Anxiety and depression after winter storm Uri: Cascading disasters and mental health inequities
Anxiety and depression after winter storm Uri: Cascading disasters and mental health inequities
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DOI：
10.1016/j.ijdrr.2023.103933
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发表时间：
2023-08
影响因子：
5
通讯作者：
S. Grineski;Mathilda Scott;Timothy W. Collins;Jayajit Chakraborty;Kevin Ramos
中科院分区：
文献类型：
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作者：
S. Grineski;Mathilda Scott;Timothy W. Collins;Jayajit Chakraborty;Kevin Ramos
虽然在气候变化的影响下，寒冷天气灾害可能会变得更加频繁，但大多数健康研究都集中在热浪、洪水或飓风上。以“级联灾害健康不平等”方法为导向，我们使用在冬季风暴Uri（2021）之后在德克萨斯州八个大都市统计区收集的调查数据（n= 790）来研究寒冷天气灾害后的焦虑和抑郁。14.9%的受访者在事件发生6个月后出现焦虑（GAD-2）， 15.1%的受访者出现抑郁（PHQ-2）。在多变量模型中，残疾状况和在风暴期间有更多不良事件经历增加了抑郁和焦虑的几率。少数种族/民族身份与抑郁的几率更大有关，但与焦虑无关。与适用的“双重特权”参照类别相比，那些黑人和残疾人、西班牙裔和残疾人、残疾人和Uri受影响、黑人和Uri受影响或西班牙裔和Uri受影响的人患抑郁症的几率更高。与适用的“双重特权”参照类别相比，那些西班牙裔残疾人或受Uri影响的残疾人经历了更高的焦虑几率。结果证明了“级联灾害心理健康不平等”方法在阐明社会因素如何与灾害经历交叉以形成不同风险方面的效用。
While cold weather disasters are likely to become more frequent under climate change, most health research is focused on heat waves, flooding or hurricanes. Oriented by a “cascading disaster health inequities” approach, we examine anxiety and depression after a cold-weather disaster using survey data (n= 790) collected in eight Texas metropolitan statistical areas following Winter Storm Uri (2021). 14.9% of respondents experienced anxiety (GAD-2) and 15.1% experienced depression (PHQ-2) six months after the event. In multivariable models, disability status and having more adverse event experiences during the storm increased odds of depression and anxiety. Minority racial/ethnic status was associated with greater odds of depression, but not anxiety. Those who were Black and disabled, Hispanic and disabled, disabled and Uri impacted, Black and Uri impacted or Hispanic and Uri impacted faced increased odds of depression compared to the applicable “doubly privileged” reference category. Those who were Hispanic and disabled or disabled and Uri impacted experienced elevated odds of anxiety compared to the applicable “doubly privileged” reference category. Results demonstrate the utility of a “cascading disasters mental health inequities” approach for illuminating how social factors intersect with disaster experiences to shape disparate risks.