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Flores AB, Sullivan JA, Yu Y, Friedrich HK. Health Disparities in the Aftermath of Flood Events: A Review of Physical and Mental Health Outcomes with Methodological Considerations in the USA. Curr Environ Health Rep 2024; 11:238-254. [PMID: 38605256 DOI: 10.1007/s40572-024-00446-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/02/2024] [Indexed: 04/13/2024]
Abstract
PURPOSE OF REVIEW This review applies an environmental justice perspective to synthesize knowledge of flood-related health disparities across demographic groups in the USA. The primary aim is to examine differential impacts on physical and mental health outcomes while also assessing methodological considerations such as flood exposure metrics, baseline health metrics, and community engagement. RECENT FINDINGS In our review (n = 27), 65% and 72% of studies identified racial, ethnic, or socio-economic disparities in physical and mental health outcomes post-flooding, respectively. The majority of racial/ethnic disparities were based on Black race, while most socio-economic disparities were based on lower household income. Forty-two percent of studies lacked flood exposure metrics, but often identified disparities. Common flood exposure metrics included self-reported flooding, flood risk models, and satellite-based observations. Seventy percent of studies lacked baseline health measurements or suitable alternatives, and only 19% incorporated community engagement into their research design. The literature consistently finds that both physical and mental health burdens following flooding are unequally shared across racial, ethnic, and socio-economic groups. These findings emphasize the need for disaster risk reduction policies that address underlying vulnerabilities to flooding, unequal exposure to flooding, and progressive funding for recovery efforts. Findings also underscore the importance of methodological enhancements to facilitate precise assessments of flood exposure and health outcomes.
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Affiliation(s)
- Aaron B Flores
- School of Geographical Sciences & Urban Planning, Arizona State University, Lattie F. Coor Hall, 975 S Myrtle Ave, Tempe, AZ, 85281, USA.
- Urban Climate Research Center, Arizona State University, Tempe, AZ, USA.
| | - Jonathan A Sullivan
- School of Geography, Development & Environment, University of Arizona, Tucson, AZ, 85721, USA
| | - Yilei Yu
- School of Geographical Sciences & Urban Planning, Arizona State University, Lattie F. Coor Hall, 975 S Myrtle Ave, Tempe, AZ, 85281, USA
| | - Hannah K Friedrich
- School of Geography, Development & Environment, University of Arizona, Tucson, AZ, 85721, USA
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Wu Y, Gasevic D, Wen B, Yang Z, Yu P, Zhou G, Zhang Y, Song J, Liu H, Li S, Guo Y. Floods and cause-specific mortality in the UK: a nested case-control study. BMC Med 2024; 22:188. [PMID: 38715068 PMCID: PMC11077877 DOI: 10.1186/s12916-024-03412-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/27/2023] [Accepted: 04/29/2024] [Indexed: 05/12/2024] Open
Abstract
BACKGROUND Floods are the most frequent weather-related disaster, causing significant health impacts worldwide. Limited studies have examined the long-term consequences of flooding exposure. METHODS Flood data were retrieved from the Dartmouth Flood Observatory and linked with health data from 499,487 UK Biobank participants. To calculate the annual cumulative flooding exposure, we multiplied the duration and severity of each flood event and then summed these values for each year. We conducted a nested case-control analysis to evaluate the long-term effect of flooding exposure on all-cause and cause-specific mortality. Each case was matched with eight controls. Flooding exposure was modelled using a distributed lag non-linear model to capture its nonlinear and lagged effects. RESULTS The risk of all-cause mortality increased by 6.7% (odds ratio (OR): 1.067, 95% confidence interval (CI): 1.063-1.071) for every unit increase in flood index after confounders had been controlled for. The mortality risk from neurological and mental diseases was negligible in the current year, but strongest in the lag years 3 and 4. By contrast, the risk of mortality from suicide was the strongest in the current year (OR: 1.018, 95% CI: 1.008-1.028), and attenuated to lag year 5. Participants with higher levels of education and household income had a higher estimated risk of death from most causes whereas the risk of suicide-related mortality was higher among participants who were obese, had lower household income, engaged in less physical activity, were non-moderate alcohol consumers, and those living in more deprived areas. CONCLUSIONS Long-term exposure to floods is associated with an increased risk of mortality. The health consequences of flooding exposure would vary across different periods after the event, with different profiles of vulnerable populations identified for different causes of death. These findings contribute to a better understanding of the long-term impacts of flooding exposure.
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Affiliation(s)
- Yao Wu
- School of Public Health and Preventive Medicine, Monash University, Level 2, 553 St Kilda Road, Melbourne, VIC, 3004, Australia
| | - Danijela Gasevic
- School of Public Health and Preventive Medicine, Monash University, Level 2, 553 St Kilda Road, Melbourne, VIC, 3004, Australia
| | - Bo Wen
- School of Public Health and Preventive Medicine, Monash University, Level 2, 553 St Kilda Road, Melbourne, VIC, 3004, Australia
| | - Zhengyu Yang
- School of Public Health and Preventive Medicine, Monash University, Level 2, 553 St Kilda Road, Melbourne, VIC, 3004, Australia
| | - Pei Yu
- School of Public Health and Preventive Medicine, Monash University, Level 2, 553 St Kilda Road, Melbourne, VIC, 3004, Australia
| | - Guowei Zhou
- Department of Dermatology, Xiangya Hospital, Central South University, Changsha, 410008, Hunan, China
| | - Yan Zhang
- Department of Dermatology, Xiangya Hospital, Central South University, Changsha, 410008, Hunan, China
| | - Jiangning Song
- Department of Biochemistry and Molecular Biology, Monash Biomedicine Discovery Institute, Monash University, Melbourne, VIC, 3800, Australia
| | - Hong Liu
- Department of Dermatology, Xiangya Hospital, Central South University, Changsha, 410008, Hunan, China
| | - Shanshan Li
- Department of Dermatology, Xiangya Hospital, Central South University, Changsha, 410008, Hunan, China
| | - Yuming Guo
- Department of Dermatology, Xiangya Hospital, Central South University, Changsha, 410008, Hunan, China.
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Wang JX, Liu XQ. Climate change, ambient air pollution, and students' mental health. World J Psychiatry 2024; 14:204-209. [PMID: 38464763 PMCID: PMC10921291 DOI: 10.5498/wjp.v14.i2.204] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/29/2023] [Revised: 12/29/2023] [Accepted: 01/23/2024] [Indexed: 02/06/2024] Open
Abstract
The impact of global climate change and air pollution on mental health has become a crucial public health issue. Increased public awareness of health, advancements in medical diagnosis and treatment, the way media outlets report environmental changes and the variation in social resources affect psychological responses and adaptation methods to climate change and air pollution. In the context of climate change, extreme weather events seriously disrupt people's living environments, and unstable educational environments lead to an increase in mental health issues for students. Air pollution affects students' mental health by increasing the incidence of diseases while decreasing contact with nature, leading to problems such as anxiety, depression, and decreased cognitive function. We call for joint efforts to reduce pollutant emissions at the source, improve energy structures, strengthen environmental monitoring and gover-nance, increase attention to the mental health issues of students, and help student groups build resilience; by establishing public policies, enhancing social support and adjusting lifestyles and habits, we can help students cope with the constantly changing environment and maintain a good level of mental health. Through these comprehensive measures, we can more effectively address the challenges of global climate change and air pollution and promote the achievement of the United Nations Sustainable Development Goals.
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Affiliation(s)
- Jing-Xuan Wang
- School of Education, Tianjin University, Tianjin 300350, China
| | - Xin-Qiao Liu
- School of Education, Tianjin University, Tianjin 300350, China
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Mueller V, Hauer M, Sheriff G. Sunny-Day Flooding and Mortality Risk in Coastal Florida. Demography 2024; 61:209-230. [PMID: 38235780 DOI: 10.1215/00703370-11153911] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2024]
Abstract
Sea-level rise is likely to worsen the impacts of hurricanes, storm surges, and tidal flooding on coastal access to basic services. We investigate the historical impact of tidal flooding on mortality rates of the elderly population in coastal Florida using administrative records of individual deaths, demographics, and residential location combined with tidal gauge and high-resolution elevation data. We incorporate data capturing storm and precipitation events into our empirical model to distinguish between disruptions from routine sunny-day flooding and less predictable tropical storm-induced flooding. We find that a 1-standard-deviation (20-millimeter) increase in tidal flooding depth increases mortality rates by 0.46% to 0.60% among those aged 65 or older. Our estimates suggest that future sea-level rises may contribute to an additional 130 elderly deaths per year in Florida relative to 2019, all else being equal. The enhanced risk is concentrated among residents living more than nine minutes away from the nearest hospital. Results suggest that tidal flooding may augment elderly mortality risk by delaying urgent medical care.
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Affiliation(s)
- Valerie Mueller
- School of Politics and Global Studies, Arizona State University, Tempe, AZ, USA; International Food Policy Research Institute, Washington, DC, USA
| | - Mathew Hauer
- Department of Sociology, Florida State University, Tallahassee, FL, USA
| | - Glenn Sheriff
- School of Politics and Global Studies, Arizona State University, Tempe, AZ, USA
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Mahesar RA, Khalil H, Shaikh S, Kalhoro A, Rajar AB, Memon MA, Mamun MA. Exploring suicidality in the aftermath of the 2022 flood in Pakistan: insights from newspaper reports. CNS Spectr 2024; 29:1-3. [PMID: 37581285 DOI: 10.1017/s1092852923002419] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 08/16/2023]
Affiliation(s)
- Rameez A Mahesar
- Department of Media & Communication Studies, Shah Abdul Latif University, Khairpur, Pakistan
| | - Hadia Khalil
- Department of Media & Communication Studies, Sindh Madressatul Islam University, Karachi, Pakistan
| | - Sadia Shaikh
- Benazir School of Business, Benazir Bhutto Shaheed University, Karachi, Pakistan
| | - Aqsa Kalhoro
- Institute of Public Health, People's University of Medical and Health Sciences for Women, Shaheed Benazirabad, Pakistan
| | - Allah B Rajar
- Department of Community Medicine Muhammad Medical College, Ibn-e-Sina University, Mirpur Khas, Pakistan
| | - Momina A Memon
- Department of English, Shaheed Benazir Bhutto University, Shaheed Benazirabad, Pakistan
| | - Mohammed A Mamun
- CHINTA Research Bangladesh, Savar, Dhaka, Bangladesh
- Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka, Bangladesh
- Department of Public Health, University of South Asia, Dhaka, Bangladesh
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Landrigan PJ, Britt M, Fisher S, Holmes A, Kumar M, Mu J, Rizzo I, Sather A, Yousuf A, Kumar P. Assessing the Human Health Benefits of Climate Mitigation, Pollution Prevention, and Biodiversity Preservation. Ann Glob Health 2024; 90:1. [PMID: 38186855 PMCID: PMC10768568 DOI: 10.5334/aogh.4161] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2023] [Accepted: 12/04/2023] [Indexed: 01/09/2024] Open
Abstract
Background Since the Industrial Revolution, humanity has amassed great wealth and achieved unprecedented material prosperity. These advances have come, however, at great cost to the planet. They are guided by an economic model that focuses almost exclusively on short-term gain, while ignoring natural capital and human capital. They have relied on the combustion of vast quantities of fossil fuels, massive consumption of the earth's resources, and production and environmental release of enormous quantities of chemicals, pesticides, fertilizers, and plastics. They have caused climate change, pollution, and biodiversity loss, the "Triple Planetary Crisis". They are responsible for more than 9 million premature deaths per year and for widespread disease - impacts that fall disproportionately upon the poor and the vulnerable. Goals To map the human health impacts of climate change, pollution, and biodiversity loss. To outline a framework for assessing the health benefits of interventions against these threats. Findings Actions taken by national governments and international agencies to mitigate climate change, pollution, and biodiversity loss can improve health, prevent disease, save lives, and enhance human well-being. Yet assessment of health benefits is largely absent from evaluations of environmental remediation programs. This represents a lost opportunity to quantify the full benefits of environmental remediation and to educate policy makers and the public. Recommendations We recommend that national governments and international agencies implementing interventions against climate change, pollution, and biodiversity loss develop metrics and strategies for quantifying the health benefits of these interventions. We recommend that they deploy these tools in parallel with assessments of ecologic and economic benefits. Health metrics developed by the Global Burden of Disease (GBD) study may provide a useful starting point.Incorporation of health metrics into assessments of environmental restoration will require building transdisciplinary collaborations. Environmental scientists and engineers will need to work with health scientists to establish evaluation systems that link environmental and economic data with health data. Such systems will assist international agencies as well as national and local governments in prioritizing environmental interventions.
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Affiliation(s)
- Philip J. Landrigan
- Global Observatory on Planetary Health, Boston College, Chestnut Hill, MA, US
- Centre Scientifique de Monaco, MC
| | - Michael Britt
- Global Observatory on Planetary Health, Boston College, Chestnut Hill, MA, US
| | - Samantha Fisher
- City University of New York, Graduate School of Public Health and Health Policy, New York City, NY, US
| | | | - Manasi Kumar
- Department of Psychiatry, University of Nairobi, Kenya
- Institute for Excellence in Health Equity, New York University Grossman School of Medicine, New York, US
| | - Jenna Mu
- Global Observatory on Planetary Health, Boston College, Chestnut Hill, MA, US
| | - Isabella Rizzo
- The George Washington University, Elliot School of International Affairs, Washington D.C., US
| | - Anna Sather
- Global Observatory on Planetary Health, Boston College, Chestnut Hill, MA, US
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Chen XY, Shi X, Li C, Fan F. Longitudinal associations between social support trajectories and quality of life mediated by depressive symptoms: A 10-year cohort study of Wenchuan earthquake. J Adolesc 2023; 95:1702-1714. [PMID: 37674388 DOI: 10.1002/jad.12239] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2023] [Revised: 07/11/2023] [Accepted: 08/17/2023] [Indexed: 09/08/2023]
Abstract
INTRODUCTION Previous studies on associations between social support and quality of life (QoL) have usually employed a variable-centered approach, without considering individual variances in time-varying changes in social support. This study explores trajectories of social support and whether depressive symptoms mediate associations between social support trajectories and QoL 10 years after an earthquake. METHODS Seven hundred and forty-four Chinese adolescents exposed to the Wenchuan earthquake were surveyed on social support at 6-, 18-, and 24-months and depressive symptoms at 30-months postearthquake (T30m ). They provided valid data on QoL after 10 years of the earthquake (T10y ). The latent class growth analysis was used to estimate social support trajectories. Mediation analysis was then conducted to test whether depressive symptoms at T30m mediated associations between social support trajectories and QoL at T10y . RESULTS Three trajectories of social support were identified: low decreasing (31.6%), moderate decreasing (55.4%), and persistent high (13.0%) groups. Depressive symptoms significantly mediated the effects of social support trajectories (relative to the low support trajectory) on future QoL (95% CIs: 0.70-1.78 and 1.41-3.37 for moderate decreasing and persistent high groups, respectively). CONCLUSIONS Social support shows individual differences over time. Moderate and high social support trajectories improve 10-year QoL partly by reducing depressive symptoms. Therefore, interventions aimed at enhancing social support and reducing depressive symptoms may be more effective in enhancing QoL in the aftermath of disasters.
