici, I, French, MT. Are natural disasters in early childhood associated with mental health and substance use disorders as an adult? Soc Sci Med 1982. 2016;151:78–91. doi: 10.1016/j.socscimed.2016.01.006.Google Scholar
Norris, FH, Rosen, CS. Innovations in disaster mental health services and evaluation: national, state, and local responses to Hurricane Katrina (introduction to the special issue). Adm Policy Ment Health Serv Res. 2009;36(3):159–164. doi: 10.1007/s10488-009-0218-y.CrossRefGoogle Scholar
Schwartz, RM, Liu, B, Sison, C, et al.Study design and results of a population-based study on perceived stress following Hurricane Sandy. Disaster Med Public Health Prep. 2016;10(3):325–332. doi: 10.1017/dmp.2015.157.CrossRefGoogle Scholar
Schwartz, RM, Rothenberg, P, Kerath, SM, et al.The lasting mental health effects of Hurricane Sandy on residents of the Rockaways. J Emerg Manag West Mass. 2016;14(4):269–279. doi: 10.5055/jem.2016.0292.Google ScholarPubMed
Schwartz, RM, Rasul, R, Kerath, SM, et al.Displacement during Hurricane Sandy: the impact on mental health. J Emerg Manag West Mass. 2018;16(1):17–27. doi: 10.5055/jem.2018.0350.Google ScholarPubMed
Schwartz, RM, Gillezeau, CN, Liu, B, et al.Longitudinal impact of Hurricane Sandy exposure on mental health symptoms. Int J Environ Res Public Health. 2017;14(9):957. doi: 10.3390/ijerph14090957.CrossRefGoogle ScholarPubMed
Schwartz, RM, Sison, C, Kerath, SM, et al.The impact of Hurricane Sandy on the mental health of New York area residents. Am J Disaster Med. 2015;10(4):339–346. doi:10.5055/ajdm.2015.0216CrossRefGoogle ScholarPubMed
Stein, DJ, Chiu, WT, Hwang, I, et al.Cross-national analysis of the associations between traumatic events and suicidal behavior: findings from the WHO World Mental Health Surveys. PLoS One. 2010;5(5):e10574. doi: 10.1371/journal.pone.0010574.CrossRefGoogle ScholarPubMed
Thienkrua, W, Cardozo, BL, Chakkraband, MLS, et al.Symptoms of posttraumatic stress disorder and depression among children in tsunami-affected areas in southern Thailand. JAMA. 2006;296(5):549–559. doi: 10.1001/jama.296.5.549.CrossRefGoogle ScholarPubMed
La Greca, A, Silverman, WK, Wasserstein, SB. Children’s predisaster functioning as a predictor of posttraumatic stress following Hurricane Andrew. J Consult Clin Psychol. 1998;66(5):883–893.10.1037/0022-006X.66.6.883CrossRefGoogle ScholarPubMed
Neria, Y, Shultz, JM. Mental health effects of Hurricane Sandy: characteristics, potential aftermath, and response. JAMA. 2012;308(24):2571–2572. doi: 10.1001/jama.2012.110700.CrossRefGoogle ScholarPubMed
Sattler, DN, Preston, AJ, Kaiser, CF, et al.Hurricane Georges: a cross-national study examining preparedness, resource loss, and psychological distress in the U.S. Virgin Islands, Puerto Rico, Dominican Republic, and the United States. J Trauma Stress. 2005;15(5):339–350. doi: 10.1023/A:1020138022300.CrossRefGoogle Scholar
van Griensven, F, Chakkraband, MLS, Thienkrua, W, et al.Mental health problems among adults in tsunami-affected areas in southern Thailand. JAMA. 2006;296(5):537–548. doi: 10.1001/jama.296.5.537.CrossRefGoogle ScholarPubMed
Quinn, L. Why is Houston so prone to major flooding? Published August 28, 2017. https://www.cbsnews.com/news/harvey-why-is-houston-so-prone-to-major-flooding/. Accessed January 9, 2019.Google Scholar
U.S. Census Bureau QuickFacts: Houston city, Texas. United States census. Published 2017. https://www.census.gov/quickfacts/fact/table/houstoncitytexas/PST045217. Accessed January 9, 2019.Google Scholar
