Corley Samantha S, Ornstein Katherine A, Rasul Rehana, Lieberman-Cribbin Wil, Maisel Hayley, Taioli Emanuela, Schwartz Rebecca M
Department of Occupational Medicine Epidemiology and Prevention, 66459Northwell Health, Great Neck, NY, USA.
Feinstein Institute for Medical Research, Great Neck, NY, USA.
J Appl Gerontol. 2022 Apr;41(4):1131-1142. doi: 10.1177/07334648211052992. Epub 2021 Nov 9.
To examine whether hurricane exposure, lack of access to medical care (LAMC), and displacement during Hurricane Sandy were associated with PTSD and other mental health (MH) symptoms among older adult New York residents.
Participants ( = 411) were ≥60 years old at the time of survey data collection (1-4 years post-Sandy). Outcomes included PTSD, depression, and anxiety symptoms and stress. Hurricane exposure, displacement, and LAMC were primary predictors.
Older adults with greater hurricane exposure had increased PTSD, anxiety, and stress symptoms. LAMC had a strong association (ORadj = 4.11) with PTSD symptoms but was not associated with other MH symptoms. Displacement was not associated with MH outcomes.
This is the first study to examine exposure, displacement, and LAMC together and to examine their varying impacts on different MH outcomes among older adults post-hurricane. Findings support the importance of disaster preparedness interventions tailored to the MH needs of community-dwelling older adults.
探讨飓风影响、医疗服务可及性缺乏（LAMC）以及在桑迪飓风期间流离失所是否与纽约老年居民的创伤后应激障碍（PTSD）及其他心理健康（MH）症状相关。
研究对象（n = 411）在调查数据收集时（桑迪飓风过后1 - 4年）年龄≥60岁。研究结果包括PTSD、抑郁、焦虑症状及压力。飓风影响、流离失所和LAMC是主要预测因素。
受飓风影响程度较高的老年人出现PTSD、焦虑和压力症状的几率增加。LAMC与PTSD症状有很强的关联（校正比值比=4.11），但与其他MH症状无关。流离失所与MH结局无关。
这是第一项同时考察影响、流离失所和LAMC，并研究它们对飓风过后老年人不同MH结局的不同影响的研究。研究结果支持了针对社区居住老年人MH需求的备灾干预措施的重要性。
