Wertis Luke, Runkle Jennifer D, Sugg Margaret M, Singh Devyani
Department of Geography and Planning Appalachian State University Boone NC USA.
North Carolina Institute for Climate Studies NC State University NC Raleigh USA.
Geohealth. 2023 Feb 7;7(2):e2022GH000707. doi: 10.1029/2022GH000707. eCollection 2023 Feb.
Limited research has evaluated the mental health effects during compounding disasters (e.g., a hurricane occurring during a pandemic), and few studies have examined post-disaster mental health with alternative data sources like crisis text lines. This study examined changes in crisis help-seeking for individuals in Louisiana, USA, before and after Hurricane Ida (2021), a storm that co-occurred during the COVID-19 pandemic. An interrupted time series analysis and difference-in-difference analysis for single and multiple group comparisons were used to examine pre-and post-changes in crisis text volume (i.e., any crisis text, substance use, thoughts of suicide, stress/anxiety, and bereavement) among help-seeking individuals in communities that received US Federal Emergency Management Agency individual and public assistance following a presidential disaster declaration. Results showed a significant increase in crisis texts for any reason, thoughts of suicide, stress/anxiety, and bereavement in the four-week, three-month, and four-month post-impact period. Findings highlight the need for more mental health support for residents directly impacted by disasters like Hurricane Ida.
有限的研究评估了复合灾害（例如，大流行期间发生的飓风）期间对心理健康的影响，很少有研究使用危机短信热线等替代数据源来研究灾后心理健康。本研究调查了美国路易斯安那州个人在艾达飓风（2021年）前后寻求危机帮助的变化情况，这场风暴是在新冠疫情期间同时发生的。采用中断时间序列分析以及单组和多组比较的差分分析，来研究在总统宣布灾害后获得美国联邦紧急事务管理局个人和公共援助的社区中，求助个体的危机短信量（即任何危机短信、药物使用、自杀念头、压力/焦虑和丧亲之痛）在灾前和灾后的变化。结果显示，在影响发生后的四周、三个月和四个月期间，因任何原因、自杀念头、压力/焦虑和丧亲之痛而产生的危机短信显著增加。研究结果凸显了为像艾达飓风这样的灾害直接影响的居民提供更多心理健康支持的必要性。
