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Examining Associations Between Hurricane Sandy Exposure and Posttraumatic Stress Disorder by Community of Residence.

Abstract：

:Exposure to 2012's Hurricane Sandy differed by community across New York City and nearby Long Island, and the differential impact of exposure on mental health concerns must be studied to enhance resilience in vulnerable communities. We assessed the association between self-reported Hurricane Sandy exposure and subsequent posttraumatic stress disorder (PTSD) symptoms, obtained through validated questionnaires completed by residents of lower Manhattan (n = 1,134), Queens/Long Island (LI)/Staten Island (SI; n = 622), and the Rockaways (n = 1,011); mean assessment times were 7, 14, and 32 months post-Sandy, respectively. The median number of hurricane exposures was similar for all communities; however, Rockaways residents had a higher proportion of likely PTSD symptoms (18.8%) compared to lower Manhattan (8.0%) and Queens/LI/SI residents (5.8%). Regarding likely PTSD, there was significant interaction between total hurricane exposure and community, p = .002, and flooding and community, p = .040. Number of hurricane exposures was associated with higher odds of likely PTSD in Queens/LI/SI, AOR = 1.61, 95% CI [1.34, 1.94]; lower Manhattan, AOR = 1.43, 95% CI [1.28, 1.59]; and the Rockaways, AOR = 1.25, 95% CI [1.16, 1.35]. Flooding was associated with increased odds of likely PTSD in the Rockaways, AOR = 1.65, 95% CI [1.01, 2.69]; and Queens/LI/SI, AOR = 3.29, 95% CI [1.08, 10.00]. This study emphasizes the differential impact of hurricane exposure on subsequent PTSD symptoms in three communities affected by Hurricane Sandy. Future preparedness and recovery efforts must understand community correlates of mental health concerns to promote resilience in vulnerable communities. :Spanish Abstracts by Asociación Chilena de Estrés Traumático (ACET) Examinando las asociaciones entre la exposición al huracán Sandy y el TEPT por comunidad de residencia. EXPOSICIÓN AL HURACÁN SANDY Y TEPT POR COMUNIDAD La exposición al huracán Sandy, de 2012, difirió según la comunidad en la ciudad de Nueva York y la cercana Long Island, y el impacto diferencial de la exposición sobre las preocupaciones de salud mental debe estudiarse para mejorar la resiliencia en las comunidades vulnerables. Evaluamos la asociación entre la exposición al huracán Sandy auto reportada y los síntomas posteriores del trastorno de estrés postraumático (TEPT), obtenidos a través de cuestionarios validados completados por residentes del bajo Manhattan (n = 1,134), Queens / Long Island (LI) / Staten Island (SI; n = 622), y los Rockaways (n = 1,011); los tiempos medios de evaluación fueron 7, 14 y 32 meses respectivamente, después de Sandy. La mediana del número de exposiciones a huracanes fue similar para todas las comunidades; sin embargo, los residentes de Rockaways tuvieron una mayor proporción de síntomas probables de TEPT (18.8%) en comparación con los residentes del bajo Manhattan (8.0%) y Queens / LI / SI (5.8%). Con respecto al TEPT probable, hubo