reference : Prevalence and predictors of mental health distress post-Katrina: Findings from the Gulf Coast Child and Family Health Study

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Bibliographic fields
reftype Journal Article
Abstract BACKGROUND: Catastrophic disasters often are associated with massive structural, economic, and population devastation; less understood are the long-term mental health consequences. This study measures the prevalence and predictors of mental health distress and disability of hurricane survivors over an extended period of recovery in a postdisaster setting. METHODS: A representative sample of 1077 displaced or greatly affected households was drawn in 2006 using a stratified cluster sampling of federally subsidized emergency housing settings in Louisiana and Mississippi, and of Mississippi census tracts designated as having experienced major damage from Hurricane Katrina in 2005. Two rounds of data collection were conducted: a baseline face-to-face interview at 6 to 12 months post-Katrina, and a telephone follow-up at 20 to 23 months after the disaster. Mental health disability was measured using the Medical Outcome Study Short Form 12, version 2 mental component summary score. Bivariate and multivariate analyses were conducted examining socioeconomic, demographic, situational, and attitudinal factors associated with mental health distress and disability. RESULTS: More than half of the cohort at both baseline and follow-up reported significant mental health distress. Self-reported poor health and safety concerns were persistently associated with poorer mental health. Nearly 2 years after the disaster, the greatest predictors of poor mental health included situational characteristics such as greater numbers of children in a household and attitudinal characteristics such as fatalistic sentiments and poor self-efficacy. Informal social support networks were associated significantly with better mental health status. Housing and economic circumstances were not independently associated with poorer mental health. CONCLUSIONS: Mental health distress and disability are pervasive issues among the US Gulf Coast adults and children who experienced long-term displacement or other serious effects as a result of Hurricanes Katrina and Rita. As time progresses postdisaster, social and psychological factors may play greater roles in accelerating or impeding recovery among affected populations. Efforts to expand disaster recovery and preparedness policies to include long-term social re-engagement efforts postdisaster should be considered as a means of reducing mental health sequelae.
Author Abramson, D.; Stehling-Ariza, T.; Garfield, R.; Redlener, I.
DOI 10.1097/DMP.0b013e318173a8e7
Date Jun
ISSN 1938-744X
Issue 02
Journal Disaster Medicine and Public Health Preparedness
Keywords Adaptation, Psychological; Adolescent; Adult; Aged; Child; Cluster Analysis; *Disasters; Female; Housing; Humans; Louisiana/epidemiology; Male; Mental Disorders/diagnosis/*epidemiology/etiology; Middle Aged; Mississippi/epidemiology; Prevalence; Psychiatric Status Rating Scales; Social Support; Stress, Psychological; Survivors/*psychology
Language eng
Notes 1938-744x Abramson, David Stehling-Ariza, Tasha Garfield, Richard Redlener, Irwin Journal Article Research Support, Non-U.S. Gov't United States Disaster Med Public Health Prep. 2008 Jun;2(2):77-86. doi: 10.1097/DMP.0b013e318173a8e7.
Pages 77-86
Title Prevalence and predictors of mental health distress post-Katrina: Findings from the Gulf Coast Child and Family Health Study
Volume 2
Year 2008
Bibliographic identifiers
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_record_number 18049
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