Hurricane Experiences Research Articles

Climate change and extreme weather disasters: evacuation stress is associated with youths' somatic complaints.

Climate-change has brought about more frequent extreme-weather events (e.g., hurricanes, floods, and wildfires) that may require families to evacuate, without knowing precisely where and when the potential disaster will strike. Recent research indicates that evacuation is stressful for families and is associated with psychological distress. Yet, little is known about the potential impact of evacuation stressors on child health. After Hurricane Irma, which led to a mass evacuation in Florida, we examined whether evacuation stressors and hurricane exposure were uniquely associated with youth somatic complaints, and whether youth psychological distress (i.e., symptoms of posttraumatic stress, anxiety, and depression) served as a potential mediating pathway between evacuation stressors, hurricane experiences, and somatic complaints. Three months after Irma, 226 mothers of youth aged 7-17 years (N=226; M age = 9.76 years; 52% boys; 31% Hispanic) living in the five southernmost Florida counties reported on evacuation stressors, hurricane-related life threat and loss/disruption, and their child's psychological distress and somatic complaints using standardized measures. Structural equation modeling revealed a good model fit (χ2 = 32.24, p = 0.003, CFI = 0.96, RMSEA = 0.08, SRMR = 0.04). Even controlling for life-threatening hurricane experiences (β = 0.26) and hurricane loss and disruption (β = 0.26), greater evacuation stressors were associated with greater symptoms of youth psychological distress (β = 0.34; p's < 0.001), and greater psychological distress was associated with more somatic complaints (β = 0.67; p < 0.001). Indirect effects revealed that evacuation stressors (p < 0.001), actual life-threatening events (p < 0.01), and loss and disruption (p < 0.01) were all uniquely and indirectly associated with youths' somatic complaints via youth psychological distress. Findings suggest that even coping with the threat of a disaster may be sufficient to prompt psychological and physical health symptoms in youth. Due in part to climate change, threats of disaster occur much more often than actual disaster exposure, especially for areas that are prone to hurricanes or wildfires. Preparing youth and families residing in vulnerable areas for potential disaster evacuation or sheltering-in-place appears critical. Encouraging families to develop Disaster Plans and teaching stress management skills may reduce both youth distress and somatic health problems.

Pregnant Women's Experiences During and After Hurricanes Irma and Maria, Pregnancy Risk Assessment Monitoring System, Puerto Rico, 2018.

Exposure to natural disasters during and after pregnancy may increase adverse mental health outcomes. Hurricanes Irma and Maria struck Puerto Rico in September 2017. Our objectives were to understand hurricane-related experiences, maternal health concerns, and the impact of hurricane experiences on postpartum depressive symptoms (PDS). We used data from the 2018 Pregnancy Risk Assessment Monitoring System to describe differences in maternal hurricane experiences among women who were pregnant during and after the 2017 hurricanes. We assessed maternal concerns and PDS. We estimated adjusted prevalence ratios (aPRs) and 95% CIs for the associations between hurricane experiences and PDS. The most frequently reported hurricane experiences were losing power for ≥1 week (97%) and feeling unsafe due to lack of order/security (70%). Almost 30% of women who were pregnant during the hurricanes reported missing prenatal care. PDS were reported by 13% of women. Most hurricane experiences were associated with an increased prevalence of PDS. Feeling unsafe (aPR = 2.4; 95% CI, 1.2-4.9) and having difficulty getting food (aPR = 2.1; 95% CI, 1.1-4.1) had the strongest associations. Most women who were pregnant during or after hurricanes Irma and Maria struck Puerto Rico reported negative hurricane experiences, and most experiences were associated with an increased prevalence of PDS. Understanding the experiences of pregnant women during and after disasters and identifying risks for adverse mental health outcomes after pregnancy are important to inform emergency preparedness and prenatal and postpartum care.

Evacuation- and hurricane-related experiences, emotional distress, and their associations with mothers' health risk behaviors.