Mejia, B. How Houston has become the most diverse place in America. Los Angeles Times. Published May 9, 2017. http://www.latimes.com/nation/la-na-houston-diversity-2017-htmlstory.html#. Accessed June 15, 2018.Google Scholar
Klineberg, S. The 2018 Kinder Houston Area Survey: tracking responses to income inequalities, demographic transformations, and threatening storms. Houston, TX: Rice University Kinder Institute for Urban Research. 2018. https://kinder.rice.edu/sites/g/files/bxs1676/f/documents/Kinder%20Houston%20Area%20Survey%202018.pdf. Accessed June 15, 2018.Google Scholar
Toldson, IA, Ray, K, Hatcher, SS, Straughn Louis, L. Examining the long-term racial disparities in health and economic conditions among Hurricane Katrina survivors: policy implications for Gulf Coast recovery. J Black Stud. 2011;42(3):360–378. doi: 10.1177/0021934710372893.CrossRefGoogle ScholarPubMed
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. doi: 10.1176/appi.ajp.2007.07030502.CrossRefGoogle ScholarPubMed
Fussell, E, Sastry, N, VanLandingham, M. Race, socioeconomic status, and return migration to New Orleans after Hurricane Katrina. Popul Environ. 2010;31(1-3):20–42. doi: 10.1007/s11111-009-0092-2.CrossRefGoogle ScholarPubMed
Shultz, JM, Galea, S. Mitigating the mental and physical health consequences of Hurricane Harvey. JAMA. 2017;318(15):1437–1438. doi: 10.1001/jama.2017.14618.CrossRefGoogle ScholarPubMed
Taioli, E, Tuminello, S, Lieberman-Cribbin, W, et al.Mental health challenges and experiences in displaced populations following Hurricane Sandy and Hurricane Harvey: the need for more comprehensive interventions in temporary shelters. J Epidemiol Community Health. 2018;72(10):867–870. doi: 10.1136/jech-2018-210626.CrossRefGoogle ScholarPubMed
Harville, EW, Xiong, X, Smith, BW, et al.Combined effects of Hurricane Katrina and Hurricane Gustav on the mental health of mothers of small children. J Psychiatr Ment Health Nurs. 2011;18(4):288–296. doi: 10.1111/j.1365-2850.2010.01658.x.CrossRefGoogle ScholarPubMed
Norris, FH, Perilla, JL, Riad, JK, et al.Stability and change in stress, resources, and psychological distress following natural disaster: findings from Hurricane Andrew. Anxiety Stress Coping. 1999;12(4):363–396. doi: 10.1080/10615809908249317.CrossRefGoogle ScholarPubMed
Blevins, CA, Weathers, FW, Davis, MT, et al.The posttraumatic stress disorder checklist for DSM-5 (PCL-5): development and initial psychometric evaluation. J Trauma Stress. 2015;28(6):489–498. doi: 10.1002/jts.22059.CrossRefGoogle ScholarPubMed
Cohen, S, Kamarck, T, Mermelstein, R. A global measure of perceived stress. J Health Soc Behav. 1983;24(4):385–396.10.2307/2136404CrossRefGoogle ScholarPubMed
Löwe, B, Decker, O, Müller, S, et al.Validation and standardization of the generalized anxiety disorder screener (GAD-7) in the general population. Med Care. 2008;46(3):26–274.10.1097/MLR.0b013e318160d093CrossRefGoogle Scholar
Martin, A, Rief, W, Klaiberg, A, Braehler, E. Validity of the brief Patient Health Questionnaire Mood Scale (PHQ-9) in the general population. Gen Hosp Psychiatry. 2006;28(1):71–77. doi: 10.1016/j.genhosppsych.2005.07.003.CrossRefGoogle Scholar
Weathers, FW, Litz, BT, Herman, DS, et al. The PTSD Checklist (PCL): Reliability, Validity, and Diagnostic Utility. Annual Convention of the International Society for Traumatic Stress Studies, Vol. 462. San Antonio, Texas, October 24, 1993.Google Scholar
