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Lack of access to medical care during Hurricane Sandy and mental health symptoms

Destruction caused by natural disasters compromises medical providers' and hospitals' abilities to administer care. Hurricane Sandy was particularly devastating, resulting in massive disruptions of medical care in the region. This study aimed to determine whether a lack of access to medica...

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Autores principales: Ruskin, Julia, Rasul, Rehana, Schneider, Samantha, Bevilacqua, Kristin, Taioli, Emanuela, Schwartz, Rebecca M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5984240/
https://www.ncbi.nlm.nih.gov/pubmed/29868393
http://dx.doi.org/10.1016/j.pmedr.2018.04.014
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author Ruskin, Julia
Rasul, Rehana
Schneider, Samantha
Bevilacqua, Kristin
Taioli, Emanuela
Schwartz, Rebecca M.
author_facet Ruskin, Julia
Rasul, Rehana
Schneider, Samantha
Bevilacqua, Kristin
Taioli, Emanuela
Schwartz, Rebecca M.
author_sort Ruskin, Julia
collection PubMed
description Destruction caused by natural disasters compromises medical providers' and hospitals' abilities to administer care. Hurricane Sandy was particularly devastating, resulting in massive disruptions of medical care in the region. This study aimed to determine whether a lack of access to medical care during Hurricane Sandy was associated with posttraumatic stress disorder (PTSD) symptoms and other mental health/substance abuse outcomes. A secondary aim was to examine whether having a chronic illness moderates those associations. Self-reported medical access and mental health symptomatology were obtained from New York City and Long Island residents (n = 1669) following Hurricane Sandy under the Leaders in Gathering Hope Together project (10/23/2013–2/25/2015) and Project Restoration (6/5/2014–8/9/2016). Multivariable logistic regressions were utilized to determine the relationship between lack of access to medical care and mental health outcomes. Of the 1669 participants, 994 (59.57%) were female, 866 (51.89%) were white, and the mean age was 46.22 (SD = 19.2) years old. Those without access to medical care had significantly higher odds of showing symptoms of PTSD (AOR = 2.71, CI = [1.77–4.16]), as well as depression (AOR = 1.94, CI = [1.29–2.92]) and anxiety (AOR = 1.61, CI = [1.08–2.39]) compared to those with access. Lack of access to care was associated with a 2.12 point increase in perceived stress scale score (SE = 0.63). The interaction between having a chronic illness and lack of access to medical care was not significantly associated with any outcomes. The findings emphasize the importance of making medical care more accessible to patients, both chronically and acutely ill, during natural disasters to benefit their physical as well as their mental health.
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spelling pubmed-59842402018-06-04 Lack of access to medical care during Hurricane Sandy and mental health symptoms Ruskin, Julia Rasul, Rehana Schneider, Samantha Bevilacqua, Kristin Taioli, Emanuela Schwartz, Rebecca M. Prev Med Rep Regular Article Destruction caused by natural disasters compromises medical providers' and hospitals' abilities to administer care. Hurricane Sandy was particularly devastating, resulting in massive disruptions of medical care in the region. This study aimed to determine whether a lack of access to medical care during Hurricane Sandy was associated with posttraumatic stress disorder (PTSD) symptoms and other mental health/substance abuse outcomes. A secondary aim was to examine whether having a chronic illness moderates those associations. Self-reported medical access and mental health symptomatology were obtained from New York City and Long Island residents (n = 1669) following Hurricane Sandy under the Leaders in Gathering Hope Together project (10/23/2013–2/25/2015) and Project Restoration (6/5/2014–8/9/2016). Multivariable logistic regressions were utilized to determine the relationship between lack of access to medical care and mental health outcomes. Of the 1669 participants, 994 (59.57%) were female, 866 (51.89%) were white, and the mean age was 46.22 (SD = 19.2) years old. Those without access to medical care had significantly higher odds of showing symptoms of PTSD (AOR = 2.71, CI = [1.77–4.16]), as well as depression (AOR = 1.94, CI = [1.29–2.92]) and anxiety (AOR = 1.61, CI = [1.08–2.39]) compared to those with access. Lack of access to care was associated with a 2.12 point increase in perceived stress scale score (SE = 0.63). The interaction between having a chronic illness and lack of access to medical care was not significantly associated with any outcomes. The findings emphasize the importance of making medical care more accessible to patients, both chronically and acutely ill, during natural disasters to benefit their physical as well as their mental health. Elsevier 2018-04-24 /pmc/articles/PMC5984240/ /pubmed/29868393 http://dx.doi.org/10.1016/j.pmedr.2018.04.014 Text en © 2018 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Regular Article
Ruskin, Julia
Rasul, Rehana
Schneider, Samantha
Bevilacqua, Kristin
Taioli, Emanuela
Schwartz, Rebecca M.
Lack of access to medical care during Hurricane Sandy and mental health symptoms
title Lack of access to medical care during Hurricane Sandy and mental health symptoms
title_full Lack of access to medical care during Hurricane Sandy and mental health symptoms
title_fullStr Lack of access to medical care during Hurricane Sandy and mental health symptoms
title_full_unstemmed Lack of access to medical care during Hurricane Sandy and mental health symptoms
title_short Lack of access to medical care during Hurricane Sandy and mental health symptoms
title_sort lack of access to medical care during hurricane sandy and mental health symptoms
topic Regular Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5984240/
https://www.ncbi.nlm.nih.gov/pubmed/29868393
http://dx.doi.org/10.1016/j.pmedr.2018.04.014
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