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Affiliation(s)
- Xiao-Yan Chen
- Guangdong Key Laboratory of Mental Health and Cognitive Science, School of Psychology, Center for Studies of Psychological Application, South China Normal University, Guangzhou, China
- Key Laboratory of Brain, Cognition and Education Sciences, Ministry of Education, Guangzhou, China
| | - Xuliang Shi
- College of Education, Hebei University, Hebei, China
| | - Chao Li
- Faculty of Medicine, Autonomous University of Madrid, Madrid, Spain
| | - Fang Fan
- Guangdong Key Laboratory of Mental Health and Cognitive Science, School of Psychology, Center for Studies of Psychological Application, South China Normal University, Guangzhou, China
- Key Laboratory of Brain, Cognition and Education Sciences, Ministry of Education, Guangzhou, China
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Srivastava S, Roy T. Integrated flood risk assessment of properties and associated population at county scale for Nebraska, USA. Sci Rep 2023; 13:19702. [PMID: 37952065 PMCID: PMC10640634 DOI: 10.1038/s41598-023-45827-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2023] [Accepted: 10/24/2023] [Indexed: 11/14/2023] Open
Abstract
Risk assessment of properties and associated population was conducted for the state of Nebraska, leveraging only open-source datasets. The flood risk framework consisted of interactions among drivers, i.e. hazard, exposure, vulnerability, and response, to assess the risks related to properties and associated populations. To quantify hazard on a county scale, we considered properties at risk of flooding based on a flood score (a higher score represents a greater chance of flooding). Exposure was quantified by considering population density at the county level. We quantified vulnerability under four categories: social, ecological, economic, and health. Response, a relatively newer component in flood risk assessment, was also quantified under three distinct categories: structural, non-structural, and emergency. Overall, we found that counties in eastern Nebraska (Sarpy, Dakota, Wayne, and Adams) have a higher risk of flooding consequences due to more exposure to vulnerable assets such as population and property. The assessment also observed that counties in eastern Nebraska are in the process of improving their flood control measures with dams, levees, and higher insurance coverage that can subdue the risks associated with flooding. The results from this study are anticipated to guide water managers and policymakers in making more effective and locally relevant policies and measures to mitigate flood risks and consequences.
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Affiliation(s)
- Shivendra Srivastava
- Department of Civil and Environmental Engineering, University of Nebraska - Lincoln, Lincoln, USA
| | - Tirthankar Roy
- Department of Civil and Environmental Engineering, University of Nebraska - Lincoln, Lincoln, USA.
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M Jibhakate S, V Timbadiya P, L Patel P. Multiparameter flood hazard, socioeconomic vulnerability and flood risk assessment for densely populated coastal city. JOURNAL OF ENVIRONMENTAL MANAGEMENT 2023; 344:118405. [PMID: 37331312 DOI: 10.1016/j.jenvman.2023.118405] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/11/2023] [Revised: 05/24/2023] [Accepted: 06/12/2023] [Indexed: 06/20/2023]
Abstract
In the current study, flood risk assessment of densely populated coastal urban Surat City, on the bank of the lower Tapi River in India, was conducted by combining the hydrodynamic model-based flood hazard and often neglected socioeconomic vulnerability. A two-dimensional (2D) hydrodynamic (HD) model was developed using physically surveyed topographic data and the existing land use land cover (LULC) of the study area (5248 km2). The satisfactory performance of the developed model was ascertained by comparing the observed and simulated water levels/depths across the river and floodplain. The 2D HD model outputs with geographic information system (GIS) applications were further used to develop probabilistic multiparameter flood hazard maps for coastal urban city. During a 100-year return period flood (Peak discharge = 34,459 m3/s), 86.5% of Surat City and its outskirt area was submerged, with 37% under the high hazard category. The north and west zones are the worst affected areas in Surat City. The socioeconomic sensitivity and adaptive capacity indicators were selected at the city's lowest administrative (ward) level. The socioeconomic vulnerability was evaluated by employing the robust data envelopment analysis (DEA) technique. Fifty-five of 89 wards in Surat City, covering 60% of the area under the jurisdiction of the Municipal Corporation, are highly vulnerable. Finally, the flood risk assessment of the city was conducted using a bivariate technique describing the distinctive contribution of flood hazard and socioeconomic vulnerability to risk. The wards adjoining the river and creek are at high flood risk, with an equal contribution of hazard and vulnerability. The ward-level hazard, vulnerability, and risk assessment of the city will help local and disaster management authorities to priorities high risk areas while planning flood management and mitigation strategies.
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Affiliation(s)
- Shubham M Jibhakate
- Department of Civil Engineering, Sardar Vallabhbhai National Institute of Technology, Surat, 395007, Gujarat, India.
| | - P V Timbadiya
- Department of Civil Engineering, Sardar Vallabhbhai National Institute of Technology, Surat, 395007, Gujarat, India.
| | - P L Patel
- Department of Civil Engineering, Sardar Vallabhbhai National Institute of Technology, Surat, 395007, Gujarat, India.
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Harper SL, Cunsolo A, Aylward B, Clayton S, Minor K, Cooper M, Vriezen R. Estimating climate change and mental health impacts in Canada: A cross-sectional survey protocol. PLoS One 2023; 18:e0291303. [PMID: 37819884 PMCID: PMC10566728 DOI: 10.1371/journal.pone.0291303] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2023] [Accepted: 08/22/2023] [Indexed: 10/13/2023] Open
Abstract
Climate change has severe and sweeping impacts on mental health. Although research is burgeoning on mental health impacts following climate and weather extremes, less is known about how common these impacts are outside of extreme events. Existing research exploring the prevalence of psychosocial responses to climate change primarily examines university students and uses non-random sampling methods. Herein, our protocol outlines an approach to data collection, processing, and analysis to estimate the population prevalence, magnitude, and distribution of mental health responses to climate change in Canada. A cross-sectional survey of youth and adults aged 13 years and older in Canada will be administered over the course of one year. The questionnaire will take approximately 10 minutes to complete orally and will be administered in English, French, and Inuktitut. The survey will consist of six sections: (1) self-reported past experiences of climate change; (2) self-reported climate-related emotions; (3) self-reported past and current impacts, anticipatory impacts, and vicarious experiences; (4) self-reported subclinical outcomes; (5) self-reported behavioural responses; and (6) demographics. A multi-stage, multi-stratified random probability sampling method will be used to obtain a sample representative of the Canadian population. We will use two different modes of recruitment: an addressed letter sent by postal mail or a telephone call (landlines and cellular). Population-weighted descriptive statistics, principal component analysis, and weighted multivariable regression will be used to analyse the data. The results of this survey will provide the first national prevalence estimates of subclinical mental health responses to climate change outcomes of people living in Canada.
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Affiliation(s)
| | - Ashlee Cunsolo
- School of Arctic & Subarctic Studies, Labrador Campus of Memorial University, Happy Valley-Goose Bay, Canada
| | - Breanne Aylward
- School of Public Health, University of Alberta, Edmonton, Canada
| | - Susan Clayton
- College of Wooster, Wooster, Ohio, United States of America
| | - Kelton Minor
- Data Science Institute, Columbia University, New York, New York, United States of America
| | - Madison Cooper
- School of Public Health, University of Alberta, Edmonton, Canada
| | - Rachael Vriezen
- School of Public Health, University of Alberta, Edmonton, Canada
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Liu Y, Liu Y, Wang Y, Li Z, Luo Y. Earthquake exposure during adolescence and later-life depressive symptoms: A national cross-sectional survey. SSM Popul Health 2023; 23:101490. [PMID: 37635992 PMCID: PMC10448222 DOI: 10.1016/j.ssmph.2023.101490] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2023] [Revised: 07/05/2023] [Accepted: 07/05/2023] [Indexed: 08/29/2023] Open
Abstract
Background This study aimed to examine the association between exposure to the 1976 Great Tangshan Earthquake (GTE) in adolescence and later-life depressive symptoms and to investigate the potential mechanisms underlying this association. Methods Data were from the 2015 China Health and Retirement Longitudinal Study (CHARLS). The 10-item short form of the Center for Epidemiologic Studies Depression scale (CESD-10) was chosen to measure depressive symptoms. We used the difference-in-difference (DID) method, binary logistic regression models, and multilevel logistic regression models to explore the association of earthquake exposure during adolescence with later-life depressive symptoms. Additionally, multilevel mediation analysis with structural equation modeling (MMSEM) was conducted to investigate potential mechanisms. Results We identified that adolescent exposure to earthquakes was related to a lower risk of depressive symptoms in later life (OR = 0.90, P = 0.019; OR = 0.48, P = 0.031; OR = 0.47, P = 0.034, respectively). However, this significant association was observed only in females (OR = 0.83, P = 0.028; OR = 0.46, P = 0.053; OR = 0.42, P = 0.037, respectively). Moreover, social activity participation played a mediating role in the association between exposure to earthquakes in adolescence and later-life depressive symptoms. Conclusions We observed a lower risk of depressive symptoms in later life in survivors of earthquake exposure during adolescence. Further, we found the mediating role of social participation in the association between earthquake exposure in adolescence and later-life depressive symptoms, which gives support for the posttraumatic growth (PTG) theory. Our findings imply that, in order to lower the risk of depression in later life following exposure to a natural disaster in adolescence, it is necessary to take into account the buffering effect of social participation.
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Affiliation(s)
- Yan Liu
- Institute of Population Research, Peking University, Beijing, China
| | - Yating Liu
- School of Nursing, Peking University, Beijing, China
| | - Yantao Wang
- Institute for Crime Prevention of Ministry of Justice, China
| | - Zhuo Li
- School of Social Sciences, Tsinghua University, China
| | - Yanan Luo
- Department of Global Health, School of Public Health, Peking University, Beijing, China
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Crompton D, Kohleis P, Shakespeare-Finch J, FitzGerald G, Young R. Opportunistic Mental Health Screening: Is there a Role Following a Disaster? Lessons from the 2010-2011 Queensland (Australia) Floods and Cyclones. Prehosp Disaster Med 2023; 38:223-231. [PMID: 36691688 PMCID: PMC10027488 DOI: 10.1017/s1049023x23000092] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Abstract
BACKGROUND Following the 2010-2011 floods and cyclones that affected 78% of Queensland, Australia, a State-wide mental health response was established. The response plan included a 24-hour access line. This study examines the effectiveness of the mental health screening program conducted via the State-wide health call center (13HEALTH) in 2012. METHODS Callers to the 13HEALTH line were screened to assess the impact of the disaster. The 13HEALTH clinicians administered the Primary Care-Posttraumatic Stress Disorder Scale (PC-PTSD) screening measure. Those scoring more than two on the PC-PTSD Scale were provided information on the emotional impact of disasters and a referral to the post-disaster specialist mental health program (SMHP). For calls related to those under 18, a single-item question assessed behavioral or emotional changes since the natural disasters. Those with identified changes were offered a referral to a post-disaster SMHP.The study evaluates the relationship between disaster exposure and the likelihood of 13HEALTH callers experiencing physical health concerns and unacknowledged mental health symptoms. The program's cost for the 12 months of 2012 was assessed using data from the financial contract. RESULTS In 2012, there were 205,064 calls to 13HEALTH: 19,708 identified as residing in a flood or cyclone-affected area, 7,315 adults indicated they were personally affected, and 907 scored more than two on the PC-PTSD Scale. Only 700 agreed to a referral to the SMHP. There were 290 children under 18 assessed as at risk; 207 accepted a referral to a SMHP.Regions that experienced a greater impact from the floods and cyclones were 1.3-2.3 times more likely to report being personally affected by the floods and cyclones. Similarly, these regions had more callers scoring more than two on the PC-PTSD Scale. The total cost of the 13HEALTH program for 2012 was $53,284 (AU) across all age groups. CONCLUSION The 13HEALTH general health post-disaster screening program demonstrates opportunistic screening may assist identification of those with unmet mental health needs. The data indicate an increased likelihood of personal exposure in the more affected regions with an increased risk of unrecognized psychological symptoms as assessed by the PC-PTSD Scale. However, more than 20% declined referral to a SMHP.
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Affiliation(s)
- David Crompton
- Queensland University of Technology, Brisbane, Queensland, Australia
- Griffith University, Nathan, Queensland, Australia
| | - Peter Kohleis
- Metro South Hospital and Health Service, Woolloongabba, Queensland, Australia
| | | | - Gerard FitzGerald
- Queensland University of Technology, Brisbane, Queensland, Australia
| | - Ross Young
- Queensland University of Technology, Brisbane, Queensland, Australia
- Griffith University, Nathan, Queensland, Australia
- University Sunshine Coast, Maroochydore DC, Queensland, Australia
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Hua CL, Patel S, Thomas KS, Peterson LJ, Andel R, Gordon L, Jester DJ, Dosa DM. The relationship between exposure to Hurricane Harvey and mortality among nursing home residents. J Am Geriatr Soc 2023; 71:888-894. [PMID: 36541058 PMCID: PMC10023296 DOI: 10.1111/jgs.18143] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2022] [Accepted: 09/05/2022] [Indexed: 12/24/2022]
Abstract
BACKGROUND Nursing home (NH) residents are vulnerable to mortality after natural disasters. We examined NH residents' excess all-cause mortality associated with Hurricane Harvey, a unique disaster with long-lasting flooding effects. We also explored how mortality differed between short-stay and long-stay residents and by chronic conditions. METHODS We conducted a retrospective observational study of Texas NH residents, comparing 30- and 90-day mortality among residents exposed to Hurricane Harvey in August 2017 to residents not exposed in the same location and time period during the previous 2 years. Data came from the Minimum Data Set Assessments and the Medicare Beneficiary Summary File. We used linear probability models to examine the association between hurricane exposure and mortality, adjusting for resident demographics, clinical acuity, and NH fixed effects. Models were stratified by short-stay and long-stay status. We also described differences in mortality by residents' chronic conditions. RESULTS In 2017, 18,479 Texas NH residents were exposed to Hurricane Harvey. Exposure to Hurricane Harvey was not significantly associated with 30-day mortality. However, 7.6% (95% CI: 7.2, 7.9) of long-stay residents died 90 days after exposure to Harvey, compared to 6.3% (95% CI: 6.0, 6.7) during 2015. Apparently, this effect was driven by chronic obstructive pulmonary disease (COPD) as approximately 9.2% of these residents died within 90 days after Harvey landing compared to 7.2% in 2015 (p < 0.01). CONCLUSIONS Hurricane exposure appears to have significant consequences for mortality among long-stay NH residents, which appear to materialize over the long-term (90 days post-hurricane in our study) and may not be apparent immediately (30 days post-hurricane in our study). NH residents with COPD may be particularly vulnerable to increased mortality risk following hurricane exposure. The results highlight the need to pay special attention to mortality risk in NH residents, particularly those with COPD, following hurricane exposure.