una interacción significativa entre exposición total a huracanes y comunidad, p = .002, e inundaciones y comunidad, p = .040. El número de exposiciones a huracanes se asoció con mayores probabilidades de TEPT probable en Queens / LI / SI, AOR = 1.61, IC 95% [1.34, 1.94]; Bajo Manhattan, AOR = 1.43, IC 95% [1.28, 1.59]; y los Rockaways, AOR = 1.25, IC 95% [1.16, 1.35]. Las inundaciones se asociaron con mayores probabilidades de TEPT probable en los Rockaways, AOR = 1.65, IC 95% [1.01, 2.69]; y Queens / LI / SI, AOR = 3.29, IC 95% [1.08, 10.00]. Este estudio enfatiza el impacto diferencial de la exposición al huracán en los síntomas posteriores de TEPT en tres comunidades afectadas por el huracán Sandy. Los futuros esfuerzos de preparación y recuperación deben comprender los correlatos comunitarios de las preocupaciones de salud mental para promover la resiliencia en las comunidades vulnerables. :Traditional and Simplified Chinese Abstracts by the Asian Society for Traumatic Stress Studies (AsianSTSS) 簡體及繁體中文撮要由亞洲創傷心理研究學會翻譯 Examining Associations between Hurricane Sandy Exposure and PTSD by Community of Residence Traditional Chinese 標題: 檢視居民社群當中颶風桑迪經歷與PTSD的關連撮要: 紐約及鄰近的長島的社群在2012年颶風桑迪來襲時, 有不同程度的經歷。我們應檢視這種經歷對心理健康影響的差別效應, 以提升脆弱社群的恢復力。樣本為曼哈頓下城 (n = 1,134)、皇后區/長島(LI)/史泰登島(SI; n = 622)、洛克威半島(n = 1,011)的居民;他們完成已經驗證的問卷。我們評估樣本自評的颶風桑迪經歷與隨後的創傷後壓力症(PTSD)症狀。樣本的平均評核時間為颶風桑迪來襲後7、14、32個月。所有社群的颶風經歷中位數相若。然而, 相比曼哈頓下城(8.0%)和皇后區/LI/SI的居民(5.8%), 洛克威半島的居民有較多人口很可能有PTSD症狀(18.8%)。在很有可能患PTSD的樣本方面, 颶風經歷總數與社群之間(p = .002)及水災與社群之間(p = .040), 均有顯著的相互效應。在皇后區/LI/SI裡, 颶風經歷數目跟有較大機會很可能患PTSD有關(AOR = 1.61, 95% CI [1.34, 1.94]), 在曼哈頓下城(AOR = 1.43, 95% CI [1.28, 1.59])與洛克威半島(AOR = 1.25, 95% CI [1.16, 1.35])亦然。水災在以下地區跟有較大機會很可能患PTSD有關:洛克威半島(AOR = 1.65, 95% CI [1.01, 2.69])、皇后區/LI/SI (AOR = 3.29, 95% CI [1.08, 10.00])。本研究凸顯於三個受颶風桑迪影響的地區中, 颶風經歷對隨後的PTSD症狀影響的差別。未來的準備及康復工作, 應了解社群的心理健康相關因素, 以提升脆弱社群的恢復力。 Simplified Chinese 标题: 检视居民社群当中飓风桑迪经历与PTSD的关连撮要: 纽约及邻近的长岛的社群在2012年飓风桑迪来袭时, 有不同程度的经历。我们应检视这种经历对心理健康影响的差别效应, 以提升脆弱社群的恢复力。样本为曼哈顿下城 (n = 1,134)、皇后区/长岛(LI)/史泰登岛(SI; n = 622)、洛克威半岛(n = 1,011)的居民;他们完成已经验证的问卷。我们评估样本自评的飓风桑迪经历与随后的创伤后压力症(PTSD)症状。样本的平均评核时间为飓风桑迪来袭后7、14、32个月。所有社群的飓风经历中位数相若。然而, 相比曼哈顿下城(8.0%)和皇后区/LI/SI的居民(5.8%), 洛克威半岛的居民有较多人口很可能有PTSD症状(18.8%)。在很有可能患PTSD的样本方面, 飓风经历总数与社群之间(p = .002)及水灾与社群之间(p = .040), 均有显著的相互效应。在皇后区/LI/SI里, 飓风经历数目跟有较大机会很可能患PTSD有关(AOR = 1.61, 95% CI [1.34, 1.94]), 在曼哈顿下城(AOR = 1.43, 95% CI [1.28, 1.59])与洛克威半岛(AOR = 1.25, 95% CI [1.16, 1.35])亦然。水灾在以下地区跟有较大机会很可能患PTSD有关:洛克威半岛(AOR = 1.65, 95% CI [1.01, 2.69])、皇后区/LI/SI (AOR = 3.29, 95% CI [1.08, 10.00])。本研究凸显于三个受飓风桑迪影响的地区中, 飓风经历对随后的PTSD症状影响的差别。未来的准备及康复工作, 应了解社群的心理健康相关因素, 以提升脆弱社群的恢复力。.

journal_name

J Trauma Stress

journal_title

Journal of traumatic stress

authors

Schwartz RM,Rasul R,Gargano LM,Lieberman-Cribbin W,Brackbill RM,Taioli E

doi

10.1002/jts.22445

subject

Has Abstract

pub_date

2019-10-01 00:00:00

pages

677-687

issue

eissn

0894-9867

issn

1573-6598

journal_volume

pub_type

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Examining Associations Between Hurricane Sandy Exposure and Posttraumatic Stress Disorder by Community of Residence.