Services USD of H and H, Agriculture USD of. Dietary guidelines for Americans 2015-2020. Washington, DC: Skyhorse Publishing; 2017.Google Scholar
SAMHSA. SBIRT: a resource toolkit for behavioral health providers to begin the conversation with federally qualified healthcare centers. n. d. https://www.integration.samhsa.gov/SBIRT_Toolkit_for_working_with_FQHCs.pdf. Accessed June 15, 2018.Google Scholar
Pomerleau, K. Tax Foundation. 2017 tax brackets. 2016. https://files.taxfoundation.org/20170123140911/TaxFoundation-FF534.pdf. Accessed June 15, 2018.Google Scholar
World Health Organization and Centers for Disease Control (U.S.). Tobacco questions for surveys: a subset of key questions from the Global Adult Tobacco Survey (GATS): Global Tobacco Surveillance System. 2011. http://www.who.int/iris/handle/10665/87331. Accessed June 15, 2018.Google Scholar
R Core Team. R: a language and environment for statistical computing. Vienna, Austria; n. d. https://www.R-project.org/. Accessed June 15, 2018.Google Scholar
Kahle, D, Wickham, H. ggmap: spatial visualization with ggplot2. R J. 2013;5(1):144–161.10.32614/RJ-2013-014CrossRefGoogle Scholar
Sastry, N, VanLandingham, M. One year later: mental illness prevalence and disparities among New Orleans residents displaced by Hurricane Katrina. Am J Public Health. 2009;99(Suppl 3):S725–S731. doi: 10.2105/AJPH.2009.174854.CrossRefGoogle ScholarPubMed
Subaiya, S, Moussavi, C, Velasquez, A, Stillman, J. A rapid needs assessment of the Rockaway Peninsula in New York City after Hurricane Sandy and the relationship of socioeconomic status to recovery. Am J Public Health. 2014;104(4):632–638. doi: 10.2105/AJPH.2013.301668.CrossRefGoogle Scholar
Andone, D. CNN. Why didn’t Houston evacuate? Published August 29, 2017. https://www.cnn.com/2017/08/27/us/houston-evacuation-hurricane-harvey/index.html. Accessed January 9, 2019.Google Scholar
Schwartz, RM, Tuminello, S, Kerath, SM, et al.Preliminary assessment of Hurricane Harvey exposures and mental health impact. Int J Environ Res Public Health. 2018;15(5):974. doi: 10.3390/ijerph15050974.CrossRefGoogle ScholarPubMed
Fothergill, A. The neglect of gender in disaster work: an overview of the literature. In: Enarson, EP, Morrow, BH, editors. Gendered Terrain Disaster Women’s Eyes. Westport, CT: Praeger Publishing; 1998:11–25.Google Scholar
Neumayer, E, Plümper, T. The gendered nature of natural disasters: the impact of catastrophic events on the gender gap in life expectancy, 1981-2002. Ann Assoc Am Geogr. 2007;97(3):551–566. doi: 10.1111/j.1467-8306.2007.00563.x.CrossRefGoogle Scholar
Bateman, M, Edwards, B. Gender and evacuation: a closer look at why women are more likely to evacuate for hurricanes. Nat Hazards Rev. 2002;3(3):107–117. doi: 10.1061/(ASCE)1527-6988(2002)3:3(107).CrossRefGoogle Scholar
Bolin, R, Jackson, M, Crist, A. The gendered terrain of disasters: through women’s eyes. In: Elaine, E, Morrow, BH, eds. Gender Inequality, Vulnerability, and Disasters: Theoretical and Empirical Considerations. Westport, CT: Praeger; 1996:27–44.Google Scholar
Gladwin, H, Peacock, WG. Warning and evacuation: a night for hard houses. In: Gladwin, H, Peacock, WG, editors. Hurricane Andrew: Ethnicity, Gender, and the Sociology of Disasters. New York: Routledge; 1997:52–74.Google Scholar
Rasul, R. Linkage to mental health care in the Rockaways after Hurricane Sandy. Oral presentation presented at the American Public Health Association Annual Meeting, November 6, 2017, Atlanta, GA.Google Scholar