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Affiliation(s)
- Cassandra L. Hua
- Center of Innovation in Long-Term Services and Supports, U.S. Department of Veterans Affairs Medical Center, Providence, Rhode Island
- School of Public Health, Brown University, Providence, Rhode Island
| | - Sweta Patel
- School of Public Health, Brown University, Providence, Rhode Island
| | - Kali S. Thomas
- Center of Innovation in Long-Term Services and Supports, U.S. Department of Veterans Affairs Medical Center, Providence, Rhode Island
- School of Public Health, Brown University, Providence, Rhode Island
| | | | - Ross Andel
- Center for Innovation in Healthy and Resilient Aging, Arizona State University
| | - Lily Gordon
- School of Public Health, Brown University, Providence, Rhode Island
| | - Dylan J. Jester
- School of Aging Studies, University of South Florida, Tampa, Florida
- Department of Psychiatry, University of California San Diego, La Jolla, CA. Sam and Rose Stein Institute for Research on Aging, University of California San Diego, La Jolla, CA
| | - David M. Dosa
- Center of Innovation in Long-Term Services and Supports, U.S. Department of Veterans Affairs Medical Center, Providence, Rhode Island
- School of Public Health, Brown University, Providence, Rhode Island
- Warren Alpert Medical School, Brown University, Providence, Rhode Island
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Li A, Toll M, Martino E, Wiesel I, Botha F, Bentley R. Vulnerability and recovery: Long-term mental and physical health trajectories following climate-related disasters. Soc Sci Med 2023; 320:115681. [PMID: 36731303 DOI: 10.1016/j.socscimed.2023.115681] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2022] [Revised: 01/12/2023] [Accepted: 01/13/2023] [Indexed: 01/21/2023]
Abstract
Extreme weather and climate-related disaster events are associated with a range of adverse health outcomes. People are not equally vulnerable to the adversity, experiencing varied patterns of long-term health trajectories in recovery depending on their vulnerabilities, capacities, and resiliencies. This study aims to identify latent mental and physical health trajectories and their associations with person- and place-based pre-disaster predictors. Using an Australian, population-based, longitudinal dataset spanning 2009-19, group-based multi-trajectory modelling was applied to identify the distinct mental, social, emotional, and physical health trajectories of people who had experienced damage to their home following a climate-related disaster event. Multinomial logistic regression was used to assess a series of social vulnerability predictors (demographic, socioeconomic, housing, health, neighbourhood, and geographical) of health patterns. We identified three distinct health trajectories. Most individuals experienced small or minimal health impacts at the time of the disaster year followed by a fast recovery. However, one-fifth of the exposed population were severely affected during and post disaster. This cohort had the worst mental and physical health prior to the disaster and experienced the largest decreases in mental and physical health and the lowest recoveries. Pre-existing mental and physical conditions were the most substantial risk factors, increasing the probability of experiencing high impact and slow recovery by 61% for mental health and 51% for physical health. In addition, vulnerability in the form of housing affordability stress, lower household income, and lack of community attachment, participation and safety were also significant independent risk factors for ongoing post-disaster health problems. Critically, people's mental and physical health recovery is dependent on pre-disaster vulnerabilities in health, resource access, and capacities. These findings could assist policymakers and health practitioners to more effectively target people most at risk and design prevention and response strategies to prevent the exacerbation of poor health and wellbeing.
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Affiliation(s)
- Ang Li
- NHMRC Centre of Research Excellence in Healthy Housing, Centre for Health Policy, Melbourne School of Population and Global Health, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Australia; Australian Research Council's Centre of Excellence for Children and Families Over the Life Course, Australia.
| | - Mathew Toll
- NHMRC Centre of Research Excellence in Healthy Housing, Centre for Health Policy, Melbourne School of Population and Global Health, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Australia; Australian Research Council's Centre of Excellence for Children and Families Over the Life Course, Australia
| | - Erika Martino
- NHMRC Centre of Research Excellence in Healthy Housing, Centre for Health Policy, Melbourne School of Population and Global Health, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Australia
| | - Ilan Wiesel
- School of Geography, Earth and Atmospheric Sciences, Faculty of Science, The University of Melbourne, Australia; Australian Research Council's Centre of Excellence for Children and Families Over the Life Course, Australia
| | - Ferdi Botha
- Melbourne Institute of Applied Economic and Social Research, Faculty of Business and Economics, The University of Melbourne, Australia; Australian Research Council's Centre of Excellence for Children and Families Over the Life Course, Australia
| | - Rebecca Bentley
- NHMRC Centre of Research Excellence in Healthy Housing, Centre for Health Policy, Melbourne School of Population and Global Health, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Australia; Australian Research Council's Centre of Excellence for Children and Families Over the Life Course, Australia
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Yoshida S, Kashima S, Okazaki Y, Matsumoto M. Effects of 2018 Japan floods on healthcare costs and service utilization in Japan: a retrospective cohort study. BMC Public Health 2023; 23:288. [PMID: 36755264 PMCID: PMC9909853 DOI: 10.1186/s12889-023-15205-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2022] [Accepted: 02/03/2023] [Indexed: 02/10/2023] Open
Abstract
BACKGROUND Floods and torrential rains are natural disasters caused by climate change. Unfortunately, such events are more frequent and are increasingly severe in recent times. The 2018 Japan Floods in western Japan were one of the largest such disasters. This study aimed to evaluate the effect of the 2018 Japan Floods on healthcare costs and service utilization. METHODS This retrospective cohort study included all patients whose receipts accrued between July 2017 and June 2019 in Hiroshima, Okayama, and Ehime prefectures using the National Database of Health Insurance Claims. We used Generalized Estimating Equations (GEEs) to investigate yearly healthcare costs during the pre-and post-disaster periods, quarterly high-cost patients (top 10%), and service utilization (outpatient care, inpatient care, and dispensing pharmacy) during the post-disaster period. After the GEEs, we estimated the average marginal effects as the attributable disaster effect. RESULTS The total number of participants was 5,534,276. Victims accounted for 0.65% of the total number of participants (n = 36,032). Although there was no significant difference in pre-disaster healthcare costs (p = 0.63), post-disaster costs were $3,382 (95% CI: 3,254-3,510) for victims and $3,027 (95% CI: 3,015-3,038) for non-victims (p < 0.001). The highest risk difference among high-cost patients was 0.8% (95% CI: 0.6-1.1) in the fourth quarter. In contrast, the highest risk difference of service utilization was in the first quarter (outpatient care: 7.0% (95% CI: 6.7-7.4), inpatient care: 1.3% (95% CI: 1.1-1.5), and dispensing pharmacy: 5.9% (95% CI: 5.5-6.4)). CONCLUSION Victims of the 2018 Japan Floods had higher medical costs and used more healthcare services than non-victims. In addition, the risk of higher medical costs was highest at the end of the observation period. It is necessary to estimate the increase in healthcare costs according to the disaster scale and plan for appropriate post-disaster healthcare service delivery.
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Affiliation(s)
- Shuhei Yoshida
- Department of Community-Based Medical System, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, 734-8551, Hiroshima-shi, Hiroshima-ken, Japan. .,Department of General Internal Medicine, Hiroshima University Hospital, 1-2-3 Kasumi, Minami-ku, 734-8551, Hiroshima-shi, Hiroshima-ken, Japan.
| | - Saori Kashima
- grid.257022.00000 0000 8711 3200Planetary Health and Innovation Science Center, IDEC Institute, Hiroshima University, 1-3-2 Kagamiyama, Higashi-Hiroshima-shi, Hiroshima-ken, Japan ,grid.257022.00000 0000 8711 3200Environmental Health Sciences Laboratory, Graduate School of Advanced Science and Engineering, Hiroshima University, 1-3-2 Kagamiyama, Higashi-Hiroshima-shi, Hiroshima-ken, Japan
| | - Yuji Okazaki
- grid.257022.00000 0000 8711 3200Department of Community-Based Medical System, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, 734-8551 Hiroshima-shi, Hiroshima-ken, Japan
| | - Masatoshi Matsumoto
- grid.257022.00000 0000 8711 3200Department of Community-Based Medical System, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, 734-8551 Hiroshima-shi, Hiroshima-ken, Japan
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16
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Gajewski AJ, Zhang H, Abu-Hamad S, Pollio W, McDonald K, Pollio DE, North CS. Making Meaning of Surviving the Oklahoma City Bombing Seven Years Later. Psychiatry 2022; 86:42-52. [PMID: 36190776 PMCID: PMC9992151 DOI: 10.1080/00332747.2022.2120309] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/10/2022]
Abstract
Objective: No previous studies examined how survivors made meaning (i.e. interpreted the personal significance) of a disaster experience after seven years. This qualitative study follows up on a previously published analysis of 182 directly-exposed survivors of the Oklahoma City bombing, assessed after six months had elapsed for bombing-related psychopathology and meaning-making processes. The current study examines how 113 survivors (62% follow-up rate) made meaning of their bombing experience after seven years. Method: Survivors answered questions about the effects of the bombing on their beliefs and perspectives. Their responses were hand recorded by interviewers and transcribed. Content was coded into themes, allowing codes of multiple themes. Excellent interrater reliability was obtained (Cohen's kappa≥.8). Results: The survivors were 50% (57/113) male, 93% (105/113) Caucasian, 34% (38/113) college educated, and 71% (80/113) married with a mean (SD) age of 42.5 (10.6) (range = 19-69) years at the time of the bombing. Eight themes emerged and indicated that survivors matured in personal goals and character, interpersonal relationships, and philosophical thought (e.g., reconsideration of human nature and religion). More than one third of the comments included negative remarks about personal harm, especially psychological effects. Conclusions: Nearly two thirds of the material was positive in tone and consistent between six months and seven years. Negative content was entirely new relative to six-month baseline interview responses, suggesting many survivors incorporate greater reflection on negative outcomes in meaning-making processes over time. After several years, clinicians could encourage survivors to integrate positive and negative consequences as meaning. Longer-term studies are needed.
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Affiliation(s)
| | - Helena Zhang
- Medical School, The University of Texas Southwestern Medical Center, Dallas, USA
| | - Samir Abu-Hamad
- Department of Psychiatry, The University of Texas Southwestern Medical Center, Dallas, USA
| | - Whitney Pollio
- Colledge of Nursing, The University of South Florida, USA
| | - Katy McDonald
- The Altshuler Center for Education & Research at Metrocare Services, Dallas, USA; and Department of Psychiatry, The University of Texas Southwestern Medical Center, Dallas, USA
| | | | - Carol S. North
- Department of Psychiatry, The University of Texas Southwestern Medical Center, Dallas, USA
- The Altshuler Center for Education & Research at Metrocare Services, Dallas, USA; and Department of Psychiatry, The University of Texas Southwestern Medical Center, Dallas, USA
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Landaverde E, Généreux M, Maltais D, Gachon P. Respiratory and Otolaryngology Symptoms Following the 2019 Spring Floods in Quebec. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:11738. [PMID: 36142009 PMCID: PMC9517661 DOI: 10.3390/ijerph191811738] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/05/2022] [Revised: 09/10/2022] [Accepted: 09/13/2022] [Indexed: 06/16/2023]
Abstract
BACKGROUND Although floods may have important respiratory health impacts, few studies have examined this issue. This study aims to document the long-term impacts of the spring floods of 2019 in Quebec by (1) describing the population affected by the floods; (2) assessing the impacts on the respiratory system according to levels of exposure; and (3) determining the association between stressors and respiratory health. METHODS A population health survey was carried out across the six most affected regions 8-10 months post-floods. Data were collected on self-reported otolaryngology (ENT) and respiratory symptoms, along with primary and secondary stressors. Three levels of exposure were examined: flooded, disrupted and unaffected. RESULTS One in ten respondents declared being flooded and 31.4% being disrupted by the floods. Flooded and disrupted participants reported significantly more ENT symptoms (adjusted odds ratio (aOR): 3.18; 95% CI: 2.45-4.14; aOR: 1.76; 95% CI: 1.45-2.14) and respiratory symptoms (aOR: 3.41; 95% CI: 2.45-4.75; aOR: 1.45; 95% CI: 1.10-1.91) than the unaffected participants. All primary stressors and certain secondary stressors assessed were significantly associated with both ENT and respiratory symptoms, but no "dose-response" gradient could be observed. CONCLUSION This study highlights the long-term adverse effects of flood exposure on respiratory health.
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Affiliation(s)
- Elsa Landaverde
- Département des Sciences de la Santé Communautaire, Université de Sherbrooke, 3001, 12e Avenue Nord, Sherbrooke, QC J1H 5N4, Canada
| | - Mélissa Généreux
- Département des Sciences de la Santé Communautaire, Université de Sherbrooke, 3001, 12e Avenue Nord, Sherbrooke, QC J1H 5N4, Canada
| | - Danielle Maltais
- Département des Sciences Humaines et Sociales, Université du Québec à Chicoutimi, 555 Boulevard de l’Université, Ville de Saguenay, QC G7H21, Canada
| | - Philippe Gachon
- Département de Geographie et Centre ESCER (Étude et Simulation du Climat à l’Échelle Régionale), Université du Québec à Montréal, 201, Avenue du Président-Kennedy, Montréal, QC H2X 3Y7, Canada
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18
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Yumiya Y, Chimed-Ochir O, Taji A, Kishita E, Akahoshi K, Kondo H, Wakai A, Chishima K, Toyokuni Y, Koido Y, Tachikawa H, Takahashi S, Gomei S, Kawashima Y, Kubo T. Prevalence of Mental Health Problems among Patients Treated by Emergency Medical Teams: Findings from J-SPEED Data Regarding the West Japan Heavy Rain 2018. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:11454. [PMID: 36141727 PMCID: PMC9517656 DOI: 10.3390/ijerph191811454] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/04/2022] [Revised: 09/09/2022] [Accepted: 09/09/2022] [Indexed: 06/16/2023]
Abstract
It is crucial to provide mental health care following a disaster because the victims tend to experience symptoms such as anxiety and insomnia during the acute phase. However, little research on mental health during the acute phase has been conducted, and reported only in terms of the temporal transition of the number of consultations and symptoms. Thus, the aim of the study was to examine how mental health care needs are accounted for in the overall picture of disaster relief and how they change over time. Using data from the Japanese version of Surveillance in Post-Extreme Emergencies and Disasters (J-SPEED), we assessed the mental health of injured and ill patients to whom Emergency Medical Teams (EMTs) were providing care during the acute period of a disaster. Approximately 10% of all medical consultations were for mental health issues, 83% of which took place within the first 2 weeks after the disaster. The findings showed that, from the start of the response period to the 19th response day, the daily proportion of mental health problems declined substantially, and then gradually increased. Such a V-shaped pattern might be helpful for identifying phase changes and supporting the development of EMT exit strategies.
