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Economic and mental health impacts of multiple adverse events: Hurricane Harvey, other flooding events, and the COVID-19 pandemic.
Callender, Rashida; Canales, Joally M; Avendano, Carolina; Craft, Elena; Ensor, Katherine B; Miranda, Marie Lynn.
  • Callender R; Children's Environmental Health Initiative, Rice University, Houston, TX, USA.
  • Canales JM; Children's Environmental Health Initiative, Rice University, Houston, TX, USA.
  • Avendano C; Children's Environmental Health Initiative, University of Notre Dame, South Bend, IN, USA.
  • Craft E; Environmental Defense Fund, Austin, TX, USA.
  • Ensor KB; Department of Statistics, Rice University, Houston, TX, USA.
  • Miranda ML; Children's Environmental Health Initiative, University of Notre Dame, South Bend, IN, USA; Department of Applied and Computational Mathematics and Statistics, University of Notre Dame, South Bend, IN, USA. Electronic address: mlm@nd.edu.
Environ Res ; 214(Pt 3): 114020, 2022 11.
Article in English | MEDLINE | ID: covidwho-2035991
ABSTRACT

OBJECTIVES:

To assess the economic and mental health impacts of COVID-19 in the presence of previous exposure to flooding events.

METHODS:

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.

RESULTS:

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.

CONCLUSIONS:

Multiple crises can jointly and cumulatively shape health and wellbeing outcomes. This knowledge can help craft emergency preparation and intervention programs.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Cyclonic Storms / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study / Qualitative research Limits: Humans Language: English Journal: Environ Res Year: 2022 Document Type: Article Affiliation country: J.envres.2022.114020

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Cyclonic Storms / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study / Qualitative research Limits: Humans Language: English Journal: Environ Res Year: 2022 Document Type: Article Affiliation country: J.envres.2022.114020