Economic and mental health impacts of multiple adverse events: Hurricane Harvey, other flooding events, and the COVID-19 pandemic.

Economic and mental health impacts of multiple adverse events: Hurricane Harvey, other flooding events, and the COVID-19 pandemic.
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DOI:
10.1016/j.envres.2022.114020
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发表时间:
2022-11
影响因子:
8.3
通讯作者:
Miranda, Marie Lynn
Miranda, Marie Lynn
中科院分区:
环境科学与生态学2区
文献类型:
--
作者:
Callender, Rashida;Canales, Joally M.;Avendano, Carolina;Craft, Elena;Ensor, Katherine B.;Miranda, Marie Lynn

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评估新冠肺炎在以往洪灾事件中的经济和心理健康影响。从2018年4月开始,德克萨斯州洪水登记处(TFR)邀请居民完成一项关于他们在飓风哈维和随后的洪水事件中经历的在线调查。从2020年4月开始,全国范围内的参与者被邀请完成一项关于他们在大流行期间的经历的简短在线调查。这项研究包括截至2020年10月的跨国财务报告(N=0.20,754)和新冠肺炎注册(N=0.8568)的参与者(联合N=0.2929)。使用Logistic回归和广义估计方程检验洪灾事件暴露与新冠肺炎的经济和心理健康影响之间的关系。在新冠肺炎注册者中,21%的人在疫情期间经历了中度到重度的焦虑,7%和12%的家庭分别难以支付房租和账单。大约17%的黑人家庭和15%的西班牙裔家庭难以支付房租,而非西班牙裔白人家庭的这一比例为5%。那些以前有过风暴相关房屋损坏的人,新冠肺炎收入损失的几率是没有风暴的人的1.20(1.02,1.40)倍;那些经历过哈维收入损失的人,比没有经历过哈维收入损失的人高3.84(3.25-4.55)倍。对于哈维是严重影响事件的注册者来说,在大流行期间出现更严重焦虑的几率是哈维没有重大影响事件的注册者的5.14(4.02,6.58)倍。多重危机可以共同和累积地塑造健康和福祉的结果。这些知识可以帮助制定应急准备和干预计划。
To assess the economic and mental health impacts of COVID-19 in the presence of previous exposure to flooding events. Starting in April 2018, the Texas Flood Registry (TFR) invited residents to complete an online survey regarding their experiences with Hurricane Harvey and subsequent flooding events. Starting in April 2020, participants nationwide were invited to complete a brief online survey on their experiences during the pandemic. This study includes participants in the TFR (N = 20,754) and the COVID-19 Registry (N = 8568) through October 2020 (joint N = 2929). Logistic regression and generalized estimating equations were used to examine the relationship between exposure to flooding events and the economic and mental health impacts of COVID-19. Among COVID-19 registrants, 21% experienced moderate to severe anxiety during the pandemic, and 7% and 12% of households had difficulty paying rent and bills, respectively. Approximately 17% of Black and 15% of Hispanic households had difficulty paying rent, compared to 5% of non-Hispanic white households. The odds of COVID-19 income loss are 1.20 (1.02, 1.40) times higher for those who previously had storm-related home damage compared to those who did not and 3.84 (3.25–4.55) times higher for those who experienced Harvey income loss compared to those who did not. For registrants for whom Harvey was a severe impact event, the odds of having more severe anxiety during the pandemic are 5.14 (4.02, 6.58) times higher than among registrants for whom Harvey was a no meaningful impact event. Multiple crises can jointly and cumulatively shape health and wellbeing outcomes. This knowledge can help craft emergency preparation and intervention programs.
DOI: 10.1080/13698575.2020.1840528
发表时间: 2020
期刊: Health, risk & society
影响因子: --
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DOI: 10.1037/tra0000345
发表时间: 2018-09-01
影响因子: 6.3
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