Department of Occupational Medicine, Epidemiology and Prevention, Zucker School of Medicine at Hofstra/Northwell, Great Neck, New York, USA.
Department of Population Health Science and Policy and Institute for Translational Epidemiology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
J Trauma Stress. 2019 Oct;32(5):677-687. doi: 10.1002/jts.22445. Epub 2019 Sep 5.
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.
暴露于 2012 年的桑迪飓风在纽约市和附近的长岛各地的社区存在差异，必须研究暴露对心理健康问题的不同影响，以增强脆弱社区的适应力。我们评估了通过经过验证的问卷从曼哈顿下城（n=1134）、皇后区/长岛/斯塔滕岛（n=622）和罗克威（n=1011）的居民获得的自我报告的桑迪飓风暴露与随后的创伤后应激障碍（PTSD）症状之间的关联；平均评估时间分别为桑迪飓风后 7、14 和 32 个月。所有社区的飓风暴露中位数相似；然而，与曼哈顿下城（8.0%）和皇后区/长岛/斯塔滕岛（5.8%）居民相比，罗克威居民的 PTSD 症状可能性更高（18.8%）。关于可能的 PTSD，总飓风暴露与社区之间存在显著交互作用，p=0.002，洪水与社区之间存在显著交互作用，p=0.040。飓风暴露次数与皇后区/长岛/斯塔滕岛发生可能 PTSD 的几率更高相关，OR=1.61，95%CI[1.34，1.94]；曼哈顿下城，OR=1.43，95%CI[1.28，1.59]；罗克威，OR=1.25，95%CI[1.16，1.35]。洪水与罗克威发生可能 PTSD 的几率增加相关，OR=1.65，95%CI[1.01，2.69]；与皇后区/长岛/斯塔滕岛发生可能 PTSD 的几率增加相关，OR=3.29，95%CI[1.08，10.00]。本研究强调了桑迪飓风对三个受其影响的社区随后发生 PTSD 症状的不同影响。未来的备灾和恢复工作必须了解心理健康问题的社区相关因素，以增强脆弱社区的适应力。