Extreme weather events pose major risks to human health and have a greater psychological impact on women and parents, but little is known about how they affect health risk behaviors. This study evaluated how disaster-related experiences before, during, and after Hurricane Irma were associated with mothers' health-risk behaviors, and the extent to which posttraumatic stress symptoms (PTSS) and depressive symptoms potentially mediated these relationships. Mothers (N = 534; 33% underrepresented minorities) residing in Southern Florida completed an online survey about their evacuation experiences before and hurricane experiences during and after Irma. Mothers also completed measures of PTSS, depressive symptoms, and health risk behaviors (i.e., substance use, sedentary behaviors, and difficulty falling or staying asleep). Confirmatory factor analysis assessed the fit of the health-risk behavior indicators on a latent factor. Structural equation modeling evaluated relationships between variables. A one-factor model for health risk behaviors fit the data well. After controlling for income, loss and disruption after the storm and depressive symptoms were directly associated with mothers' health risk behaviors. Before-the-storm evacuation stressors, actual life-threatening events during the storm, and loss and disruption after the storm were related to mothers' PTSS and depressive symptoms and also associated with health risk behaviors indirectly via depressive symptoms. Stressful experiences before, during, and after hurricanes are associated with mothers' health-risk behaviors via postevent emotional distress. Health interventions should include strategies that help parents cope with the impact of extreme weather events, both before and after such events occur. Mothers' distress potentially could affect child health. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Religiosity and Perceived Social Support Enhance Older Adults’ Resilience after the 2016 Flood

In 2016, catastrophic flooding destroyed homes and property across south Louisiana. This study is part of a larger program of research that addresses the role of prior hurricane and flood experiences on current health and well-being in later life. Participants were predominately middle-aged and older adults who varied in current and prior severe weather experiences (M age=49.6 years, age range 18-88 years). All were tested during the immediate aftermath of the 2016 flood (Wave 1; N=223) and most participated in a follow-up assessment 9 (+/- 3) months later (Wave 2; N=202). Cherry et al. (2021) reported that greater flood stressors at Wave 1, such as displacement, flood-related losses, and damage to homes and property, were associated with more symptoms of post-traumatic stress disorder (PTSD). In this study, we tested the hypothesis that age, religiosity, and perceived social support would be positively associated with post-flood resilience at the Wave 2 follow-up. Results indicated that age was positively associated with religiosity and resilience, and negatively correlated with symptoms of PTSD. Additionally, faith community involvement, non-organizational religiosity, and religious beliefs and practices were all significantly correlated with post-flood resilience. Perceived social support was positively associated with resilience, and inversely correlated with PTSD symptoms. These data suggest that religiosity and perceived social support are valuable resources that foster post-disaster resilience among middle aged and older adults. Implications of these data for current views on age-related strengths and vulnerabilities after severe weather events are discussed.

Neural vulnerability and hurricane-related media are associated with post-traumatic stress in youth.

The human toll of disasters extends beyond death, injury and loss. Post-traumatic stress (PTS) can be common among directly exposed individuals, and children are particularly vulnerable. Even children far removed from harm's way report PTS, and media-based exposure may partially account for this phenomenon. In this study, we examine this issue using data from nearly 400 9- to 11-year-old children collected before and after Hurricane Irma, evaluating whether pre-existing neural patterns moderate associations between hurricane experiences and later PTS. The 'dose' of both self-reported objective exposure and media exposure predicted PTS, the latter even among children far from the hurricane. Furthermore, neural responses in brain regions associated with anxiety and stress conferred particular vulnerability. For example, heightened amygdala reactivity to fearful stimuli moderated the association between self-reported media exposure and PTS. Collectively, these findings show that for some youth with measurable vulnerability, consuming extensive disaster-related media may offer an alternative pathway to disaster exposure that transcends geography and objective risk.

Attitudes Toward the Environment and Use of Information and Communication Technologies to Address Environmental Health Risks in Marginalized Communities: Prospective Cohort Study.

