Hostname: page-component-586b7cd67f-2plfb Total loading time: 0 Render date: 2024-11-22T23:25:41.687Z Has data issue: false hasContentIssue false

Community Assessment for Public Health Emergency Response (CASPER) One Year Following the Gulf Coast Oil Spill: Alabama and Mississippi, 2011

Published online by Cambridge University Press:  25 September 2012

Danielle Buttke*
Affiliation:
National Center for Environmental Health, Division of Environmental Hazards and Health Effects, Centers for Disease Control and Prevention, Chamblee, Georgia USA
Sara Vagi
Affiliation:
National Center for Environmental Health, Division of Environmental Hazards and Health Effects, Centers for Disease Control and Prevention, Chamblee, Georgia USA
Amy Schnall
Affiliation:
National Center for Environmental Health, Division of Environmental Hazards and Health Effects, Centers for Disease Control and Prevention, Chamblee, Georgia USA
Tesfaye Bayleyegn
Affiliation:
National Center for Environmental Health, Division of Environmental Hazards and Health Effects, Centers for Disease Control and Prevention, Chamblee, Georgia USA
Melissa Morrison
Affiliation:
Career Epidemiology Field Officer (CEFO) Program, Office of Public Health Preparedness and Response, Centers for Disease Control and Prevention, Assigned to the Alabama State Department of Health, Montgomery, Alabama USA
Mardi Allen
Affiliation:
Mississippi Department of Mental Health, Jackson, Mississippi USA
Amy Wolkin
Affiliation:
National Center for Environmental Health, Division of Environmental Hazards and Health Effects, Centers for Disease Control and Prevention, Chamblee, Georgia USA
*
Correspondence: Danielle Buttke, DVM, PhD, MPH National Center for Environmental Health Division of Environmental Hazards and Health Effects Centers for Disease Control and Prevention 4770 Buford Highway NE MS/ F57 Chamblee, GA 30341 USA E-mail [email protected]

Abstract

Background

On April 20, 2010, the Deepwater Horizon drilling unit exploded off the coast of Louisiana, resulting in 11 deaths and the largest marine petroleum release in history. Previous oil spill disasters have been associated with negative mental health outcomes in affected communities. In response to requests from Mississippi and Alabama, potential mental health issues resulting from this event were identified by implementing a novel use of a Community Assessment for Public Health Emergency Response (CASPER) in the months immediately following the Gulf Coast oil spill.

Purpose

This assessment was repeated one year later to determine long-term mental health needs and changes.

Methods

A two-stage sampling method was used to select households, and a questionnaire including the Centers for Disease Control and Prevention's Behavioral Risk Factor Surveillance System (BRFSS) questions was administered. Weighted cluster analysis was conducted, and BRFSS questions were compared to the most recent BRFSS reports and the 2010 results.

Results

In 2011, 8.8%-15.1% of individuals reported depressive symptoms compared to 15.4%–24.5% of individuals in 2010, with 13.2%-20.3% reporting symptoms consistent with an anxiety disorder compared to 21.4%-31.5% of individuals in 2010. Respondents reporting decreased income following the oil spill were more likely to report mental health symptoms compared to respondents reporting no change in income.

Conclusions

Overall, mental health symptoms were higher in the three assessment areas compared to BRFSS reports, but lower than 2010 surveys. These results suggest that mental health services are still needed, particularly in households experiencing decreased income since the oil spill.

ButtkeD, VagiS, SchnallA, BayleyegnT, MorrisonM, AllenM, WolkinA. Community Assessment for Public Health Emergency Response (CASPER) One Year Following the Gulf Coast Oil Spill: Alabama and Mississippi, 2011. Prehosp Disaster Med. 2012;27(6):1-7.

Type
Original Research
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2012

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.Labson, VF, Clark, RN, Swazye, GA, et al. Estimated Minimum Discharge Rates of the Deepwater Horizon Spill—Interim Report to the Flow Rate Technical Group from the Mass Balance Team. Geological Survey Open-File Report 2010-1132:4.CrossRefGoogle Scholar
2.Antonio, FJ, Mendes, RS, Thomaz, SM. Identifying and modeling patterns of tetrapod vertebrate mortality rates in the Gulf of Mexico oil spill. Aquat Toxicol. 2011;105(1-2):177-179.CrossRefGoogle ScholarPubMed
3.Goldstein, BD, Osofsky, HJ, Lichtveld, MY. The Gulf Oil spill. N Engl J Med. 2011;364(14):1334-1348.CrossRefGoogle ScholarPubMed
4.Arata, CM, Picou, JS, Johnson, GD, McNally, TS. Coping with technological disaster: an application of the conservation of resources model to the Exxon Valdez oil spill. J Traumatic Stress. 2000;13(1):23-39.CrossRefGoogle Scholar
5.Institute of Medicine (US) Committee to Review the Federal Response to the Health Effects Associated with the Gulf of Mexico Oil Spill; Goldman L, Mitchell A, Patlak M, editors. Review of the Proposal for the Gulf Long-Term Follow-Up Study: Highlights from the September 2010 Workshop. Washington, DC: National Academies Press (US); 2010.Google Scholar
6.Buttke, D, Vagi, S, Bayleyegn, T, Sircar, K, Strine, T, Morrison, M, Allen, M, Wolkin, A. Mental health needs assessment after the Gulf Coast Oil Spill—Alabama and Mississippi, 2010. Prehosp Disaster Med. [In Press].Google Scholar
7. Department of Health and Human Services (DHHS), Centers for Disease Control and Prevention (CDC). Community Assessment for Public Health Emergency Response (CASPER) Toolkit. http://www.bt.cdc.gov/disasters/surveillance/pdf/CASPER_toolkit_508%20COMPLIANT.pdf. Atlanta: CDC; 2009. Accessed January 3, 2012.Google Scholar
8.Kroenke, K, Spitzer, RL, Williams, JB. The Patient Health Questionnaire-2: validity of a two-item depression screener. Med Care. 2003;41(11):1284-1292.CrossRefGoogle ScholarPubMed
9.Kroenke, K, Spitzer, RL, Williams, JB, et al. Anxiety disorders in primary care: prevalence, impairment, comorbidity, and detection. Ann Intern Med. 2007;146(5):317-325.CrossRefGoogle ScholarPubMed
10. Gulf Coast Business Council Research Foundation. Mississippi Gulf Coast Regional Brief: Second Quarter 2010. http://www.msgcbc.org/docmsgcbc/Regional%20Brief%20-%202Q%202010.pdf. Published August 2010. Accessed November 2, 2010.Google Scholar
11.Bisgaier, J, Rhodes, KV. Cumulative adverse financial circumstances: associations with patient health status and behaviors. Health Soc Work. 2011;36(2):129-137.CrossRefGoogle ScholarPubMed
12.Scutella, R, Wooden, M. The effects of household joblessness on mental health. Soc Sci Med. 2008;67(1):88-100.CrossRefGoogle ScholarPubMed
13.Davalos, ME, French, MT. This recession is wearing me out! Health-related quality of life and economic downturns. J Ment Health Policy Econ. 2011;14(2):61-72.Google ScholarPubMed
14.Chen, J, Vargas-Bustamante, A. Estimating the effects of immigration status on mental health care utilizations in the United States. J Immigr Minor Health. 2011;13(4):671-680.CrossRefGoogle ScholarPubMed
Supplementary material: File

Buttke Supplementary Material

Appendix

Download Buttke Supplementary Material(File)
File 58.4 KB