Children's Environmental Health Initiative, Rice University, Houston, TX, USA.
Children's Environmental Health Initiative, University of Notre Dame, South Bend, IN, USA.
Environ Res. 2022 Nov;214(Pt 3):114020. doi: 10.1016/j.envres.2022.114020. Epub 2022 Aug 7.
To assess the economic and mental health impacts of COVID-19 in the presence of previous exposure to flooding events.
Starting in April 2018, the Texas Flood Registry (TFR) invited residents to complete an online survey regarding their experiences with Hurricane Harvey and subsequent flooding events. Starting in April 2020, participants nationwide were invited to complete a brief online survey on their experiences during the pandemic. This study includes participants in the TFR (N = 20,754) and the COVID-19 Registry (N = 8568) through October 2020 (joint N = 2929). Logistic regression and generalized estimating equations were used to examine the relationship between exposure to flooding events and the economic and mental health impacts of COVID-19.
Among COVID-19 registrants, 21% experienced moderate to severe anxiety during the pandemic, and 7% and 12% of households had difficulty paying rent and bills, respectively. Approximately 17% of Black and 15% of Hispanic households had difficulty paying rent, compared to 5% of non-Hispanic white households. The odds of COVID-19 income loss are 1.20 (1.02, 1.40) times higher for those who previously had storm-related home damage compared to those who did not and 3.84 (3.25-4.55) times higher for those who experienced Harvey income loss compared to those who did not. For registrants for whom Harvey was a severe impact event, the odds of having more severe anxiety during the pandemic are 5.14 (4.02, 6.58) times higher than among registrants for whom Harvey was a no meaningful impact event.
Multiple crises can jointly and cumulatively shape health and wellbeing outcomes. This knowledge can help craft emergency preparation and intervention programs.
评估 COVID-19 在先前暴露于洪水事件下对经济和心理健康的影响。
自 2018 年 4 月起，德克萨斯洪水登记处（TFR）邀请居民完成一份关于他们在哈维飓风及后续洪水事件中的经历的在线调查。自 2020 年 4 月起，邀请全国范围内的参与者完成一项关于他们在大流行期间经历的简短在线调查。这项研究包括 2020 年 10 月之前 TFR（N=20754）和 COVID-19 登记处（N=8568）的参与者（共 N=2929）。使用逻辑回归和广义估计方程来研究暴露于洪水事件与 COVID-19 的经济和心理健康影响之间的关系。
在 COVID-19 登记处中，21%的参与者在大流行期间经历了中度至重度焦虑，分别有 7%和 12%的家庭难以支付租金和账单。与非西班牙裔白人家庭相比，约 17%的黑人家庭和 15%的西班牙裔家庭难以支付租金。与没有经历过风暴相关房屋损坏的人相比，以前经历过风暴相关房屋损坏的人 COVID-19 收入损失的几率高 1.20 倍（1.02，1.40），而与没有经历过哈维收入损失的人相比，经历过哈维收入损失的人收入损失的几率高 3.84 倍（3.25，4.55）。对于哈维对登记者造成严重影响的事件，在大流行期间出现更严重焦虑的几率比哈维对登记者没有造成有意义影响的事件高出 5.14 倍（4.02，6.58）。
多种危机可以共同且累积地影响健康和幸福感。这些知识可以帮助制定应急准备和干预计划。
