Cargando…

Healthcare Impacts Associated with Federally Declared Disasters—Hurricanes Gustave and Ike

People impacted by disasters may have adverse non-communicable disease health effects associated with the disaster. This research examined the independent and joint impacts of federally declared disasters on the diagnosis of hypertension (HTN), diabetes (DM), anxiety, and medication changes 6 months...

Descripción completa

Detalles Bibliográficos
Autores principales: Lavin, Roberta, Couig, Mary Pat, Kelley, Patricia Watts, Schwarts, Thais, Ramos, Fermin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10094278/
https://www.ncbi.nlm.nih.gov/pubmed/37048001
http://dx.doi.org/10.3390/ijerph20075388
_version_ 1785023801782697984
author Lavin, Roberta
Couig, Mary Pat
Kelley, Patricia Watts
Schwarts, Thais
Ramos, Fermin
author_facet Lavin, Roberta
Couig, Mary Pat
Kelley, Patricia Watts
Schwarts, Thais
Ramos, Fermin
author_sort Lavin, Roberta
collection PubMed
description People impacted by disasters may have adverse non-communicable disease health effects associated with the disaster. This research examined the independent and joint impacts of federally declared disasters on the diagnosis of hypertension (HTN), diabetes (DM), anxiety, and medication changes 6 months before and after a disaster. Patients seen in zip codes that received a federal disaster declaration for Hurricanes Gustave or Ike in 2008 and who had electronic health records captured by MarketScan(®) were analyzed. The analysis included patients seen 6 months before or after Hurricanes Gustav and Ike in 2008 and who were diagnosed with HTN, DM, or anxiety. There was a statistically significant association between post-disaster and diagnosis of hypertension, X(2) (1, n = 19,328) = 3.985, p = 0.04. There was no association post-disaster and diabetes X(2) (1, n = 19,328) = 0.778, p = 0.378 or anxiety, X(2) (1, n = 19,328) = 0.017, p = 0.898. The research showed that there was a change in the diagnosis of HTN after a disaster. Changes in HTN are an additional important consideration for clinicians in disaster-prone areas. Data about non-communicable diseases help healthcare disaster planners to include primary care needs and providers in the plans to prevent the long-term health impacts of disasters and expedite recovery efforts.
format Online
Article
Text
id pubmed-10094278
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-100942782023-04-13 Healthcare Impacts Associated with Federally Declared Disasters—Hurricanes Gustave and Ike Lavin, Roberta Couig, Mary Pat Kelley, Patricia Watts Schwarts, Thais Ramos, Fermin Int J Environ Res Public Health Article People impacted by disasters may have adverse non-communicable disease health effects associated with the disaster. This research examined the independent and joint impacts of federally declared disasters on the diagnosis of hypertension (HTN), diabetes (DM), anxiety, and medication changes 6 months before and after a disaster. Patients seen in zip codes that received a federal disaster declaration for Hurricanes Gustave or Ike in 2008 and who had electronic health records captured by MarketScan(®) were analyzed. The analysis included patients seen 6 months before or after Hurricanes Gustav and Ike in 2008 and who were diagnosed with HTN, DM, or anxiety. There was a statistically significant association between post-disaster and diagnosis of hypertension, X(2) (1, n = 19,328) = 3.985, p = 0.04. There was no association post-disaster and diabetes X(2) (1, n = 19,328) = 0.778, p = 0.378 or anxiety, X(2) (1, n = 19,328) = 0.017, p = 0.898. The research showed that there was a change in the diagnosis of HTN after a disaster. Changes in HTN are an additional important consideration for clinicians in disaster-prone areas. Data about non-communicable diseases help healthcare disaster planners to include primary care needs and providers in the plans to prevent the long-term health impacts of disasters and expedite recovery efforts. MDPI 2023-04-04 /pmc/articles/PMC10094278/ /pubmed/37048001 http://dx.doi.org/10.3390/ijerph20075388 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Lavin, Roberta
Couig, Mary Pat
Kelley, Patricia Watts
Schwarts, Thais
Ramos, Fermin
Healthcare Impacts Associated with Federally Declared Disasters—Hurricanes Gustave and Ike
title Healthcare Impacts Associated with Federally Declared Disasters—Hurricanes Gustave and Ike
title_full Healthcare Impacts Associated with Federally Declared Disasters—Hurricanes Gustave and Ike
title_fullStr Healthcare Impacts Associated with Federally Declared Disasters—Hurricanes Gustave and Ike
title_full_unstemmed Healthcare Impacts Associated with Federally Declared Disasters—Hurricanes Gustave and Ike
title_short Healthcare Impacts Associated with Federally Declared Disasters—Hurricanes Gustave and Ike
title_sort healthcare impacts associated with federally declared disasters—hurricanes gustave and ike
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10094278/
https://www.ncbi.nlm.nih.gov/pubmed/37048001
http://dx.doi.org/10.3390/ijerph20075388
work_keys_str_mv AT lavinroberta healthcareimpactsassociatedwithfederallydeclareddisastershurricanesgustaveandike
AT couigmarypat healthcareimpactsassociatedwithfederallydeclareddisastershurricanesgustaveandike
AT kelleypatriciawatts healthcareimpactsassociatedwithfederallydeclareddisastershurricanesgustaveandike
AT schwartsthais healthcareimpactsassociatedwithfederallydeclareddisastershurricanesgustaveandike
AT ramosfermin healthcareimpactsassociatedwithfederallydeclareddisastershurricanesgustaveandike