Residential natural hazard risk and mental health effects.

Autor:	Lawrence KG; Epidemiology Branch, National Institute of Environmental Health Sciences, Research Triangle Park, NC., Sweeney MR; Social & Scientific Systems, Inc., a DLH Holdings Corporation Company, Durham, NC., Werder EJ; Epidemiology Branch, National Institute of Environmental Health Sciences, Research Triangle Park, NC., Zuzak C; Natural Hazards Risk Assessment Program, Federal Emergency Management Agency, Washington, DC., Gall M; Center for Emergency Management and Homeland Security, School of Public Affairs, Arizona State University., Emrich CT; School of Public Administration & National Center for Integrated Coastal Research, University of Central Florida, Orlando, FL., Cochran FV; MITRE Corporation, McLean, VA., Deng X; Epidemiology Branch, National Institute of Environmental Health Sciences, Research Triangle Park, NC., Christenbury KE; Social & Scientific Systems, Inc., a DLH Holdings Corporation Company, Durham, NC., Buller ID, Braxton Jackson Ii W; Social & Scientific Systems, Inc., a DLH Holdings Corporation Company, Durham, NC., Engel LS; Epidemiology Branch, National Institute of Environmental Health Sciences, Research Triangle Park, NC.; Department of Epidemiology, UNC Gillings School of Global Public Health, Chapel Hill, NC., Sandler DP; Epidemiology Branch, National Institute of Environmental Health Sciences, Research Triangle Park, NC.
Jazyk:	angličtina
Zdroj:	American journal of epidemiology [Am J Epidemiol] 2024 Jul 19. Date of Electronic Publication: 2024 Jul 19.
DOI:	10.1093/aje/kwae200
Abstrakt:	Mental health effects are frequently reported following natural disasters. However, little is known about effects of living in a hazard-prone region on mental health. We analyzed data from 9,312 Gulf Long-term Follow-up Study participants who completed standardized mental health questionnaires including the Patient Health Questionnaire-9 (depression=score≥10), Generalized Anxiety Disorder Questionnaire-7 (anxiety=score≥10), and Primary Care PTSD Screen (PTSD=score≥3). Geocoded residential addresses were linked to census-tract level natural hazard risk scores estimated using the National Risk Index (NRI). We considered an overall risk score representing 18 natural hazards, and individual scores for hurricanes, heatwaves, coastal flooding and riverine flooding. Log binomial regression estimated prevalence ratios (PR) and 95% confidence intervals (CI) for associations between risk scores (quartiles) and mental health outcomes. Increasing hurricane and coastal flooding scores were associated with all mental health outcomes in a suggestive exposure-response manner. Associations were strongest for PTSD, with PRs for the highest vs. lowest quartile of hurricane and coastal flooding risks of 2.29(1.74-3.01) and 1.59(1.23-2.05), respectively. High heatwave risk was associated with anxiety (PR=1.25(1.12-1.38)) and depression (PR=1.19(1.04-1.36)) and suggestively with PTSD (PR=1.20(0.94-1.52)). Results suggest that living in areas prone to natural disasters is one factor associated with poor mental health status. (Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health 2024.)
Databáze:	MEDLINE
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