BackgroundInformation and communication technologies, including mobile health (mHealth), can help isolated communities address environmental health challenges. The Puerto Rican island of Culebra has faced multiple sociopolitical and economic factors that have distressed the island’s environment and health. Culebrenses are technologically engaged and have demonstrated a use of technology that transcends socioeconomic barriers. As a result, technological interventions could potentially help manage environmental risks on the island.ObjectiveThis study aims to test and evaluate the potential benefits of an mHealth tool, termed ¡mZAP! (Zonas, Acción y Protección), for engaging communities with environmental risks through technology.MethodsParticipants using ¡mZAP! (N=111) were surveyed. Bivariate analyses were used to examine associations of mHealth use with sociodemographics, technology use, an adapted environmental attitudes inventory, and the multidimensional health locus of control. Logistic regression was used to examine associations between attitudes toward environmental health risks and mHealth use.ResultsHigher positive attitudes toward the environment were significantly associated with the use of ¡mZAP! (odds ratio 5.3, 95% CI 1.6-17.0). Environmental attitudes were also associated with the multidimensional health locus of control powerful others subscale (P=.02), indicating that attitudes toward the environment become more negative as feelings controlled by others increase. Participants felt that the authorities would resolve the challenges (63/111, 56.7%).ConclusionsPerceived lack of control could present barriers to collective actions to address salient environmental health challenges in communities. The ongoing dependency on government-based solutions to community problems is worrisome, especially after the hurricane experiences of 2017 (which may potentially continue to be an issue subsequent to the more recent 2020 earthquakes).

Assessing the crash risks of evacuation: A matched case-control approach applied over data collected during Hurricane Irma

Recent hurricane experiences have created concerns for transportation agencies and policymakers to find better evacuation strategies, especially after Hurricane Irma—which forced about 6.5 million Floridians to evacuate and caused a significant amount of delay due to heavy congestion. A major concern for issuing an evacuation order is that it may involve a high number of crashes in highways. In this study, we present a matched case-control based approach to understand the factors contributing to the increase in the number of crashes during evacuation. We use traffic data for a period of 5 to 10 min just before the crash occurred. For each crash observation, traffic data are collected from two upstream and two downstream detectors of the crash location. We estimate models for three different conditions: regular period, evacuation period, and combining both evacuation and regular period data. Model results show that, if there exist a high volume of traffic at an upstream station and a high variation of speed at a downstream station, the likelihood of crash occurrence increases. Using a panel mixed binary logit model, we also estimate the effect of evacuation itself on crash risk and find that, after controlling for traffic characteristics, during evacuation the chance of a crash is higher than in a regular period. Our findings have implications for evacuation declarations and highlight the need for better traffic management strategies during evacuation. Future studies may develop advanced real-time crash prediction models which would allow us to deploy proactive countermeasures to reduce crash occurrences during evacuation.

“That’s the price of living in paradise:” coastal retirement and hurricanes

ABSTRACT Coastal Carolina is a popular retirement destination. Ten individuals, previously interviewed regarding their decision to retire here, were re-interviewed after Hurricane Florence. This sample of eight women and two men, mean age 74.4 (range = 68–88), provided a unique opportunity to learn about their hurricane experiences and to compare their pre- and post-responses about their choice to move to the coast. Nine evacuated, including one to a local shelter. Respondents reported a lack of preparations, but neighbors played an important supportive role. Issues about the shelter and for single women were identified. Results have implications for future disaster preparations.