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Affiliation(s)
- Yui Yumiya
- Department of Public Health and Health Policy, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima 734-8553, Japan
| | - Odgerel Chimed-Ochir
- Department of Public Health and Health Policy, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima 734-8553, Japan
| | - Akihiro Taji
- Department of Public Health and Health Policy, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima 734-8553, Japan
| | - Eisaku Kishita
- Hiroshima Prefectural Government Health and Welfare Affairs Bureau, Hiroshima 730-8511, Japan
| | - Kouki Akahoshi
- National Hospital Organization Headquarters DMAT Secretariat MHLW Japan, Tokyo 190-8579, Japan
| | - Hisayoshi Kondo
- National Hospital Organization Headquarters DMAT Secretariat MHLW Japan, Tokyo 190-8579, Japan
| | - Akinori Wakai
- National Hospital Organization Headquarters DMAT Secretariat MHLW Japan, Tokyo 190-8579, Japan
| | - Kayoko Chishima
- National Hospital Organization Headquarters DMAT Secretariat MHLW Japan, Tokyo 190-8579, Japan
| | - Yoshiki Toyokuni
- National Hospital Organization Headquarters DMAT Secretariat MHLW Japan, Tokyo 190-8579, Japan
| | - Yuichi Koido
- National Hospital Organization Headquarters DMAT Secretariat MHLW Japan, Tokyo 190-8579, Japan
| | - Hirokazu Tachikawa
- Department of Disaster and Community Psychiatry, Division of Clinical Medicine, Faculty of Medicine, University of Tsukuba, Tsukuba 305-8575, Japan
| | - Sho Takahashi
- Department of Disaster and Community Psychiatry, Division of Clinical Medicine, Faculty of Medicine, University of Tsukuba, Tsukuba 305-8575, Japan
| | - Sayaka Gomei
- Department of Emergency and Critical Care Medicine, Dokkyo Medical University Saitama Medical Center, Saitama 343-8555, Japan
- DPAT Secretariat, Tokyo 108-8554, Japan
| | - Yuzuru Kawashima
- National Hospital Organization Headquarters DMAT Secretariat MHLW Japan, Tokyo 190-8579, Japan
- DPAT Secretariat, Tokyo 108-8554, Japan
| | - Tatsuhiko Kubo
- Department of Public Health and Health Policy, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima 734-8553, Japan
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Abass K, Gyasi RM, Katey D, Frempong F, Garsonu EK. Flood exposure and psychological distress among Ghanaian adults in flood-prone settings. THE SCIENCE OF THE TOTAL ENVIRONMENT 2022; 835:155481. [PMID: 35490804 DOI: 10.1016/j.scitotenv.2022.155481] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/17/2021] [Revised: 04/13/2022] [Accepted: 04/19/2022] [Indexed: 06/14/2023]
Abstract
Urban floods have long-term mental health implications, yet this subject remains largely neglected in flood-related studies. This paper examines the psychological distress (PD) of adults exposed to floods in Ghana. Cross-sectional data involving 767 flood-prone community-dwelling household heads aged ≥20 years were analyzed [mean = 47.3 years (SD = 13.7); males = 61.4%]. We used the Exposure to Flood-related Events Scale, and PD was assessed with the Kessler Psychological Distress Scale (K10). Ordinary Least Squares (OLS) regressions evaluated crude and adjusted associations of flood exposure with PD. The mean scores of PD (37[SD = 8]) and exposure to flood events (6[SD = 3]) significantly varied by age and sex (p < .05). After full adjustment for potential confounders, exposure to flood events was significantly and positively associated with PD index in the total sample (β = 0.030; p < .005), among male participants (β = 0.019; p < .05) and female participants (β = 0.048; p < .001). Furthermore, age-wise analysis revealed significant association of flood exposure with PD in young adults (β = 0.033; p < .001) but not in older adults (β = 0.048; p = .062). Exposure to floods increased the risk of PD. Policy and public health efforts to manage PD should include selective flood reduction interventions, including land use regulations and sustained public education.
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Affiliation(s)
- Kabila Abass
- Department of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
| | - Razak M Gyasi
- Aging and Development Unit, African Population and Health Research Center, Nairobi, Kenya.
| | - Daniel Katey
- Department of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
| | - Foster Frempong
- Department of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
| | - Emmanuel Kofi Garsonu
- Department of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
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Khalil H, Tricco AC. Differentiating between Evidence/gap maps and scoping reviews in the evidence synthesis ecosystem. J Clin Epidemiol 2022; 149:175-182. [PMID: 35636593 DOI: 10.1016/j.jclinepi.2022.05.012] [Citation(s) in RCA: 18] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2021] [Revised: 05/11/2022] [Accepted: 05/23/2022] [Indexed: 11/16/2022]
Abstract
OBJECTIVE Scoping reviews and evidence map methodologies are increasingly used by researchers. The objective of this article is to outline the main differences between both types of evidence synthesis to improve their conduct. STUDY DESIGN AND SETTING This article summarizes the key issues facing reviewers who conduct scoping reviews and evidence maps and those who use the results and may engage in consultations during their development. RESULTS Several differences exist between the methodologies, and these are in their protocol development, scope, inclusion criteria, data extraction, reporting, and use. Evidence maps are mainly driven by questions of effectiveness of a particular intervention and hence they use the PICOS format similar to systematic reviews of effectiveness. Scoping reviews mostly use the PCC format where they map a concept of interest relevant to a particular population in a specific setting and context. Data extraction is limited by only coding of studies and intervention characteristics in evidence maps. The results of the evidence maps can be used inform research priorities and research funding, whereas scoping reviews results may be used to inform policy development by clarifying key concepts and methods, and further research. CONCLUSION We recommend authors who are planning to undertake scoping reviews confirm that their research question can be appropriately answered using a scoping review methodology, however, for broader research questions without the need for an in-depth analysis of the information, we recommend authors to consider mapping reviews.
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Affiliation(s)
- H Khalil
- La Trobe University, School of Psychology and Public Health, Department of Public Health, Melbourne, Victoria 3000, Australia.
| | - A C Tricco
- Li Ka Shing Knowledge Institute, St. Michael's Hospital, Unity Health Toronto, Toronto, Ontario; Epidemiology Division and Institute of Health Policy, Management, and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario; Queen's Collaboration for Health Care Quality Joanna Briggs Institute Centre of Excellence, Queen's University, Kingston, Canada
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21
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Posttraumatic Stress Symptoms, Physical Illness, and Social Adjustment Among Disaster Victims. Disaster Med Public Health Prep 2022; 17:e195. [PMID: 35593424 DOI: 10.1017/dmp.2022.89] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
OBJECTIVE Posttraumatic stress disorder is one of the most studied outcomes after a disaster. Posttraumatic stress symptoms (PTSS) are maladaptive and disabling and can severely impair affected individuals' psychosocial functioning and quality of life. Consequently, the objective of this research is to investigate the prevalence of PTSS and physical illness among disaster victims. METHODS We analyzed disaster victims' survey data in South Korea 1 year after a natural disaster (n = 1659). Then, we performed multivariable comparisons of social and work adjustments between individuals with PTSS and individuals with physical illness to examine the association between PTSS and functional impairment. RESULTS Individuals with PTSS had a significant association with work and social maladjustments whether or not they had a physical illness; PTSS (+) physical illness (-) group (OR: 1.18, CI: 1.12-1.26, P < 0.001) and PTSS (+) physical illness (+) group (OR: 1.16, CI: 1.08-1.23, P < 0.001). Interestingly, this association was not significant in the group that exclusively presented physical illness. CONCLUSIONS Our results suggest that PTSS might be a critical factor in social maladjustment during the post-disaster period. Subsequently, an assessment of disaster victims' PTSS would help ensure effective medical and governmental approaches to assist disaster victims.
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A Framework for Evaluating the Effects of Green Infrastructure in Mitigating Pollutant Transferal and Flood Events in Sunnyside, Houston, TX. SUSTAINABILITY 2022. [DOI: 10.3390/su14074247] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
There is a growing and critical need to develop solutions for communities that are at particular risk of the impacts of the nexus of hazardous substances and natural disasters. In urban areas at high risk for flooding and lacking proper land-use controls, communities are vulnerable to environmental contamination from industrial land uses during flood events. This research uniquely applied a series of landscape pzerformance models to evaluate such associations including (1) the Green Values National Stormwater Calculator, (2) the Value of Green Infrastructure Tool, and (3) the Long-Term Hydrologic Impact Assessment Model. This paper presents a framework for combining landscape performance models, which are often only individually applied, to evaluate green infrastructure impacts on flood mitigation and pollutant transfer during flooding events using the Sunnyside neighborhood in Houston, Texas, USA, as a case site. The results showed that the plan reduced the risk of flooding, decreased stormwater runoff contaminants, and provided a possible direction to protect vulnerable communities.
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Yoshida S, Kashima S, Ishii S, Koike S, Matsumoto M. Effects of the 2018 Japan Floods on long-term care insurance costs in Japan: retrospective cohort study. BMC Public Health 2022; 22:341. [PMID: 35177009 PMCID: PMC8855556 DOI: 10.1186/s12889-022-12492-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2021] [Accepted: 12/31/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Climate change has increased the frequency and severity of torrential rains and floods around the world. Estimating the costs of these disasters is one of the five global research priorities identified by WHO. The 2018 Japan Floods hit western Japan causing extensive destruction and many deaths, especially among vulnerable elderly. Such affected elderly would need long-term care due to the various health problems caused by the disaster. A Long-Term Care Insurance (LTCI) system provides care services in Japan. The aim of this study was to evaluate the effect of the 2018 Japan Floods on LTCI costs and service utilization. METHODS The participants of this retrospective cohort study were all verified persons utilizing LTCI services in Hiroshima, Okayama and Ehime prefectures. The observation period was from 2 months before to 6 months after the disaster. We used Generalized Estimating Equations (GEEs) to examine the association between disaster status (victims or non-victims) and the monthly total costs of LTCI service (with gamma-distribution/log-link) by residential environment (home or facility). Among home residents, we also examined each service utilization (home-based service, short-stay service and facility service), using the GEEs. After the GEEs, we estimated Average Marginal Effects (AME) over all observation periods by months as the attributable disaster effect. RESULTS The total number of participants was 279,578. There were 3024 flood victims. The disaster was associated with significantly higher total costs. The AME for home residents at 2 months after was $214 (Standard Error (SE): 12, p < 0.001), which was the highest through the observation period. Among facility residents, the AME immediately after the disaster increased by up to $850 (SE: 29, p < 0.001). The service utilization among home residents showed a different trend for each service. The AME of home-based services decreased by up to - 15.2% (SE:1.3, p < 0.001). The AME for short-stay service increased by up to 8.2% (SE: 0.9, p < 0.001) and the AME for facility service increased by up to 7.4% (SE: 0.7, p < 0.001), respectively. CONCLUSIONS The 2018 Japan Floods caused an increase in LTCI costs and the utilization of short-stay and facility services, and a decrease in utilization of home-based services.
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Affiliation(s)
- Shuhei Yoshida
- Department of Community-Based Medical System, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima-ken, Hiroshima-shi, 734-8551, Japan.
| | - Saori Kashima
- Environmental Health Sciences Laboratory, Graduate School of Advanced Science and Engineering, Hiroshima University, 1-3-2 Kagamiyama, Hiroshima-ken, Higashi-Hiroshima-shi, Japan
| | - Shinya Ishii
- Department of Medicine for Integrated Approach to Social Inclusion, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan
| | - Soichi Koike
- Division of Health Policy and Management, Center for Community Medicine, Jichi Medical University, 3311-1 Yakushiji, Tochigi-ken, Shimotsuke-shi, 329-0498, Japan
| | - Masatoshi Matsumoto
- Department of Community-Based Medical System, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima-ken, Hiroshima-shi, 734-8551, Japan
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Ghasemihamedani F, Habibisaravi R, Assadi T, Gholami G, Hasani M, Pourmand S, Navaie R. Flood and hypertension: A systematic review. Res Cardiovasc Med 2022. [DOI: 10.4103/rcm.rcm_59_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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25
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Larson PS, Gronlund C, Thompson L, Sampson N, Washington R, Steis Thorsby J, Lyon N, Miller C. Recurrent Home Flooding in Detroit, MI 2012-2020: Results of a Household Survey. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:7659. [PMID: 34300113 PMCID: PMC8303508 DOI: 10.3390/ijerph18147659] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/11/2021] [Revised: 06/21/2021] [Accepted: 06/24/2021] [Indexed: 12/21/2022]
Abstract
Household flooding has wide ranging social, economic and public health impacts particularly for people in resource poor communities. The determinants and public health outcomes of recurrent home flooding in urban contexts, however, are not well understood. A household survey was used to assess neighborhood and household level determinants of recurrent home flooding in Detroit, MI. Survey activities were conducted from 2012 to 2020. Researchers collected information on past flooding, housing conditions and public health outcomes. Using the locations of homes, a "hot spot" analysis of flooding was performed to find areas of high and low risk. Survey data were linked to environmental and neighborhood data and associations were tested using regression methods. 4803 households participated in the survey. Flooding information was available for 3842 homes. Among these, 2085 (54.26%) reported experiencing pluvial flooding. Rental occupied units were more likely to report flooding than owner occupied homes (Odd ratio (OR) 1.72 [95% Confidence interval (CI) 1.49, 1.98]). Housing conditions such as poor roof quality and cracks in basement walls influenced home flooding risk. Homes located in census tracts with increased percentages of owner occupied units (vs. rentals) had a lower odds of flooding (OR 0.92 [95% (CI) 0.86, 0.98]). Household factors were found the be more predictive of flooding than neighborhood factors in both univariate and multivariate analyses. Flooding and housing conditions associated with home flooding were associated with asthma cases. Recurrent home flooding is far more prevalent than previously thought. Programs that support recovery and which focus on home improvement to prevent flooding, particularly by landlords, might benefit the public health. These results draw awareness and urgency to problems of urban flooding and public health in other areas of the country confronting the compounding challenges of aging infrastructure, disinvestment and climate change.
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Affiliation(s)
- Peter S. Larson
- Social Environment and Health Program, Survey Research Center, Institute for Social Research, The University of Michigan, Ann Arbor, MI 48109, USA;
- Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA
| | - Carina Gronlund
- Social Environment and Health Program, Survey Research Center, Institute for Social Research, The University of Michigan, Ann Arbor, MI 48109, USA;
| | - Lyke Thompson
- Center for Urban Studies, Wayne State University, Detroit, MI 48202, USA; (L.T.); (R.W.)
| | - Natalie Sampson
- Department of Health and Human Services, University of Michigan-Dearborn, 19000 Hubbard Drive, Fairlane Center South, Dearborn, MI 48126, USA;
| | - Ramona Washington
- Center for Urban Studies, Wayne State University, Detroit, MI 48202, USA; (L.T.); (R.W.)
| | - Jamie Steis Thorsby
- Healthy Urban Waters, Wayne State University, Detroit, MI 48202, USA; (J.S.T.); (N.L.); (C.M.)
| | - Natalie Lyon
- Healthy Urban Waters, Wayne State University, Detroit, MI 48202, USA; (J.S.T.); (N.L.); (C.M.)
| | - Carol Miller
- Healthy Urban Waters, Wayne State University, Detroit, MI 48202, USA; (J.S.T.); (N.L.); (C.M.)
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26
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Sedighi T, Varga L, Hosseinian-Far A, Daneshkhah A. Economic Evaluation of Mental Health Effects of Flooding Using Bayesian Networks. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18147467. [PMID: 34299916 PMCID: PMC8303130 DOI: 10.3390/ijerph18147467] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/07/2021] [Revised: 07/06/2021] [Accepted: 07/09/2021] [Indexed: 11/16/2022]
Abstract
The appraisal of appropriate levels of investment for devising flooding mitigation and to support recovery interventions is a complex and challenging task. Evaluation must account for social, political, environmental and other conditions, such as flood state expectations and local priorities. The evaluation method should be able to quickly identify evolving investment needs as the incidence and magnitude of flood events continue to grow. Quantification is essential and must consider multiple direct and indirect effects on flood related outcomes. The method proposed is this study is a Bayesian network, which may be used ex-post for evaluation, but also ex-ante for future assessment, and near real-time for the reallocation of investment into interventions. The particular case we study is the effect of flood interventions upon mental health, which is a gap in current investment analyses. Natural events such as floods expose people to negative mental health disorders including anxiety, distress and post-traumatic stress disorder. Such outcomes can be mitigated or exacerbated not only by state funded interventions, but by individual and community skills and experience. Success is also dampened when vulnerable and previously exposed victims are affected. Current measures evaluate solely the effectiveness of interventions to reduce physical damage to people and assets. This paper contributes a design for a Bayesian network that exposes causal pathways and conditional probabilities between interventions and mental health outcomes as well as providing a tool that can readily indicate the level of investment needed in alternative interventions based on desired mental health outcomes.
