Exposure to the Deepwater Horizon Oil Spill, Associated Resource Loss, and Long-Term Mental and Behavioral Outcomes

2019 ◽  
Vol 13 (5-6) ◽  
pp. 889-897 ◽  
Author(s):  
Rajeev Ramchand ◽  
Rachana Seelam ◽  
Vanessa Parks ◽  
Bonnie Ghosh-Dastidar ◽  
Matthew R. Lee ◽  
...  

ABSTRACTObjective:The aim of this study was to (1) assess the long-term mental and behavioral health outcomes of the Deepwater Horizon Oil Spill of residents in the Gulf Coast and to (2) identify populations that may be particularly vulnerable to future disasters.Methods:The Survey of Trauma, Resilience, and Opportunity in Neighborhoods in the Gulf (STRONG) is a population-representative sample of 2520 coastal residents surveyed in Texas, Louisiana, Alabama, Mississippi, and Florida in 2016. We present prevalence estimates for positive screens of depression, anxiety, and alcohol misuse, as well as receipt of health care services. We examine differences in these outcomes across states, affected occupational groups, and demographic groups.Results:Resource loss attributed to the spill was associated with positive screens for depression and anxiety. Almost 50% of adults screened positive for depression, anxiety, or alcohol misuse, but less than 20% of these currently access mental health care. Black residents were less likely to have health insurance and a usual source of care but were more likely to have visited the emergency room in the past 12 months.Conclusions:Surveillance data from STRONG can help policy-makers and other stakeholders develop targeted approaches to foster resilience, particularly among vulnerable populations, and thereby mitigate the effects of future disasters.

2017 ◽  
Vol 12 (2) ◽  
pp. 241-248 ◽  
Author(s):  
Joohee Lee ◽  
Bret J. Blackmon ◽  
David M. Cochran ◽  
Bandana Kar ◽  
Timothy A. Rehner ◽  
...  

AbstractObjectiveThis study examined the role of community resilience and psychological resilience on depressive symptoms in areas on the Mississippi Gulf Coast that have experienced multiple disasters.MethodsSurvey administration took place in the spring of 2015 to a spatially stratified, random sample of households. This analysis included a total of 294 subjects who lived in 1 of the 3 counties of the Mississippi Gulf Coast at the time of both Hurricane Katrina in 2005 and the Deepwater Horizon oil spill in 2010. The survey included the Communities Advancing Resilience Toolkit (CART) scale, the Connor-Davidson Resilience Scale (CD-RISC 10), and the Center for Epidemiologic Studies Depression Scale (CES-D).ResultsThere was a significant inverse relationship between psychological resilience and depressive symptoms and a significant positive relationship between community resilience and psychological resilience. The results also revealed that community resilience was indirectly related to depressive symptoms through the mediating variable of psychological resilience.ConclusionsThese findings highlight the importance of psychological resilience in long-term disaster recovery and imply that long-term recovery efforts should address factors associated with both psychological and community resilience to improve mental health outcomes. (Disaster Med Public Health Preparedness. 2018;12:241–248)


2014 ◽  
Vol 2014 (1) ◽  
pp. 300245 ◽  
Author(s):  
Jennifer Langhinrichsen-Rohling ◽  
Mattie Kahn ◽  
Candice N. Selwyn ◽  
Adrianne C. McCullars ◽  
Mai Var ◽  
...  

On April 20th, 2010, the Deepwater Horizon oil spill occurred in the Gulf of Mexico. This spill affected approximately 181 miles of Gulf Coast shoreline and impacted the livelihood of residents within Lower Alabama. Previous studies have shown increased behavioral health symptoms following high magnitude natural disasters. Symptom expression typically adheres to one of several trajectories: recovery, evidenced by gradual declines in symptoms over time, or delayed disruptions in functioning, evidenced by gradual increases in symptoms over time. However, very few existing studies have investigated the long term behavioral health effects of a large-scale technological disaster. Surveillance of mental and behavioral health symptoms over time can inform needed resiliency-restoring and recovery-related service provision resources. Using health surveillance methodology, plots were developed to depict the trajectory of behavioral health symptoms expressed by service-seeking Alabama Gulf Coast residents (n = 3,731 people) within impacted areas of Mobile and Baldwin counties. The presented data represents information gathered from disaster- deployed mental health service providers (e.g., number of patients treated and their behavioral health symptoms) in order to monitor fluctuations in behavioral health indicators across the recovery period. Six distinct time points were included in the analyses (6, 12, 18, 24, 30, and 36 months post-spill) Results demonstrate a period of recovery between 6 months and 18 months post-spill as evidenced by a gradual decline in behavioral health symptoms. However, beginning around 18 months post-spill and continuing through Year 3, delayed disruptions in functioning were evidenced by gradually increasing reports of behavioral health symptoms over time. Plots of symptom type and frequency will be presented as these demonstrate the need for programs such as the Gulf Region Health Outreach Program (GRHOP).Overall, the current study offers insight into the pattern of behavioral health responses experienced by Coastal Alabama residents over the three year period following the Deepwater Horizon oil spill. Results suggest that behavioral health symptoms in need of treatment still persist, with a trend of increasing symptoms present over the past year and a half. Several factors may be impacting continued symptom expression including ongoing litigation related to the oil spill, a lack of behavioral health care capacity within the Gulf Coast region, and the large percentage of individuals within the region who are experiencing on-going poverty and a lack of access to affordable health care.