Vulnerable Older Adults in Disasters: Effects of Hurricane Irma on Nursing Homes and Assisted Living

Preparedness of residents in long-term care (LTC) in the face of hurricane emergencies is a contested and largely unanswered question. Our prior work involving the U.S. Gulf Coast hurricanes of 2005-08 showed that exposure to various storms on nursing home (NH) residents resulted in significantly more deaths than reported by health care officials. This work also highlighted that evacuation of NH residents, compared to sheltering in place, was independently associated with morbidity and mortality. Hurricane Irma struck Florida on Sept. 10, 2017, prompting the evacuation of thousands of NH and assisted living community (ALC) residents. This symposium will discuss the effects of Hurricane Irma on vulnerable older adults residing in NHs and ALCs using mixed quantitative and qualitative methodologies. The first presentation will discuss morbidity and mortality of NH residents exposed to Hurricane Irma and will stratify by long stay/short stay status and hospice enrollment. The second presentation will discuss improvements and continued barriers to NH preparedness based on interviews with 30 administrators following Hurricane Irma. Using a novel methodology to identify residents of ALCs using secondary data sources, the third presentation will document AL resident morbidity and mortality risk following Hurricane Irma. The final presentation will highlight results of interviews with 70 stakeholders from small and large ALCs concerning the hurricane experiences of residents, including those with dementia. This symposium offers a multi-faceted view of a disaster’s effects on LTC residents across Florida, including novel data from the NH environment and lesser-examined ALCs.

Strategies to Increase Personal Resilience in Disaster Response Efforts

In 2018, Hurricane Michael caused extensive damage in the Florida panhandle as a Category 4 hurricane. Cooperative Extension has a disaster preparedness and information dissemination role in hurricane response (Medford-Davis &amp; Kapur, 2014; Washburn, 2006). Personal resilience focuses on reducing stress and increasing coping abilities in stressful situations. A basic qualitative research design explored UF/IFAS Extension agents’ hurricane experiences. Results suggested participants experienced some inability to balance personal and professional demands and were mentally and emotionally stressed. Participants felt fatigued and results suggested they experienced high levels of mental and emotional stress. There is scope to improve Extension agents’ personal resilience by: (1) strengthening individual levels of hardy attitudes and hardy strategies; and (2) reducing barriers such as mental and physical stress and performance deficits.

The Short- and Long-Term Impacts of Hurricane Irma on Florida Agricultural Leaders as Early Emergency Responders: The Importance of Workplace Stability.

The impacts of hurricane-related disasters in agricultural communities include extensive losses of fields, orchards, and livestock, the recovery of which could span many years. Agricultural Extension Agents (EAs) try to manage and mitigate these losses, while simultaneously overseeing emergency shelter operations. These non-professional emergency responders face numerous potential stressors, the outcomes of which are minimally known. This study examined the short- and long-term medical and behavioral outcome of 36 University of Florida Agricultural Extension Agents within two months and one year after Hurricane Irma, Florida, USA, taking into consideration personal/home and work-related hurricane impacts. Regression analyses indicated that combined home and work hurricane impacts were associated with greater anxiety, depression, and medical symptoms controlling for age and number of prior hurricane experiences within two months of landfall. One year later, depression symptoms increased as well as the use of negative disengagement coping strategies for which stability of the work environment was protective. The findings suggest that advanced training in emergency response, organization and time management skills, time off and temporary replacement for personally impacted EAs, and workplace stability, including enhanced continuity of operations plans, represent critical elements of health prevention and early intervention for this occupational group.

Hurricane Sandy: Damages, Disruptions and Pathways to Recovery

Critical infrastructure and public utility systems are often severely damaged by natural disasters like hurricanes. Based on a framework of household disaster resilience, this paper focuses on the role of utility disruption on household-level recovery in the context of Hurricane Sandy. Using data collected through a two-stage household survey, it first confirms that the sample selection bias is not present, thus the responses can be estimated sequentially. Second, it quantitatively examines factors contributing to hurricane-induced property damages and household-level recovery. The finding suggests that respondents who suffered from a longer period of utility disruptions (e.g., electricity, water, gas, phone/cell phone, public transportation) are more likely to incur monetary losses and have more difficulty in recovering. Effective preparedness activities (e.g., installing window protections, having an electric generator) can have positive results in reducing adverse shocks. Respondents with past hurricane experiences and higher educational attainments are found to be more resilient compared to others. Finally, the paper discusses the implications of the findings on effective preparation and mitigation strategies for future disasters.