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Affiliation(s)
- Tabassom Sedighi
- Centre for Environmental and Agricultural Informatics, School of Water, Energy and Environment (SWEE), Cranfield University, Cranfield MK43 0AL, UK;
| | - Liz Varga
- Department of Civil, Environmental and Geomatic Engineering, Faculty of Engineering, UCL, London WC1E 6BT, UK;
| | - Amin Hosseinian-Far
- Centre for Sustainable Business Practices, University of Northampton, Northampton NN1 5PH, UK;
| | - Alireza Daneshkhah
- Research Centre for Computational Science and Mathematical Modelling, School of Computing, Electronics and Mathematics, Coventry University, Coventry CV1 5FB, UK
- Correspondence:
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Bernard P, Chevance G, Kingsbury C, Baillot A, Romain AJ, Molinier V, Gadais T, Dancause KN. Climate Change, Physical Activity and Sport: A Systematic Review. Sports Med 2021; 51:1041-1059. [PMID: 33689139 DOI: 10.1007/s40279-021-01439-4] [Citation(s) in RCA: 49] [Impact Index Per Article: 16.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/18/2021] [Indexed: 12/17/2022]
Abstract
BACKGROUND Climate change impacts are associated with dramatic consequences for human health and threaten physical activity (PA) behaviors. OBJECTIVE The aims of this systematic review were to present the potential bidirectional associations between climate change impacts and PA behaviors in humans and to propose a synthesis of the literature through a conceptual model of climate change and PA. METHODS Studies published before October 2020 were identified through database searches in PubMed, PsycARTICLES, CINAHL, SPORTDiscus, GreenFILE, GeoRef, Scopus, JSTOR and Transportation Research Information Services. Studies examining the associations between PA domains and climate change (e.g., natural disasters, air pollution, and carbon footprint) were included. RESULTS A narrative synthesis was performed and the 74 identified articles were classified into 6 topics: air pollution and PA, extreme weather conditions and PA, greenhouse gas emissions and PA, carbon footprint among sport participants, natural disasters and PA and the future of PA and sport practices in a changing world. Then, a conceptual model was proposed to identify the multidimensional associations between climate change and PA as well as sport practices. Results indicated a consistent negative effect of air pollution, extreme temperatures and natural disasters on PA levels. This PA reduction is more severe in adults with chronic diseases, higher body mass index and the elderly. Sport and PA communities can play an important mitigating role in post-natural disaster contexts. However, transport related to sport practices is also a source of greenhouse gas emissions. CONCLUSION Climate change impacts affect PA at a worldwide scale. PA is observed to play both a mitigation and an amplification role in climate changes. TRIAL REGISTRATION NUMBER PROSPERO CRD42019128314.
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Affiliation(s)
- Paquito Bernard
- Department of Physical Activity Sciences, Faculté des sciences, Complexe des Sciences, Pavillon des Sciences Biologiques (SB), Université du Québec à Montréal, UQÀM, Local: SB-4445, 141, Avenue du Président Kennedy, Montréal, QC, H2X 1Y4, Canada. .,Research Center, Montreal University Institute of Mental Health, Montréal, QC, Canada.
| | | | - Celia Kingsbury
- Department of Physical Activity Sciences, Faculté des sciences, Complexe des Sciences, Pavillon des Sciences Biologiques (SB), Université du Québec à Montréal, UQÀM, Local: SB-4445, 141, Avenue du Président Kennedy, Montréal, QC, H2X 1Y4, Canada.,Research Center, Montreal University Institute of Mental Health, Montréal, QC, Canada
| | - Aurélie Baillot
- Department of Nursing, Université du Québec en Outaouais, Gatineau, Canada.,Institut du Savoir Montfort-Recherche, Ottawa, Canada
| | - Ahmed-Jérôme Romain
- Research Center, Montreal University Institute of Mental Health, Montréal, QC, Canada.,École de Kinésiologie et des Sciences de l'activité Physique, Faculté de Médecine, Université de Montréal, Montréal, QC, Canada
| | | | - Tegwen Gadais
- Department of Physical Activity Sciences, Faculté des sciences, Complexe des Sciences, Pavillon des Sciences Biologiques (SB), Université du Québec à Montréal, UQÀM, Local: SB-4445, 141, Avenue du Président Kennedy, Montréal, QC, H2X 1Y4, Canada
| | - Kelsey N Dancause
- Department of Physical Activity Sciences, Faculté des sciences, Complexe des Sciences, Pavillon des Sciences Biologiques (SB), Université du Québec à Montréal, UQÀM, Local: SB-4445, 141, Avenue du Président Kennedy, Montréal, QC, H2X 1Y4, Canada
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28
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Oluyomi AO, Panthagani K, Sotelo J, Gu X, Armstrong G, Luo DN, Hoffman KL, Rohlman D, Tidwell L, Hamilton WJ, Symanski E, Anderson K, Petrosino JF, Walker CL, Bondy M. Houston hurricane Harvey health (Houston-3H) study: assessment of allergic symptoms and stress after hurricane Harvey flooding. Environ Health 2021; 20:9. [PMID: 33468146 PMCID: PMC7816385 DOI: 10.1186/s12940-021-00694-2] [Citation(s) in RCA: 22] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2020] [Accepted: 01/12/2021] [Indexed: 05/19/2023]
Abstract
BACKGROUND In August 2017, Hurricane Harvey caused unprecedented flooding across the greater Houston area. Given the potential for widespread flood-related exposures, including mold and sewage, and the emotional and mental toll caused by the flooding, we sought to evaluate the short- and long-term impact of flood-related exposures on the health of Houstonians. Our objectives were to assess the association of flood-related exposures with allergic symptoms and stress among Houston-area residents at two time points: within approximately 30 days (T1) and 12 months (T2) after Hurricane Harvey's landfall. METHODS The Houston Hurricane Harvey Health (Houston-3H) Study enrolled a total of 347 unique participants from four sites across Harris County at two times: within approximately 1-month of Harvey (T1, n = 206) and approximately 12-months after Harvey (T2, n = 266), including 125 individuals who participated at both time points. Using a self-administered questionnaire, participants reported details on demographics, flood-related exposures, and health outcomes, including allergic symptoms and stress. RESULTS The majority of participants reported hurricane-related flooding in their homes at T1 (79.1%) and T2 (87.2%) and experienced at least one allergic symptom after the hurricane (79.4% at T1 and 68.4% at T2). In general, flood-exposed individuals were at increased risk of upper respiratory tract allergic symptoms, reported at both the T1 and T2 time points, with exposures to dirty water and mold associated with increased risk of multiple allergic symptoms. The mean stress score of study participants at T1 was 8.0 ± 2.1 and at T2, 5.1 ± 3.2, on a 0-10 scale. Participants who experienced specific flood-related exposures reported higher stress scores when compared with their counterparts, especially 1 year after Harvey. Also, a supplementary paired-samples analysis showed that reports of wheezing, shortness of breath, and skin rash did not change between T1 and T2, though other conditions were less commonly reported at T2. CONCLUSION These initial Houston-3H findings demonstrate that flooding experiences that occurred as a consequence of Hurricane Harvey had lasting impacts on the health of Houstonians up to 1 year after the hurricane.
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Affiliation(s)
- Abiodun O. Oluyomi
- Department of Medicine, Section of Epidemiology and Population Sciences, Baylor College of Medicine, One Baylor Plaza, Jewish Building, Room 607D, (MS BCM307), Houston, TX USA
- Department of Family and Community Medicine, Environmental Health Service, Baylor College of Medicine, Houston, TX USA
| | - Kristen Panthagani
- Genetics and Genomics, Baylor College of Medicine, Houston, TX USA
- Medical Scientist Training Program, Baylor College of Medicine, Houston, TX USA
- Center for Precision Environmental Health, Baylor College of Medicine, Houston, TX USA
| | - Jesus Sotelo
- Department of Medicine, Section of Epidemiology and Population Sciences, Baylor College of Medicine, One Baylor Plaza, Jewish Building, Room 607D, (MS BCM307), Houston, TX USA
| | - Xiangjun Gu
- Department of Medicine, Section of Epidemiology and Population Sciences, Baylor College of Medicine, One Baylor Plaza, Jewish Building, Room 607D, (MS BCM307), Houston, TX USA
| | - Georgina Armstrong
- Department of Medicine, Section of Epidemiology and Population Sciences, Baylor College of Medicine, One Baylor Plaza, Jewish Building, Room 607D, (MS BCM307), Houston, TX USA
| | - Dan Na Luo
- Center for Precision Environmental Health, Baylor College of Medicine, Houston, TX USA
| | - Kristi L. Hoffman
- Department of Molecular Virology and Microbiology, Alkek Center for Metagenomics and Microbiome Research, Baylor College of Medicine, Houston, TX USA
| | - Diana Rohlman
- Environmental and Occupational Health, College of Public Health and Human Sciences, Oregon State University, Corvallis, OR USA
| | - Lane Tidwell
- Food Safety and Environmental Stewardship Program, Oregon State University, Corvallis, OR USA
| | - Winifred J. Hamilton
- Department of Family and Community Medicine, Environmental Health Service, Baylor College of Medicine, Houston, TX USA
| | - Elaine Symanski
- Department of Medicine, Section of Epidemiology and Population Sciences, Baylor College of Medicine, One Baylor Plaza, Jewish Building, Room 607D, (MS BCM307), Houston, TX USA
- Center for Precision Environmental Health, Baylor College of Medicine, Houston, TX USA
| | - Kimberly Anderson
- Food Safety and Environmental Stewardship Program, Oregon State University, Corvallis, OR USA
| | - Joseph F. Petrosino
- Department of Molecular Virology and Microbiology, Alkek Center for Metagenomics and Microbiome Research, Baylor College of Medicine, Houston, TX USA
| | - Cheryl Lyn Walker
- Genetics and Genomics, Baylor College of Medicine, Houston, TX USA
- Center for Precision Environmental Health, Baylor College of Medicine, Houston, TX USA
- Molecular and Cellular Biology, Baylor College of Medicine, Houston, TX USA
| | - Melissa Bondy
- Department of Epidemiology and Population Health, Stanford Cancer Institute, Stanford University, Stanford, CA USA
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Mamun MA, Safiq MB, Hosen I, Al Mamun F. Suicidal Behavior and Flood Effects in Bangladesh: A Two-Site Interview Study. Risk Manag Healthc Policy 2021; 14:129-142. [PMID: 33469396 PMCID: PMC7812054 DOI: 10.2147/rmhp.s282965] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2020] [Accepted: 11/25/2020] [Indexed: 11/23/2022] Open
Abstract
Background Bangladeshi flood survivors are reported with such higher mental disorders that are not ever observed in any other cohorts. Although there are a few studies that assessed mental disorders, suicide or suicidal behaviors are not investigated yet. Hence, the present study for the first time investigated suicidal behaviors and its relationship with socio-demographics, flood effects and psychopathology. Methods A cross-sectional interview study was carried out between November and December 2019, after 4/5 months of the flood occurrence. Two completely affected villages from two districts residing in two parts of the country were randomly selected (whereas Manikganj district was less affected by the recent flood compared to Kurigram), and a total of 348 flood survivors were interviewed (45.53 ± 14.85 years). Questions related to basic socio-demographics, flood effects, psychological impacts, and suicidal behaviors were asked in the interviews. Results In the total sample, 57.5% of flood survivors reported having suicidal ideation, whereas 5.7% and 2.0% madea suicide plan and suicide attempt, respectively. Within two study sites, participants belonging to Kurigram reported significantly higher suicidal ideation compared to Manikganj (84.8% vs 33.2%, χ2 = 94.475, p<0.001). Belonging to a lower-class family, having less education, and less earning members in the family, being affected severely by the flood, suffering from depression, anxiety, and PTSD, and experiencing financial threat, and economic hardship were suicidal behavior risk factors in the total sample. Conclusion Considering the present findings (ie, suicidality commensurately increases with flood effects), a multi-sectoral policy and its effective implementation should be adopted for alleviating the flood-related psychological burdens. ![]()
Point your SmartPhone at the code above. If you have a QR code reader the video abstract will appear. Or use: https://youtu.be/WhOnKXpTDNA
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Affiliation(s)
- Mohammed A Mamun
- Centre for Health Innovation, Networking, Training, Action and Research - Bangladesh (CHINTA Research Bangladesh), Dhaka, Bangladesh.,Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka, Bangladesh
| | - Mariam Binte Safiq
- Centre for Health Innovation, Networking, Training, Action and Research - Bangladesh (CHINTA Research Bangladesh), Dhaka, Bangladesh
| | - Ismail Hosen
- Centre for Health Innovation, Networking, Training, Action and Research - Bangladesh (CHINTA Research Bangladesh), Dhaka, Bangladesh.,Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka, Bangladesh
| | - Firoj Al Mamun
- Centre for Health Innovation, Networking, Training, Action and Research - Bangladesh (CHINTA Research Bangladesh), Dhaka, Bangladesh.,Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka, Bangladesh
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Hrabok M, Delorme A, Agyapong VIO. Threats to Mental Health and Well-Being Associated with Climate Change. J Anxiety Disord 2020; 76:102295. [PMID: 32896782 DOI: 10.1016/j.janxdis.2020.102295] [Citation(s) in RCA: 46] [Impact Index Per Article: 11.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/23/2020] [Revised: 08/02/2020] [Accepted: 08/10/2020] [Indexed: 01/16/2023]
Abstract
Climate change is a contributor to extreme weather events and natural disasters. The mental health effects of climate change are multifaceted, with post-traumatic stress disorder and depression predominant. This paper aims to describe the impact of climate change on mental health conditions, including risk and protective factors related to the expression of mental health conditions post-disaster, as well as a discussion of our local experience with a devastating wildfire to our region within Canada. The risk of the development of mental health conditions post-disaster is not equally distributed; research has consistently demonstrated that specific risk factors (e.g., gender, socioeconomic status and education, pre-existing mental health symptomatology), are associated with increased vulnerability to mental health conditions following natural disasters. There are multiple strategies that must be undertaken by communities to enhance adjustment and coping post-disaster, including improved access to care, inter-agency cooperation, enhanced community resiliency, and adequate preparation.
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Affiliation(s)
- Marianne Hrabok
- Dission of Community Psychiatry, Department of Psychiatry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada; Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
| | - Aaron Delorme
- Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
| | - Vincent I O Agyapong
- Dission of Community Psychiatry, Department of Psychiatry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.