2021 ◽  
Author(s):  
Zachary Goldman ◽  
John A. Kaufman ◽  
J. Danielle Sharpe ◽  
Amy F. Wolkin ◽  
Matthew O. Gribble

Introduction: In April 2010, a fatal explosion on the Deepwater Horizon drilling rig in the Gulf of Mexico resulted in the largest accidental marine oil spill in history. This research describes the association of oil exposure with anxiety after the Deepwater Horizon oil spill and evaluates effect modification by self-mastery, emotional support, and cleanup participation. Methods: To assess the impacts of the Deepwater Horizon oil spill, the Centers for Disease Control and Prevention conducted the Gulf States Population Survey, a random-digit-dial telephone cross-sectional survey completed between December 2010 and December 2011 with 38,361 responses in four different Gulf Coast states­: Louisiana, Florida, Alabama, and Mississippi. Anxiety severity was measured using the Generalized Anxiety Disorder symptom inventory. We used Tobit regression to model underlying anxiety as a function of oil exposure and hypothesized effect modifiers, adjusting for socio-demographics. Results: Latent anxiety was higher among those directly exposed to oil than among those who were not directly exposed to oil in confounder-adjusted models (β=2.84, 95% CI: 0.78, 4.91). Among individuals exposed to oil, there was no significant interaction between participating in cleanup activities and emotional support for anxiety ( P=0.16). However, among those directly exposed to oil, in confounder-adjusted models, participation in oil spill cleanup activities was associated with lower latent anxiety (β=-3.50, 95% CI: -6.10, -0.90). Conclusion: Oil contact was associated with greater anxiety, but this association appeared to be mitigated by cleanup participation.


2011 ◽  
Vol 15 (12) ◽  
pp. 3639-3649 ◽  
Author(s):  
J. S. Hayworth ◽  
T. P. Clement ◽  
J. F. Valentine

Abstract. From mid June 2010 to early August 2010, the white sandy beaches along Alabama's Gulf coast were inundated with crude oil discharged from the Deepwater Horizon well. The long-term consequences of this environmental catastrophe are still unfolding. Although BP has attempted to clean up some of these beaches, there still exist many unanswered questions regarding the physical, chemical, and ecological state of the oil contaminated beach system. In this paper, we present our understanding of what is known and known to be unknown with regard to the current state of Alabama's beaches in the aftermath of the Deepwater Horizon disaster. Motivated by our observations of the evolving distribution of oil in Alabama's beaches and BP's clean-up activities, we offer our thoughts on the lessons learned from this oil spill disaster.


2014 ◽  
Vol 1 (7) ◽  
pp. 295-299 ◽  
Author(s):  
Helen K. White ◽  
Shelby L. Lyons ◽  
Sarah J. Harrison ◽  
David M. Findley ◽  
Yina Liu ◽  
...  

2019 ◽  
Vol 8 (3) ◽  
pp. 74
Author(s):  
Megha Patel ◽  
Leia Saltzman ◽  
Regardt Ferreira ◽  
Amy Lesen

The authors wish to make the following change to their paper (Patel et al. 2018). [...]


2012 ◽  
Vol 27 (5) ◽  
pp. 401-408 ◽  
Author(s):  
Danielle Buttke ◽  
Sara Vagi ◽  
Tesfaye Bayleyegn ◽  
Kanta Sircar ◽  
Tara Strine ◽  
...  

AbstractIntroductionPrevious oil spills and disasters from other human-made events have shown that mental health effects to the affected population are widespread and can be significant.Hypothesis/ProblemThere has been concern regarding the likelihood that existing public health surveillance was not capturing the mental health effects to the population affected by the Gulf Coast oil spill. The objectives of this study were to assess the mental health needs of coastal communities in the states of Alabama and Mississippi following the Deepwater Horizon oil spill.MethodsA cluster sampling methodology was used to assess the mental health status of coastal residents in three counties in Alabama four months following the 2010 Deepwater Horizon oil spill, and in the Gulf Coast counties in Mississippi 5.5 months after the oil spill.ResultsA total of 469 residents of the selected areas were interviewed. Between 15.4 and 24.5% of the respondents reported depressive symptoms, with 21.4-31.5% reporting symptoms consistent with an anxiety disorder, and 16.3-22.8% reporting ≥14 mentally unhealthy days within the past 30 days. Overall, there were more negative quality of life indicators and negative social context outcomes than in the state's Behavioral Risk Factor Surveillance System (BRFSS) survey. Between 32.1% and 35.7% of all households reported decreased income since the oil spill, and 35.5-38.2% of all households reported having been exposed to oil.ConclusionThe proportion of respondents reporting negative mental health parameters in the affected Alabama and Mississippi coastal communities is higher than the proportion reported in the 2008 and 2009 BRFSS state reports, suggesting that the public health response to the Deepwater Horizon oil spill should focus on mental health services in these communities.ButtkeD, VagiS, BayleyegnT, SircarK, StrineT, MorrisonM, AllenM, WolkinA. Mental health needs assessment after the Gulf Coast oil spill—Alabama and Mississippi, 2010. Prehosp Disaster Med.2012;27(5):1-8.


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