Personal resilience and coping abilities of extension agents post-hurricane

ABSTRACT Purpose: While Extension agents should be ready to deal with recovery efforts, emotional stress can hinder their ability to respond effectively. This study sought to provide overall insights into Florida’s Extension agents’ ability to engage in post-hurricane response. Design/Methodology/Approach: Resilience and coping literature facilitated a researcher-developed conceptual framework. A basic qualitative design explored hurricane experiences with nine UF/IFAS Extension agents through face-to-face and telephone interviews. Findings: Participants likely had medium to high levels of personal resilience and varying levels of coping abilities. County differences, non-localized stressors, disaster training, and personal experience likely negatively affected agents’ coping abilities. Practical Implications: There is scope to improve overall personal resilience by strengthening individual levels of hardiness and coping abilities through disaster training and development. Theoretical Implications: The conceptual framework worked well to identify levels of personal resilience and coping abilities of agents. However, it should be tailored to include external factors likely affecting personal resilience by context of country and disaster. Originality/Value: This research is the first to develop a resilience conceptual framework to describe UF/IFAS Extension agents’ level of engagement in hurricane response. Strengthening Extension’s post-hurricane response strategies can help ensure vibrant and resilient communities for current and future generations.

Examining posttraumatic growth and mental health difficulties in the aftermath of Hurricane Sandy.

Hurricane Sandy continues to affect the mental health of New York residents. This study examined associations between Posttraumatic Growth (PTG) and mental health difficulties (MHD) including symptoms of anxiety, depression, and posttraumatic stress disorder (PTSD). Participants (N = 1,356) recruited from the New York metropolitan area completed questionnaires regarding their PTG, demographics, MHD, and hurricane experiences. A weighted least squares regression assessed the association between MHD and PTG. A post hoc analysis determined whether anxiety or depression moderated the effect of PTSD on PTG. All MHD were crudely associated with greater PTG. After adjustment, an increased PTSD score was significantly associated with a 0.20 unit increase in PTG (t = 6.05, p < .001); this did not hold for depression or anxiety symptoms. Higher PTG was associated with being non-White (B = 5.90, t = 6.49, p < .001), Hispanic (B = 3.38, t = 2.89, p = .004), a smoker (B = 3.18, t = 3.28, p = .001), and greater Hurricane Sandy exposure (t = 7.11, p < .001). The positive association between PTSD symptoms and PTG was weaker among participants with probable depression. Results suggest that participants with higher PTSD symptoms were more likely to grow from the impact of the storm, indicating resilience. Highly exposed participants were more likely to experience PTG. A decrease in PTG was found among those with both PTSD and depression symptoms. The development and implementation of interventions fostering PTG could be beneficial in clinical disaster response work. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

The Effects of Past Hurricane Experiences on Evacuation Intentions through Risk Perception and Efficacy Beliefs: A Mediation Analysis

AbstractIndividuals’ past experiences with a hazard can encompass many different aspects, which can influence how they judge and respond to a future hurricane risk. This study, which utilizes survey data from coastal residents who are at risk from hurricanes, adds to understanding of past hazard experience in two ways. First, it examines six different aspects of people’s past hurricane experiences and the relationships among them. Then, it draws on risk theories of behavioral responses to explore how these different experiences influence people’s evacuation intentions for a hypothetical hurricane as mediated through multiple dimensions of risk perception (cognitive, negative affective) and efficacy beliefs (self efficacy, response efficacy). The results suggest that people can experience emotional or otherwise severe impacts from a hurricane even if they do not have experiences with evacuation, property damage, or financial loss. The results also reveal that different past hurricane experiences operated through different combinations of mediating variables to influence evacuation intentions. Some of these processes enhanced intentions; for instance, experience with evacuation, financial loss, or emotional impacts heightened negative affective risk perceptions, which increased evacuation intentions. Other processes dampened evacuation intentions; for instance, people with past hurricane-related emotional impacts had lower self efficacy, which decreased evacuation intentions. In some cases, these enhancing and dampening processes competed. Exploring people’s different past weather experiences and the mechanisms by which they can influence future behaviors is important for more deeply understanding populations at risk and how they respond to weather threats.