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Guo C, Chen G, He P, Zhang L, Zheng X. Risk of cognitive impairment in children after maternal exposure to the 1998 Yangtze River flood during pregnancy: analysis of data from China's second National Sample Survey on Disability. Lancet Planet Health 2020; 4:e522-e529. [PMID: 33159879 DOI: 10.1016/s2542-5196(20)30198-4] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2019] [Revised: 08/10/2020] [Accepted: 08/11/2020] [Indexed: 06/11/2023]
Abstract
BACKGROUND More research is needed to understand the long-term effects of prenatal exposure to adverse events, such as floods and other natural disasters, on cognitive outcomes in childhood. We aimed to explore the risk of cognitive impairment in children following maternal exposure to the 1998 Yangtze River flood in China during pregnancy. METHODS For this study we obtained and analysed individual-level data from the second China National Sample Survey on Disability (CNSSD), which was done in 2006. We defined the flood period as June-August, 1998. The analytical sample comprised children from four birth cohorts, defined according to their month of birth: the post-partum exposed cohort (children born between June, 1997, and May, 1998), the prenatal exposed cohort (children born between June, 1998, and May, 1999), the preconception exposed cohort (children born between June 1999, and May, 2000), and the unexposed cohort (children born between June, 2000, and May, 2001). In the CNSSD, cognitive impairment was assessed and diagnosed by validated screening tools and procedures. Difference-in-difference models were used to examine variations in the effects of maternal flood exposure on cognitive impairment in childhood across the different birth cohorts and regions. FINDINGS 108 175 children born between June, 1997, and May, 2001, and aged 4-8 years at the time of the survey, were included in our analysis. 1131 children had a cognitive impairment; the prevalence of cognitive impairment was 1·05% (95% CI 0·99-1·11). Maternal exposure to flood during pregnancy increased the risk of cognitive impairment among children (adjusted odds ratio [OR] 2·18 [95% CI 1·54-3·08]; p<0·0001). No significant sex-specific differences were observed, and the risk of cognitive impairment was especially high when maternal flood exposure occurred during the first trimester of pregnancy (adjusted OR 5·05 [95% CI 3·88-6·58]; p<0·0001). The risk of cognitive impairment also increased with longer durations of maternal flood exposure and with increasing severity of flooding; the risk was highest in the prenatal exposed cohort with 3 months of flood exposure in the most severely affected area (adjusted OR 5·56 [95% CI 1·58-19·54]; p=0·007). INTERPRETATION Prenatal flood exposure had a long-term negative effect on cognitive development of children. Greater maternal support and public health interventions during pregnancy and early life after a natural disaster are warranted to facilitate healthy cognitive development in later life. FUNDING National Social Science Foundation of China.
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Affiliation(s)
- Chao Guo
- Institute of Population Research, Peking University, Beijing, China; APEC Health Science Academy, Peking University, Beijing, China
| | - Gong Chen
- Institute of Population Research, Peking University, Beijing, China; APEC Health Science Academy, Peking University, Beijing, China
| | - Ping He
- China Center for Health Development Studies, Peking University, Beijing, China
| | - Lei Zhang
- Institute of Population Research, Peking University, Beijing, China; APEC Health Science Academy, Peking University, Beijing, China
| | - Xiaoying Zheng
- Institute of Population Research, Peking University, Beijing, China; APEC Health Science Academy, Peking University, Beijing, China.
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32
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Bubeck P, Berghäuser L, Hudson P, Thieken AH. Using Panel Data to Understand the Dynamics of Human Behavior in Response to Flooding. RISK ANALYSIS : AN OFFICIAL PUBLICATION OF THE SOCIETY FOR RISK ANALYSIS 2020; 40:2340-2359. [PMID: 32621296 DOI: 10.1111/risa.13548] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/06/2019] [Revised: 05/27/2020] [Accepted: 06/03/2020] [Indexed: 06/11/2023]
Abstract
Insights into the dynamics of human behavior in response to flooding are urgently needed for the development of effective integrated flood risk management strategies, and for integrating human behavior in flood risk modeling. However, our understanding of the dynamics of risk perceptions, attitudes, individual recovery processes, as well as adaptive (i.e., risk reducing) intention and behavior are currently limited because of the predominant use of cross-sectional surveys in the flood risk domain. Here, we present the results from one of the first panel surveys in the flood risk domain covering a relatively long period of time (i.e., four years after a damaging event), three survey waves, and a wide range of topics relevant to the role of citizens in integrated flood risk management. The panel data, consisting of 227 individuals affected by the 2013 flood in Germany, were analyzed using repeated-measures ANOVA and latent class growth analysis (LCGA) to utilize the unique temporal dimension of the data set. Results show that attitudes, such as the respondents' perceived responsibility within flood risk management, remain fairly stable over time. Changes are observed partly for risk perceptions and mainly for individual recovery and intentions to undertake risk-reducing measures. LCGA reveal heterogeneous recovery and adaptation trajectories that need to be taken into account in policies supporting individual recovery and stimulating societal preparedness. More panel studies in the flood risk domain are needed to gain better insights into the dynamics of individual recovery, risk-reducing behavior, and associated risk and protective factors.
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Affiliation(s)
- Philip Bubeck
- Institute of Environmental Science and Geography, University of Potsdam, Potsdam, Germany
| | - Lisa Berghäuser
- Institute of Environmental Science and Geography, University of Potsdam, Potsdam, Germany
| | - Paul Hudson
- Institute of Environmental Science and Geography, University of Potsdam, Potsdam, Germany
| | - Annegret H Thieken
- Institute of Environmental Science and Geography, University of Potsdam, Potsdam, Germany
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Mulchandani R, Armstrong B, Beck CR, Waite TD, Amlôt R, Kovats S, Leonardi G, Rubin GJ, Oliver I. The English National Cohort Study of Flooding & Health: psychological morbidity at three years of follow up. BMC Public Health 2020; 20:321. [PMID: 32223747 PMCID: PMC7104503 DOI: 10.1186/s12889-020-8424-3] [Citation(s) in RCA: 22] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2019] [Accepted: 02/27/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Flooding is expected to increase due to climate change, population growth and urban development. The longer-term mental health impacts of flooding are not well understood. In 2015, the English National Study of Flooding and Health was established to improve understanding of the impact of flooding on health and inform future public health action. METHODS We used 3 years of data from the English National Study of Flooding and Health. Participants who had consented to follow up were sent a questionnaire. Participants were classified into either "unaffected", "disrupted" or "flooded" according to their exposure. Logistic regression models were used to calculate adjusted odds ratios for probable depression, anxiety and post-traumatic stress disorder (PTSD) in each exposure group. The Wald test was used to assess the difference in probable mental health outcomes for those who did and did not experience "persistent damage" to their home. Conditional logistic regression was conducted to assess change in prevalence over the 3 years and to identify possible determinants of recovery. RESULTS Eight hundred nineteen individuals were included in the final analysis - 119 were classified as unaffected, 421 disrupted and 279 flooded. Overall, 5.7% had probable depression, 8.1% had probable anxiety and 11.8% had probable PTSD, with higher prevalence in the flooded group compared with the unaffected group. After adjustment for potential confounders, probable mental health outcomes were higher in the flooded group compared to the unaffected group, significantly for probable depression (aOR 8.48, 95% CI 1.04-68.97) and PTSD (aOR 7.74, 95% CI 2.24-26.79). Seventy-seven (9.4%) participants reported experiencing persistent damage to their home, most commonly damp (n = 40) and visible mould (n = 26) in liveable rooms. Of the 569 participants who responded at all 3 years, a significant reduction in prevalence for all probable mental health outcomes was observed in the flooded group. CONCLUSIONS Flooding can have severe long-lasting consequences on mental health in affected populations. If these problems are not identified and treated early, they may persist for years. Further research is necessary to develop and evaluate interventions to increase resilience in at risk populations and to ensure timely access to support services following flooding.
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Affiliation(s)
- Ranya Mulchandani
- Field Epidemiology, Field Service, National Infection Service, Public Health England, Bristol, BS1 6EH, UK. .,NIHR Health Protection Research Unit in Evaluation of Interventions, University of Bristol, Bristol, BS8 2BN, UK.
| | - Ben Armstrong
- NIHR Health Protection Research Unit in Environmental Change and Health at the London School of Hygiene and Tropical Medicine, London, WC1H 9SH, UK
| | - Charles R Beck
- Field Epidemiology, Field Service, National Infection Service, Public Health England, Bristol, BS1 6EH, UK.,NIHR Health Protection Research Unit in Evaluation of Interventions, University of Bristol, Bristol, BS8 2BN, UK.,Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, BS8 2PS, UK
| | - Thomas David Waite
- Field Epidemiology, Field Service, National Infection Service, Public Health England, Bristol, BS1 6EH, UK.,Global Public Health, Field Service, Public Health England, Wellington House, London, SE1 8UG, UK
| | - Richard Amlôt
- Centre for Radiation, Chemicals and Environmental Hazards, Public Health England, Chilton, Didcot, Oxfordshire, OX11 0RQ, UK
| | - Sari Kovats
- NIHR Health Protection Research Unit in Environmental Change and Health at the London School of Hygiene and Tropical Medicine, London, WC1H 9SH, UK
| | - Giovanni Leonardi
- Centre for Radiation, Chemicals and Environmental Hazards, Public Health England, Chilton, Didcot, Oxfordshire, OX11 0RQ, UK
| | - G James Rubin
- NIHR Health Protection Research Unit in Emergency Preparedness and Response at King's College London, London, UK
| | - Isabel Oliver
- Field Epidemiology, Field Service, National Infection Service, Public Health England, Bristol, BS1 6EH, UK.,NIHR Health Protection Research Unit in Evaluation of Interventions, University of Bristol, Bristol, BS8 2BN, UK.,Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, BS8 2PS, UK
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Factors enhancing resilience among older adults experiencing disaster: A systematic review. Australas Emerg Care 2020; 23:11-22. [DOI: 10.1016/j.auec.2019.12.007] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2019] [Revised: 12/13/2019] [Accepted: 12/15/2019] [Indexed: 11/19/2022]
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Mohanty MP, H V, Yadav V, Ghosh S, Rao GS, Karmakar S. A new bivariate risk classifier for flood management considering hazard and socio-economic dimensions. JOURNAL OF ENVIRONMENTAL MANAGEMENT 2020; 255:109733. [PMID: 31783207 DOI: 10.1016/j.jenvman.2019.109733] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/08/2019] [Revised: 10/11/2019] [Accepted: 10/17/2019] [Indexed: 06/10/2023]
Abstract
Identification of flood-risk dynamics is pivotal for refurbishing the existing and future flood-management options. The present study quantifies the marginal and compound contributions of hazard and vulnerability to flood-risk through an innovative concept of Risk-classifier, designed in the form of a 5 × 5 choropleth. The proposed framework is demonstrated at the finest administrative scale of village-level over Jagatsinghpur district in Mahanadi River basin, Odisha (India) for two-time frames: Scenario-I (1970-2011) and Scenario-II (1970-2001). An increase in high and very high hazard and vulnerable villages is noticed in Scenario-I, the majority of them lying in the coastal stretches (S-E region) and adjoining flood plains of Mahanadi River (N-W region). Scenario-I is characterized by the majority of hazard-driven and compound (both hazard and vulnerability) risk villages, while Scenario II is characterized by a majority of vulnerability driven-risk villages. For the vulnerability-driven risk villages, rigorous enforcement of policies and mitigation schemes are recommended, while for hazard-driven risk villages, enhancement of structural measures and flood-plain zoning should be exercised. Such exhaustive flood-risk information may serve as a valuable cartographic product for the civic authorities and stakeholders and help in prioritizing flood mitigation actions for improved environmental planning and management.
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Affiliation(s)
- Mohit Prakash Mohanty
- Environmental Science and Engineering Department, Indian Institute of Technology Bombay, Mumbai, 400076, India
| | - Vittal H
- Environmental Science and Engineering Department, Indian Institute of Technology Bombay, Mumbai, 400076, India; IIHR-Hydroscience & Engineering, The University of Iowa, Iowa City, IA, 52242-1585, USA
| | - Vinay Yadav
- Environmental Science and Engineering Department, Indian Institute of Technology Bombay, Mumbai, 400076, India; Department of Technology, Management and Economics, Division of Sustainability, Technical University of Denmark, 2800, Lyngby, Denmark
| | - Subimal Ghosh
- Department of Civil Engineering, Indian Institute of Technology Bombay, Mumbai, 400076, India; Interdisciplinary Program in Climate Studies, Indian Institute of Technology Bombay, Mumbai, 400076, India; Centre for Urban Science and Engineering, Indian Institute of Technology Bombay, Mumbai, 400076, India
| | - Goru Srinivasa Rao
- Regional Remote Sensing Centre-East, National Remote Sensing Centre, Indian Space Research Organization (ISRO), Kolkata, 700156, India
| | - Subhankar Karmakar
- Environmental Science and Engineering Department, Indian Institute of Technology Bombay, Mumbai, 400076, India; Interdisciplinary Program in Climate Studies, Indian Institute of Technology Bombay, Mumbai, 400076, India; Centre for Urban Science and Engineering, Indian Institute of Technology Bombay, Mumbai, 400076, India.
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Wei Q, Zhang X, Yi W, Pan R, Gao J, Duan J, Xu Z, Cheng Q, Bai L, Zhang Y, Su H. Association between floods and hospital admissions for schizophrenia in Hefei, China: The lag effects of degrees of floods and time variation. THE SCIENCE OF THE TOTAL ENVIRONMENT 2020; 698:134179. [PMID: 31514040 DOI: 10.1016/j.scitotenv.2019.134179] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/17/2019] [Revised: 08/03/2019] [Accepted: 08/27/2019] [Indexed: 06/10/2023]
Abstract
BACKGROUND Schizophrenia is a serious mental disorder, endangering 7.5 million patients in China. Floods, as the adverse consequence of temperature-rise, have a negative influence on mental health. However, the relationship between floods and schizophrenia is still insufficient. This study aimed to quantitative the relationship between floods and the admissions for schizophrenia in Hefei, China. METHODS A Poisson generalized linear model (GLM) combining a distributed lag non-linear model (DLNM) was used to quantify the lag effects of floods on schizophrenia and subgroups (male, female; ≤40 y, >40 y; the married, the unmarried) from 2005 to 2014, Hefei, China. We further explored the effects of different degrees (moderate and severe) of floods and their temporal changes on schizophrenia. RESULTS There was a significant association between floods and admissions risk for schizophrenia. And the lag effects for schizophrenia lasted ten days (lag 5-lag 14), with the greatest effect on lag 9 (RR = 1.036, 95% confidence interval (CI): 1.014-1.058). The married, ≤40 y were sensitive to floods. The significant difference wasn't found for genders. The effects of the severe flood were higher than moderate floods, with the largest RR of 1.073 (95%CI: 1.029-1.119). The adverse effects were found in the middle and late period with a decreasing trend in the later period. CONCLUSIONS This study suggests a significant association between floods and schizophrenia with ten days of lag effects in Hefei, China. Male, female, <40 y and the married are vulnerable to both moderate and severe floods. The findings might be used to allocate medical resources of mental health after floods.
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Affiliation(s)
- Qiannan Wei
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, Hefei, Anhui 230032, China; Anhui Province Key Laboratory of Major Autoimmune Diseases, Hefei, Anhui 230032, China
| | - Xulai Zhang
- Department of Geriatric Psychology, Anhui Mental Health Center, Hefei, China
| | - Weizhuo Yi
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, Hefei, Anhui 230032, China; Anhui Province Key Laboratory of Major Autoimmune Diseases, Hefei, Anhui 230032, China
| | - Rubing Pan
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, Hefei, Anhui 230032, China; Anhui Province Key Laboratory of Major Autoimmune Diseases, Hefei, Anhui 230032, China
| | - Jiaojiao Gao
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, Hefei, Anhui 230032, China; Anhui Province Key Laboratory of Major Autoimmune Diseases, Hefei, Anhui 230032, China
| | - Jun Duan
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, Hefei, Anhui 230032, China; Anhui Province Key Laboratory of Major Autoimmune Diseases, Hefei, Anhui 230032, China
| | - Zihan Xu
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, Hefei, Anhui 230032, China; Anhui Province Key Laboratory of Major Autoimmune Diseases, Hefei, Anhui 230032, China
| | - Qiang Cheng
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, Hefei, Anhui 230032, China; Anhui Province Key Laboratory of Major Autoimmune Diseases, Hefei, Anhui 230032, China
| | - Lijun Bai
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, Hefei, Anhui 230032, China; Anhui Province Key Laboratory of Major Autoimmune Diseases, Hefei, Anhui 230032, China
| | - Yanwu Zhang
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, Hefei, Anhui 230032, China; Anhui Province Key Laboratory of Major Autoimmune Diseases, Hefei, Anhui 230032, China
| | - Hong Su
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, Hefei, Anhui 230032, China; Anhui Province Key Laboratory of Major Autoimmune Diseases, Hefei, Anhui 230032, China.
