Lessons from Hurricane Katrina for predicting the indirect health consequences of the COVID-19 pandemic
Lessons from Hurricane Katrina for predicting the indirect health consequences of the COVID-19 pandemic
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DOI：
10.1073/pnas.2006706117
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发表时间：
2020-06-09
影响因子：
11.1
通讯作者：
Lowe, Sarah R.
中科院分区：
文献类型：
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作者：
Raker, Ethan J.;Zacher, Meghan;Lowe, Sarah R.
除了对死亡率的直接影响外，灾害还使幸存者面临压力和潜在的创伤，从而对身心健康产生广泛的间接影响。识别预测健康逆境的灾难相关压力因素将有助于官员为2019年冠状病毒病（COVID-19）大流行做好准备。利用一项对卡特里娜飓风幸存下来的年轻低收入母亲的前瞻性研究数据，我们发现，丧亲之痛，担心亲人？幸福感、缺乏医疗保健和药物可预测灾后1年的不良心理和身体健康，有些影响在12年后仍存在。调整先前存在的健康和社会经济条件减弱，但不消除，这些协会。这些研究结果虽然来自人口统计学上独特的样本，但表明为了减轻COVID-19的间接影响，必须尽量减少医疗护理和药物使用的失误，公共卫生资源应针对那些先前存在医疗条件的人，他们的社交网络和丧亲之痛。
Beyond their immediate effects on mortality, disasters have widespread, indirect impacts on mental and physical well-being by exposing survivors to stress and potential trauma. Identify-ing the disaster -related stressors that predict health adversity will help officials prepare for the coronavirus disease 2019 (COVID-19) pandemic. Using data from a prospective study of young, low-income mothers who survived Hurricane Katrina, we find that bereavement, fearing for loved ones? well-being, and lacking access to medical care and medications predict adverse mental and physical health 1 y postdisaster, and some effects persist 12 y later. Adjusting for preexisting health and socioeconomic condi-tions attenuates, but does not eliminate, these associations. The findings, while drawn from a demographically unique sample, suggest that, to mitigate the indirect effects of COVID-19, lapses in medical care and medication use must be minimized, and pub-lic health resources should be directed to those with preexisting medical conditions, their social networks, and the bereaved.