Factors Affecting Hurricane Evacuation Intentions.

Protective actions for hurricane threats are a function of the environmental and information context; individual and household characteristics, including cultural worldviews, past hurricane experiences, and risk perceptions; and motivations and barriers to actions. Using survey data from the Miami-Dade and Houston-Galveston areas, we regress individuals' stated evacuation intentions on these factors in two information conditions: (1) seeing a forecast that a hurricane will hit one's area, and (2) receiving an evacuation order. In both information conditions having an evacuation plan, wanting to keep one's family safe, and viewing one's home as vulnerable to wind damage predict increased evacuation intentions. Some predictors of evacuation intentions differ between locations; for example, Florida respondents with more egalitarian worldviews are more likely to evacuate under both information conditions, and Florida respondents with more individualist worldviews are less likely to evacuate under an evacuation order, but worldview was not significantly associated with evacuation intention for Texas respondents. Differences by information condition also emerge, including: (1) evacuation intentions decrease with age in the evacuation order condition but increase with age in the saw forecast condition, and (2) evacuation intention in the evacuation order condition increases among those who rely on public sources of information on hurricane threats, whereas in the saw forecast condition evacuation intention increases among those who rely on personal sources. Results reinforce the value of focusing hurricane information efforts on evacuation plans and residential vulnerability and suggest avenues for future research on how hurricane contexts shape decision making.

Long-Term Mental Health Among Low-Income, Minority Women Following Exposure to Multiple Natural Disasters in Early and Late Adolescence Compared to Adulthood

High impact experiences following a natural disaster have been shown to influence later psychopathology. Individual-level factors such as age may also contribute to a disaster's impact on mental health, though it is unclear whether young age confers a protective effect or represents a period of increased risk as compared to adulthood. The present study evaluated the influence of adolescent age and hurricane experiences on mental health in the years following multiple hurricanes in the New Orleans region. 794 women, currently aged 18-45, participating in a cohort study of lifetime adversity and reproductive health completed a survey about hurricane experience and current mental health. Joint associations between disaster experience and age at the time of disaster on depression and post-traumatic stress disorder (PTSD) were evaluated. Compared to women who were adults at the time of the disaster, being in early adolescence resulted in reduced depression and PTSD up to 9-years post-disaster, controlling for hurricane experiences, time since disaster, and income. A similar effect was not observed among older adolescents. Increased endorsement of feeling one's life was in danger and experiencing illness or injury resulted in increased odds of depression, while danger was associated with increased odds of PTSD. Younger age at the time of a natural disaster may confer a protective effect on mental health outcomes post-disaster, even when disaster experiences are considered, potentially representing the importance of parental support and cognitive development on disaster effects.

Relationships Among Stress Coping Styles and Pregnancy Complications Among Women Exposed to Hurricane Katrina