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Power R, Muhit M, Heanoy E, Karim T, Galea C, Badawi N, Khandaker G. Depression, anxiety and stress among caregivers of adolescents with cerebral palsy in rural Bangladesh. Disabil Rehabil 2019; 43:2123-2130. [PMID: 34275406 DOI: 10.1080/09638288.2019.1692378] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
PURPOSE Prior studies indicate high risk of mental health problems among caregivers of adolescents with cerebral palsy although limited consideration is given to caregivers in low- and middle-income countries. This study aimed to compare the burden of depression, anxiety and stress among caregivers of adolescents with cerebral palsy to caregivers of adolescents without disability in rural Bangladesh; and to identify factors unique to low- and middle-income countries that predict caregiver's mental health. METHODS Observational study comparing caregivers of adolescents with cerebral palsy identified through the Bangladesh Cerebral Palsy Register and caregivers of adolescents without disability from neighboring dwellings. Caregiver mental health was assessed using the Depression, Anxiety and Stress Scale-21, adolescent mental health using the Strengths and Difficulties Questionnaire and adolescent health-related quality of life using Kidscreen-27. Hierarchical multivariable regression analysis was performed. RESULTS Participants were 154 caregivers of adolescents with cerebral palsy and 173 caregivers of adolescents without disability, matched on adolescent age and sex. Caregivers of adolescents with cerebral palsy reported significantly higher risk of depression and stress than caregivers of adolescents without disability (Effect Size 0.1 to 0.2, p < 0.05) although no difference on anxiety. Caregiver age, adolescent mental health, household overcrowding and adolescent hearing impairment were significant predictors of depression, anxiety and/or stress (0.1 to 2.2, p < 0.05). CONCLUSIONS Caregivers of adolescents with cerebral palsy in rural Bangladesh are at high risk of depression and stress. Initiatives to improve caregiver mental health are required; we recommend initiatives address adolescent mental health problems and include poverty reduction measures to improve social and economic capital. Improved understanding of the factors predicting caregiver depression, anxiety and stress unique to low and middle-income countries are necessary to guide policies and public health infrastructure development.Implications for rehabilitationCaregivers of adolescents with cerebral palsy in rural Bangladesh are at significantly higher risk of depression and stress than caregivers of adolescents without disability.We recommend interventions to improve caregiver mental health give specific consideration to older caregivers, those whose adolescent report mental health problems, families living in crowded households, and/or whose child has hearing impairment.We recommend interventions include poverty reduction measures to improve social and economic capital and target both caregivers and adolescents with CP to enhance long term outcomes.
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Affiliation(s)
- Rosalie Power
- Discipline of Child and Adolescent Health, Sydney Medical School, The University of Sydney, Sydney, Australia.,Asian Institute of Disability and Development (AIDD), University of South Asia, Dhaka, Bangladesh
| | - Mohammad Muhit
- Asian Institute of Disability and Development (AIDD), University of South Asia, Dhaka, Bangladesh.,CSF Global, Dhaka, Bangladesh
| | - Eamin Heanoy
- Asian Institute of Disability and Development (AIDD), University of South Asia, Dhaka, Bangladesh.,CSF Global, Dhaka, Bangladesh
| | - Tasneem Karim
- Discipline of Child and Adolescent Health, Sydney Medical School, The University of Sydney, Sydney, Australia.,Asian Institute of Disability and Development (AIDD), University of South Asia, Dhaka, Bangladesh.,CSF Global, Dhaka, Bangladesh.,Cerebral Palsy Alliance Research Institute, University of Sydney, Sydney, Australia
| | - Claire Galea
- Discipline of Child and Adolescent Health, Sydney Medical School, The University of Sydney, Sydney, Australia.,Cerebral Palsy Alliance Research Institute, University of Sydney, Sydney, Australia
| | - Nadia Badawi
- Discipline of Child and Adolescent Health, Sydney Medical School, The University of Sydney, Sydney, Australia.,Cerebral Palsy Alliance Research Institute, University of Sydney, Sydney, Australia
| | - Gulam Khandaker
- Discipline of Child and Adolescent Health, Sydney Medical School, The University of Sydney, Sydney, Australia.,Asian Institute of Disability and Development (AIDD), University of South Asia, Dhaka, Bangladesh.,CSF Global, Dhaka, Bangladesh.,Central Queensland Public Health Unit, Central Queensland Hospital and Health Service, Rockhampton, Australia
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Wu J, Huang C, Pang M, Wang Z, Yang L, FitzGerald G, Zhong S. Planned sheltering as an adaptation strategy to climate change: Lessons learned from the severe flooding in Anhui Province of China in 2016. THE SCIENCE OF THE TOTAL ENVIRONMENT 2019; 694:133586. [PMID: 31386954 DOI: 10.1016/j.scitotenv.2019.133586] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/19/2019] [Revised: 07/12/2019] [Accepted: 07/23/2019] [Indexed: 06/10/2023]
Abstract
BACKGROUND Evacuation and sheltering is both a disaster response measure and a strategy to adapt to climate change, and consequently address the Sustainable Development Goals. Research has found that displacement does cause negative health impacts to evacuees, but few studies have observed how planned sheltering might reduce adverse health impacts. This article identifies the good practice and lessons learned from China's response to severe flooding in Anhui province in 2016. METHODS First, we identified the key phases for disaster sheltering by analyzing related government reports. We then interviewed 21 relevant professionals in order to identify good practice and lessons learned which could lead to better health outcomes (e.g., reduce fatalities, infectious diseases, and mental health problems). Interviewees were selected through a purposive sampling strategy, which identified emergency management professionals and those who had been assigned evacuation, sheltering, or medical tasks. Finally, thematic analysis and the constant comparative method were used to code, identify, and describe the good practice and challenges during key phases. RESULTS Good practice included: using early warning systems to advise communities of risks and enforce evacuation in the flood zone; preparing and using schools as shelters with open-ended periods of operation; and, providing stable shelter accommodations which offered medical and public health services, clean drinking water and food, sanitation, and toilet hygiene through multiagency cooperation. Challenges included: providing mental health services, evaluating intervention effectiveness, managing volunteers, monitoring long-term health effects, and providing economic support. CONCLUSIONS The unintended negative effects caused by sheltering during extreme weather can be reduced. This requires close cooperation among government entities to establish planned mass shelters with appropriate levels of personal, environmental and healthcare support and to ensure long-term physical and mental health support. Additionally, if disaster mitigation strategies are integrated with climate adaptation plans, we can design more health-oriented and sustainable cities.
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Affiliation(s)
- Jiabing Wu
- Public Health Emergency Office, Anhui Province Center for Disease Control and Prevention, Hefei, China
| | - Cunrui Huang
- School of Public Health, Sun Yat-Sen University, Guangzhou, China
| | - Minghui Pang
- Center for Chinese Public Administration Research, School of Government, Sun Yat-Sen University, Guangzhou, China
| | - Zhe Wang
- Public Health Emergency Center, Chinese Center for Disease Control and Prevention, Beijing, China
| | - Lianping Yang
- School of Public Health, Sun Yat-Sen University, Guangzhou, China
| | - Gerard FitzGerald
- School of Public Health and Social Work, Queensland University of Technology, Australia
| | - Shuang Zhong
- Center for Chinese Public Administration Research, School of Government, Sun Yat-Sen University, Guangzhou, China.
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French CE, Waite TD, Armstrong B, Rubin GJ, Beck CR, Oliver I. Impact of repeat flooding on mental health and health-related quality of life: a cross-sectional analysis of the English National Study of Flooding and Health. BMJ Open 2019; 9:e031562. [PMID: 31678948 PMCID: PMC6830640 DOI: 10.1136/bmjopen-2019-031562] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
OBJECTIVE To assess the association between flooding/repeat flooding and: (1) psychological morbidity (anxiety, depression, post-traumatic stress disorder (PTSD)) and (2) health-related quality of life (HRQoL) at 6 months post-flooding. DESIGN Cross-sectional analysis of data from the English National Study of Flooding and Health. SETTING Cumbria, England. PARTICIPANTS Questionnaires were sent to 2500 residential addresses at 6 months post-flooding; 590 people responded. OUTCOMES Probable depression was assessed using the Patient Health Questionnaire, probable anxiety using the Generalised Anxiety Disorder scale and probable PTSD using the short-form PTSD checklist (PCL-6). HRQoL was assessed using the EQ-5D-5L. Mental health outcomes were analysed using logistic regression; HRQoL dimensions using ordinal regression; and summary index/Visual Analogue Scale scores using linear regression. RESULTS One hundred and nineteen participants had been flooded, over half of whom were experiencing a repeat flooding event (54%; n=64). Mental health outcomes were elevated among flooded compared with unaffected participants (adjusted OR for probable depression: 7.77, 95% CI: 1.51 to 40.13; anxiety: 4.16, 95% CI: 1.18 to 14.70; PTSD: 14.41, 95% CI: 3.91 to 53.13). The prevalence of depression was higher among repeat compared with single flooded participants, but this was not significant after adjustment. There was no difference in levels of anxiety or PTSD. Compared with unaffected participants, those flooded had lower EQ-5D-5L index scores (adjusted coefficient: -0.06, 95% CI: -0.12 to -0.01) and lower self-rated health scores (adjusted coefficient: -6.99, 95% CI: -11.96 to -2.02). There was, however, little difference in HRQoL overall between repeat and single flooded participants. CONCLUSIONS Interventions are needed to help minimise the impact of flooding on people's mental health and HRQoL.
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Affiliation(s)
- Clare E French
- NIHR Health Protection Unit in Evaluation of Interventions, Population Health Sciences, Bristol Medical School, Bristol, UK
- Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK
| | - Thomas D Waite
- National Infection Service, Public Health England, London, UK
| | - Ben Armstrong
- NIHR Health Protection Research Unit in Environmental Change and Health at the London School of Hygiene and Tropical Medicine, London, UK
| | - G James Rubin
- Department of Psychological Medicine, Weston Education Centre, King's College London NIHR Health Protection Research Unit in Emergency Preparedness and Response, London, UK
| | - Charles R Beck
- NIHR Health Protection Unit in Evaluation of Interventions, Population Health Sciences, Bristol Medical School, Bristol, UK
- Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK
- Department of Psychological Medicine, Weston Education Centre, King's College London NIHR Health Protection Research Unit in Emergency Preparedness and Response, London, UK
- Field Service South West, National Infection Service, Public Health England, Bristol, UK
| | - Isabel Oliver
- NIHR Health Protection Unit in Evaluation of Interventions, Population Health Sciences, Bristol Medical School, Bristol, UK
- Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK
- Department of Psychological Medicine, Weston Education Centre, King's College London NIHR Health Protection Research Unit in Emergency Preparedness and Response, London, UK
- Field Service South West, National Infection Service, Public Health England, Bristol, UK
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Dwirahmadi F, Rutherford S, Phung D, Chu C. Understanding the Operational Concept of a Flood-Resilient Urban Community in Jakarta, Indonesia, from the Perspectives of Disaster Risk Reduction, Climate Change Adaptation and Development Agencies. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16203993. [PMID: 31635410 PMCID: PMC6843987 DOI: 10.3390/ijerph16203993] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/18/2019] [Revised: 09/28/2019] [Accepted: 10/01/2019] [Indexed: 11/29/2022]
Abstract
Climate change-related extreme events such as floods have and will continue to present a great challenge to disaster risk management. There is a pressing need to develop a robust management strategy via enhancing the resiliency of the community, particularly in the context of complex urban environments, like Jakarta. Resilience is conceptualized within specific contexts and uniquely tailored to the targeted setting, yet research regarding the operational concept of a flood-resilient community in the context of Jakarta remains limited. This paper will elaborate this operational concept through understanding the desirable features and influential barriers of a flood-resilient community through the lenses of three main stakeholder groups: disaster risk reduction (DRR), climate change adaptation (CCA), and development. It will also discuss the ways in which the synergies that exist across these groups can be enhanced. Both quantitative and qualitative approaches were applied in this study, and multiple sources of data were used. The findings indicate that these groups share common views regarding the importance of human aspects being central to resilience building efforts. We argue there is an urgent need to shift the flood resilience building paradigm towards building community resilience from the people and to apply a collaborative governance approach to facilitate effective partnership between the actors involved.
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Affiliation(s)
- Febi Dwirahmadi
- Center for Environment and Population Health, School of Medicine, Griffith University, Brisbane, 4111, Australia.
| | - Shannon Rutherford
- Center for Environment and Population Health, School of Medicine, Griffith University, Brisbane, 4111, Australia.
| | - Dung Phung
- Center for Environment and Population Health, School of Medicine, Griffith University, Brisbane, 4111, Australia.
| | - Cordia Chu
- Center for Environment and Population Health, School of Medicine, Griffith University, Brisbane, 4111, Australia.
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Longman JM, Bennett-Levy J, Matthews V, Berry HL, Passey ME, Rolfe M, Morgan GG, Braddon M, Bailie R. Rationale and methods for a cross-sectional study of mental health and wellbeing following river flooding in rural Australia, using a community-academic partnership approach. BMC Public Health 2019; 19:1255. [PMID: 31510969 PMCID: PMC6739930 DOI: 10.1186/s12889-019-7501-y] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2018] [Accepted: 08/15/2019] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Climate change is associated with greater frequency, duration, intensity and unpredictability of certain weather-related events, including floods. Floods harm mental health. There is limited understanding of the mental health and well-being effects from river flooding, particularly over the longer term and in rural contexts. This paper describes the rationale, aims, objectives, study design and socio-demographic characteristics of the sample for a study measuring associations between flood experience and mental health and wellbeing of residents (particularly those most likely to be negatively impacted and hard to reach) in rural NSW Australia 6 months following a devastating flood in 2017. To our knowledge, the study is the first of its kind within Australia in a rural community and is an important initiative given the likelihood of an increasing frequency of severe flooding in Australia given climate change. METHODS A conceptual framework (The Flood Impact Framework) drawing on social ecological approaches was developed by the research team. It was based on the literature and feedback from the community. The Framework describes putative relationships between flood exposure and mental health and wellbeing outcomes. Within a community-academic partnership approach, a cross-sectional survey was then undertaken to quantify and further explore these relationships. RESULTS The cross-sectional survey was conducted online (including on mobile phone) and on paper between September and November 2017 and recruited 2530 respondents. Of those, 2180 provided complete demographic data, among whom 69% were women, 91% were aged 25-74, 4% identified as Aboriginal and/or Torres Strait Islander, 9% were farmers and 33% were business owners. CONCLUSIONS The study recruited a wide range of respondents and the partnership facilitated the community's engagement with the design and implementation of the study. The study will provide a basis for a follow-up study, that will aim to improve the understanding of mental health and wellbeing effects over the longer term. It will provide an important and original contribution to understanding river flooding and mental health in rural Australia, a topic that will grow in importance in the context of human-induced climate change, and identify critical opportunities to strengthen services, emergency planning and resilience to future flooding.
