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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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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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 |
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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 |
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