To examine the relationship between maternal stress exposure, stress coping styles, and pregnancy complications. Quantitative, cross-sectional, and prospective study. Tulane-Lakeside Hospital, New Orleans, LA and Women's Hospital, Baton Rouge, LA. The study included 146 women (122 from New Orleans and 24 from Baton Rouge), who were pregnant during or immediately after Hurricane Katrina. Participants were interviewed regarding their hurricane experiences and perceived stress, and coping styles were assessed using the Brief COPE. Medical charts were also reviewed to obtain information about pregnancy outcomes. Logistic regression was performed to determine possible associations. Hurricane exposure was significantly associated with induction of labor (adjusted odds ratio [aOR]=1.39; 95% confidence interval [CI][1.03, 1.86], P=.03) and current perceived stress (aOR=1.50, CI[1.34, 1.99], P<.01). Stress perception significantly predisposed to pregnancy-induced hypertension (aOR=1.16, CI[1.05, 1.30], P<.01) and gestational diabetes (aOR=1.13, CI[1.02, 1.25], P=.03). Use of planning, acceptance, humor, instrumental support, and venting coping styles were associated with a significantly reduced occurrence of pregnancy complications (P<.05). Higher rates for gestational diabetes was found among women using the denial coping style (aOR=2.25, CI[1.14, 4.45], P=.02). Exposure to disaster-related stress may complicate pregnancy, whereas some coping styles may mitigate its effects. Further research should explore how coping styles may mitigate or exacerbate the effect of major stressors and how positive coping styles can be encouraged or augmented.

Teachers and School Personnel as First Responders following Disasters: Survivors and Supporters

Teachers and School Personnel as First Responders following Disasters: Survivors and Supporters Many teachers and school personnel work in the communities in which they live and following disasters and are often dealing with the same recovery issues as students. These individuals may be among the first to respond directly to students’ emotional needs at the same time as they must process their own losses and stressors. The purpose of this study is to understand the contributors to and levels of posttraumatic stress symptoms in a group of teachers and school personnel following Hurricane Katrina. The study included 495 teachers and school personnel (support staff, counselors, and administration) at schools throughout Southeast Louisiana. Surveys were requested by school administration and collected anonymously during staff meetings from December 2006 to September 2007. The majority of participants reported that their homes sustained reparable flood and/or wind damage; however almost one-quarter of the participants had uninhabitable homes. Approximately 25% of the participants had significant symptoms for PTSD and depression. Results suggest that age, previous trauma, Hurricane experiences, current alcohol use, and partner conflict significantly predicted posttraumatic stress symptoms. Results also suggest that previous trauma, hurricane experiences, and partner conflict significantly predicted depression. Findings indicated that for teachers in the present study approximately one-quarter struggled with PTSD (24%) and depression (25%) symptoms following Hurricane Katrina. To assist these individuals with supporting youth during disaster recovery, services must be made available to meet these non-traditional first responders’ emotional needs. In future disaster planning, it is imperative to focus on building teacher and staff supports through school and community activities and developing collaborations with local behavioral health resources and providers.

Conceptualizing health consequences of Hurricane Katrina from the perspective of socioeconomic status decline.

The long-term health impact of acute unemployment and socioeconomic resource deficit has not been shown to be unique from the effects of stable socioeconomic status (SES) and serious life circumstances, such as trauma. This study examined associations between these acute socioeconomic declines and health of hurricane survivors, independent of prehurricane SES and hurricane trauma. Participants were 215 African American adults (60% female, mean age = 39 years) living in the Greater New Orleans area at the time of Hurricane Katrina and survey 4 years later. The survey included prehurricane SES measures (i.e., education and neighborhood poverty level); acute unemployment and deficits in access to SES resources following Hurricane Katrina; and posthurricane health events (i.e., cardiometabolic events, chronic pain, posttraumatic stress disorder [PTSD], and major depressive disorder [MDD]). Acute unemployment was associated with odds of experiencing a cardiometabolic event (odds ratio [OR] = 5.65, p < .05), MDD (OR = 2.76, p < .05) and chronic pain (OR = 2.76, p < .05), whereas acute socioeconomic resource deficit was associated with odds of chronic pain (OR = 1.93, p < .001) and MDD (OR = 1.19, p < .05). Associations were independent of prehurricane SES, hurricane trauma, potentially chronic SES resource deficits, and current unemployment. This study shows that acute socioeconomic decline following a natural disaster can create long-term health disparities beyond those created by prehurricane SES level and traumatic hurricane experiences. Findings suggest that early intervention postdisaster to reduce pervasive socioeconomic disruption may reduce the long-term health impact of disasters.