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Affiliation(s)
- J M Longman
- The University of Sydney, University Centre for Rural Health, 61 Uralba Street, Lismore, New South Wales, 2480, Australia.
| | - J Bennett-Levy
- The University of Sydney, University Centre for Rural Health, 61 Uralba Street, Lismore, New South Wales, 2480, Australia
| | - V Matthews
- The University of Sydney, University Centre for Rural Health, 61 Uralba Street, Lismore, New South Wales, 2480, Australia
| | - H L Berry
- Sydney School of Public Health, Edward Ford Building, University of Sydney, Sydney, New South Wales, 2006, Australia
| | - M E Passey
- The University of Sydney, University Centre for Rural Health, 61 Uralba Street, Lismore, New South Wales, 2480, Australia
| | - M Rolfe
- The University of Sydney, University Centre for Rural Health, 61 Uralba Street, Lismore, New South Wales, 2480, Australia
| | - G G Morgan
- The University of Sydney, University Centre for Rural Health, 61 Uralba Street, Lismore, New South Wales, 2480, Australia
| | - M Braddon
- The University of Sydney, University Centre for Rural Health, 61 Uralba Street, Lismore, New South Wales, 2480, Australia
| | - R Bailie
- The University of Sydney, University Centre for Rural Health, 61 Uralba Street, Lismore, New South Wales, 2480, Australia
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Mambrey V, Wermuth I, Böse-O'Reilly S. [Extreme weather events and their impact on the mental health of children and adolescents]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2019; 62:599-604. [PMID: 30976819 DOI: 10.1007/s00103-019-02937-7] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
As part of climate change, a rise in meteorological extreme weather events (EWE) like heavy precipitation and flooding can be observed in Germany. Severe extreme events can evoke great fear and pose a risk for traumatization. These traumas and the sustained stress caused by the event may result in adverse psychological health effects. Children and adolescents represent a vulnerable group due to the fact that they hold less coping strategies than adults and are strongly dependent on their environment.This narrative overview intends to summarise the prevalence of mental illness after an EWE and the related risk factors in order to draw meaningful conclusions about the mental health of children and adolescents in Germany. Therefore, existing literature from the WHO European region and from countries with a similar income level (e.g. Canada, Australia, USA) was taken into account. Since floods and heavy precipitation are the most frequent EWE in Germany, the focus was placed on them.An increase in anxiety disorders, depression symptoms, posttraumatic stress and behavioural disorders can be observed in children and adolescents after an EWE. The literature provides little information on the prevalence of such mental health effects as a result of EWEs and their effects, and which risk factors are of importance. There is thus still considerable need for research internationally and especially in Germany.
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Affiliation(s)
- Viola Mambrey
- Institut und Poliklinik für Arbeits‑, Sozial- und Umweltmedizin, Klinikum der Universität München, LMU München, Ziemssenstr. 1, 80336, München, Deutschland.
| | - Inga Wermuth
- Klinik und Poliklinik für Kinder- und Jugendpsychiatrie, Psychosomatik und Psychotherapie, Klinikum der Universität München, LMU München, München, Deutschland
| | - Stephan Böse-O'Reilly
- Institut und Poliklinik für Arbeits‑, Sozial- und Umweltmedizin, Klinikum der Universität München, LMU München, Ziemssenstr. 1, 80336, München, Deutschland
- Institut für Public Health, Medical Decision Making und Health Technology Assessment, Department Public Health, Versorgungsforschung und Health Technology Assessment, UMIT - Private Universität für Gesundheitswissenschaften, Medizinische Informatik und Technik GmbH, Hall i.T., Österreich
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Muttarak R, Dimitrova A. Climate change and seasonal floods: potential long-term nutritional consequences for children in Kerala, India. BMJ Glob Health 2019; 4:e001215. [PMID: 31139439 PMCID: PMC6509607 DOI: 10.1136/bmjgh-2018-001215] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2018] [Revised: 02/27/2019] [Accepted: 03/01/2019] [Indexed: 11/09/2022] Open
Affiliation(s)
- Raya Muttarak
- School of International Development, University of East Anglia, Norwich, UK.,World Population Program, International Institute for Applied Systems Analysis, Laxenburg, Austria
| | - Anna Dimitrova
- World Population Program, International Institute for Applied Systems Analysis, Laxenburg, Austria
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Jodar-Abellan A, Valdes-Abellan J, Pla C, Gomariz-Castillo F. Impact of land use changes on flash flood prediction using a sub-daily SWAT model in five Mediterranean ungauged watersheds (SE Spain). THE SCIENCE OF THE TOTAL ENVIRONMENT 2019; 657:1578-1591. [PMID: 30677923 DOI: 10.1016/j.scitotenv.2018.12.034] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/19/2018] [Revised: 12/03/2018] [Accepted: 12/04/2018] [Indexed: 06/09/2023]
Abstract
Flash floods cause severe natural disasters over the world generating property and infrastructures damages, poverty and loss of human life, among others. Mediterranean coastal watersheds are specially sensible to flash floods effects due to their typical drainage basin features (steep slopes, short concentration times, complex orography, etc.) and the high rainfall intensity typical of convective systems. In the present study, the temporal evolution of the hydrological answer in five Mediterranean (SE Spain) ravine basins with sizes from 10.2 km2 to 200.9 km2 were analysed. A sub-daily SWAT model was used at watershed scale to capture the complex hydrological dynamics. Five land use scenarios corresponding to no-urbanization (baseline), 1990, 2000, 2006 and 2012 were evaluated using GIS-based tools. Additionally, statistical significant differences among the studied scenarios were checked employing the Kruskal-Wallis and post-hoc tests based on Mann-Whitney test with BH correction. Our results show that flash flood risks have increased in the studied catchments due to changes in land uses, particularly affected by a large urban growth. Observed changes in soil uses have been important since the sixties of the last century, because of a high demographic and touristic pressure and specially the urban area has enhanced considerably during the last 22 years. Currently, some of these catchments present around 70% of their surface occupied by urban land uses with high population density producing curve number surpasses 85 and 90 levels. The hydrological response of the studied basins changed to higher flow rate peaks and shorter concentration times. Some discharges increased significantly from the baseline land use scenario (≈50 m3/s, 190 m3/s, 380 m3/s) to the most urbanised scenario (≈235 m3/s, 385 m3/s, 940 m3/s), respectively. These findings provide to urban planning policy makers very useful information in the face of flash flood effects, which have cost even human lifes in the studied ravine basins during last years.
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Affiliation(s)
- Antonio Jodar-Abellan
- University Institute of Water and Environmental Sciences, University of Alicante, Carretera San Vicente del Raspeig s/n, 03690, San Vicente del Raspeig, Alicante, Spain.
| | - Javier Valdes-Abellan
- University Institute of Water and Environmental Sciences, University of Alicante, Carretera San Vicente del Raspeig s/n, 03690, San Vicente del Raspeig, Alicante, Spain; Department of Civil Engineering, University of Alicante, Carretera San Vicente del Raspeig s/n, 03690, San Vicente del Raspeig, Alicante, Spain.
| | - Concepción Pla
- University Institute of Water and Environmental Sciences, University of Alicante, Carretera San Vicente del Raspeig s/n, 03690, San Vicente del Raspeig, Alicante, Spain; Department of Civil Engineering, University of Alicante, Carretera San Vicente del Raspeig s/n, 03690, San Vicente del Raspeig, Alicante, Spain.
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Watts N, Amann M, Arnell N, Ayeb-Karlsson S, Belesova K, Berry H, Bouley T, Boykoff M, Byass P, Cai W, Campbell-Lendrum D, Chambers J, Daly M, Dasandi N, Davies M, Depoux A, Dominguez-Salas P, Drummond P, Ebi KL, Ekins P, Montoya LF, Fischer H, Georgeson L, Grace D, Graham H, Hamilton I, Hartinger S, Hess J, Kelman I, Kiesewetter G, Kjellstrom T, Kniveton D, Lemke B, Liang L, Lott M, Lowe R, Sewe MO, Martinez-Urtaza J, Maslin M, McAllister L, Mikhaylov SJ, Milner J, Moradi-Lakeh M, Morrissey K, Murray K, Nilsson M, Neville T, Oreszczyn T, Owfi F, Pearman O, Pencheon D, Pye S, Rabbaniha M, Robinson E, Rocklöv J, Saxer O, Schütte S, Semenza JC, Shumake-Guillemot J, Steinbach R, Tabatabaei M, Tomei J, Trinanes J, Wheeler N, Wilkinson P, Gong P, Montgomery H, Costello A. The 2018 report of the Lancet Countdown on health and climate change: shaping the health of nations for centuries to come. Lancet 2018; 392:2479-2514. [PMID: 30503045 DOI: 10.1016/s0140-6736(18)32594-7] [Citation(s) in RCA: 333] [Impact Index Per Article: 55.5] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/28/2018] [Revised: 08/30/2018] [Accepted: 10/12/2018] [Indexed: 12/16/2022]
Affiliation(s)
- Nick Watts
- Institute for Global Health, University College London, London, UK.
| | - Markus Amann
- Air Quality and Greenhouse Gases Programme, International Institute for Applied Systems Analysis, Laxenburg, Austria
| | - Nigel Arnell
- Department of Meteorology, University of Reading, Reading, UK
| | | | - Kristine Belesova
- Department of Public Health, Environments, and Society, London School of Hygiene & Tropical Medicine, London, UK
| | - Helen Berry
- Sydney School of Public Health, Sydney Medical School, University of Sydney, Sydney, Australia
| | - Timothy Bouley
- Health and Climate Change Unit, World Bank, Washington, DC, USA
| | - Maxwell Boykoff
- Cooperative Institute for Research in Environmental Sciences, University of Colorado Boulder, Boulder, CO, USA
| | - Peter Byass
- Epidemiology and Global Health Unit, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden
| | - Wenjia Cai
- Department of Earth System Science, Tsinghua University, Beijing, China
| | | | | | - Meaghan Daly
- Department of Environmental Studies, University of New England, Biddeford, ME, USA
| | - Niheer Dasandi
- School of Government and Society, University of Birmingham, Birmingham, UK
| | - Michael Davies
- Institute for Environmental Design and Engineering, University College London, London, UK
| | - Anneliese Depoux
- Centre Virchow-Villermé for Public Health Paris-Berlin, Université Sorbonne Paris Cité and Université Paris Sorbonne, Paris, France
| | - Paula Dominguez-Salas
- Department of Population Health, London School of Hygiene & Tropical Medicine, London, UK
| | - Paul Drummond
- Institute for Sustainable Resources, University College London, London, UK
| | - Kristie L Ebi
- Department of Global Health, University of Washington, Washington, DC, USA
| | - Paul Ekins
- Institute for Sustainable Resources, University College London, London, UK
| | | | - Helen Fischer
- Department of Psychology, Heidelberg University, Heidelberg, Germany
| | | | - Delia Grace
- International Livestock Research Institute, Nairobi, Kenya
| | - Hilary Graham
- Department of Health Sciences, University of York, York, UK
| | - Ian Hamilton
- UCL Energy Institute, University College London, London, UK
| | | | - Jeremy Hess
- Centre for Health and the Global Environment, University of Washington, Washington, DC, USA
| | - Ilan Kelman
- Institute for Global Health, University College London, London, UK
| | - Gregor Kiesewetter
- Air Quality and Greenhouse Gases Programme, International Institute for Applied Systems Analysis, Laxenburg, Austria
| | - Tord Kjellstrom
- Health and Environment International Trust, Nelson, New Zealand
| | | | - Bruno Lemke
- Nelson Marlborough Institute of Technology, Nelson, New Zealand
| | - Lu Liang
- University of North Texas, Denton, TX, USA
| | - Melissa Lott
- Asia Pacific Energy Research Centre, Tokyo, Japan
| | - Rachel Lowe
- Department of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, UK
| | - Maquins Odhiambo Sewe
- Epidemiology and Global Health Unit, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden
| | | | - Mark Maslin
- Department of Geography, University College London, London, UK
| | - Lucy McAllister
- History and Society Division, University of Colorado Boulder, Boulder, CO, USA
| | | | - James Milner
- Department of Public Health, Environments, and Society, London School of Hygiene & Tropical Medicine, London, UK
| | - Maziar Moradi-Lakeh
- Preventive Medicine and Public Health Research Centre, Iran University of Medical Sciences, Tehran, Iran
| | - Karyn Morrissey
- European Centre for the Environment and Human Health, University of Exeter, Exeter, UK
| | - Kris Murray
- Faculty of Medicine, School of Public Health, Imperial college London, London, UK
| | - Maria Nilsson
- Epidemiology and Global Health Unit, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden
| | - Tara Neville
- Department of Public Health and the Environment, WHO, Geneva, Switzerland
| | - Tadj Oreszczyn
- UCL Energy Institute, University College London, London, UK
| | - Fereidoon Owfi
- Iranian Fisheries Science Research Institute, Agricultural Research, Education, and Extension Organisation, Tehran, Iran
| | - Olivia Pearman
- Centre for Science and Technology Policy Research, University of Colorado Boulder, Boulder, CO, USA
| | | | - Steve Pye
- UCL Energy Institute, University College London, London, UK
| | - Mahnaz Rabbaniha
- Iranian Fisheries Science Research Institute, Agricultural Research, Education, and Extension Organisation, Tehran, Iran
| | - Elizabeth Robinson
- School of Agriculture, Policy, and Development, University of Reading, Reading, UK
| | - Joacim Rocklöv
- Epidemiology and Global Health Unit, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden
| | - Olivia Saxer
- Centre Virchow-Villermé for Public Health Paris-Berlin, Université Sorbonne Paris Cité and Université Paris Sorbonne, Paris, France
| | - Stefanie Schütte
- Centre Virchow-Villermé for Public Health Paris-Berlin, Université Sorbonne Paris Cité and Université Paris Sorbonne, Paris, France
| | - Jan C Semenza
- European Centre for Disease Control and Prevention, Solna, Sweden
| | | | - Rebecca Steinbach
- Department of Public Health, Environments, and Society, London School of Hygiene & Tropical Medicine, London, UK
| | - Meisam Tabatabaei
- Agricultural Biotechnology Research Institute of Iran, Agricultural Research, Education, and Extension Organisation, Tehran, Iran
| | - Julia Tomei
- Institute for Sustainable Resources, University College London, London, UK
| | - Joaquin Trinanes
- Physical Oceanography Division, Atlantic Oceanographic and Meteorological Laboratory, National Oceanic and Atmospheric Administration, Miami, FL, USA
| | - Nicola Wheeler
- Institute for Global Health, University College London, London, UK
| | - Paul Wilkinson
- Department of Public Health, Environments, and Society, London School of Hygiene & Tropical Medicine, London, UK
| | - Peng Gong
- Department of Earth System Science, Tsinghua University, Beijing, China
| | - Hugh Montgomery
- Centre for Human Health and Performance, Department of Medicine, University College London, London, UK
| | - Anthony Costello
- Office of the Vice-Provost (Research), University College London, London, UK
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Narratives of recovery after floods: Mental health, institutions, and intervention. Soc Sci Med 2018; 216:67-73. [DOI: 10.1016/j.socscimed.2018.09.024] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2017] [Revised: 09/01/2018] [Accepted: 09/14/2018] [Indexed: 11/19/2022]
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