scholarly journals Type of Disaster Exposure Affects Functional Limitations of Older People 6 Years Later

2019 ◽  
Vol 75 (11) ◽  
pp. 2139-2146
Author(s):  
Rachel Pruchno ◽  
Maureen Wilson-Genderson ◽  
Allison R Heid ◽  
Francine P Cartwright
Keyword(s):  
Older People ◽  
Natural Disasters ◽  
Traumatic Stress ◽  
Functional Limitations ◽  
Hurricane Sandy ◽  
Ongoing Research ◽  
Property Loss ◽  
Traumatic Distress ◽  
Independent Effects ◽  
Disaster Exposure

Abstract Background Natural disasters, including earthquakes, tsunamis, tornadoes, and hurricanes, are traumatic events that simultaneously affect the lives of many people. Although much is known about the effects that natural disasters have on mental health, little is known about how natural disasters affect physical health. These analyses add to the literature by examining the ways in which four types of disaster exposure (geographic, peri-traumatic stress, personal and property loss, and poststorm hardship) experienced by older people during and after Hurricane Sandy affected functional limitations. Methods We analyzed five waves of data from the ORANJ BOWL panel (“Ongoing Research on Aging in New Jersey: Bettering Opportunities for Wellness in Life”) using multilevel mixed-effects models. Results We found that although peri-traumatic stress and poststorm hardship each had independent effects on functional limitations, the effects of peri-traumatic stress dominated and were evident 6 years after the hurricane. Geographic exposure and personal/property loss were not associated with functional limitations. Conclusions These findings add important information to what is known about older people who experience a natural disaster and suggest opportunities for intervention. Finding that an individual’s emotional response during the disaster plays an important role in the development of functional limitations suggests that reduction of exposure to traumatic stress during a storm (ie, evacuation from a storm area) may be important for older people. Likewise, interventions immediately after a disaster that target older people who experience high levels of peri-traumatic distress may be needed in order to alleviate functional limitations before they develop.

scholarly journals Challenges Faced and Support Received: Older Adults’ Perceptions of Hurricane Sandy

2016 ◽  
Vol 11 (1) ◽  
pp. 39-47 ◽  
Author(s):  
Allison R. Heid ◽  
Seran Schug ◽  
Francine P. Cartwright ◽  
Rachel Pruchno
Keyword(s):  
Public Health ◽  
Older Adults ◽  
New Jersey ◽  
Older People ◽  
Hurricane Sandy ◽  
Community Networks ◽  
Structured Interviews ◽  
Ongoing Research ◽  
The People

AbstractObjectiveIndividuals exposed to natural disasters are at risk for negative physical and psychological outcomes. Older adults may be particularly vulnerable; however, social support can act as a resource to help individuals respond to severe stressors. This study explored the challenges older people faced before, during, and after Hurricane Sandy in October 2012 and the people they turned to for support.MethodsSemi-structured interviews were conducted with 20 older adults in New Jersey drawn from the ORANJ BOWL (Ongoing Research on Aging in New Jersey – Bettering Opportunities for Wellness in Life) research panel, who experienced high levels of primary home damage during Hurricane Sandy. Content analysis of interview transcripts classified older adults’ perceptions on how they “made it” through—the challenges they faced and the support they received.ResultsThe findings suggested that older adults experienced emotional, instrumental, social, and financial challenges before, during, and after the storm. However, by relying on family and friends, as well as neighbors and community networks, older people were able to respond to stressors.ConclusionsOur findings carry implications for ensuring that older adults are connected to social networks before, during, and after disasters. The role of neighbors is particularly important when disasters strike. (Disaster Med Public Health Preparedness. 2017;11:39–47)

scholarly journals Return Migration after Natural Disasters

2017 ◽  
Vol 3 (1) ◽  
pp. 1 ◽  
Author(s):  
Mikiyasu Nakayama ◽  
Nicholas Nicholas Bryner ◽  
Satoru Mimura
Keyword(s):  
United States ◽  
Natural Disasters ◽  
Hurricane Katrina ◽  
Case Studies ◽  
Return Migration ◽  
The United States ◽  
Hurricane Sandy ◽  
Indian Ocean Tsunami ◽  
Special Issue ◽  
Post Disaster

This special issue features policy priorities, public perceptions, and policy options for addressing post-disaster return migration in the United States, Japan, and a couple of Asian countries. It includes a series of case studies in these countries, which are based on a sustained dialogue among scholars and policymakers about whether and how to incentivize the return of displaced persons, considering social, economic, and environmental concerns. The research team, composed of researchers from Indonesia, Japan, Sri Lanka, and the United States, undertook a collaborative and interdisciplinary research process to improve understanding about how to respond to the needs of those displaced by natural disasters and to develop policy approaches for addressing post-disaster return. The research focused on the following three key issues: objectives of return migration (whether to return, in what configuration, etc.), priorities and perceptions that influence evacuees’ decision-making regarding return, and policies and practices that are used to pursue return objectives. This special issue includes ten articles on the following disaster cases: the Great East Japan Earthquake in 2011, Hurricane Katrina in 2005 and Hurricane Sandy in 2012, the Great Indian Ocean Tsunami in 2004, and the Great Sumatra Island Earthquake in 2009. Important lessons for the future were secured out of these case studies, covering the entire phase of return, namely planning, implementation, and monitoring.

Vulnerable, But Why? Post-Traumatic Stress Symptoms in Older Adults Exposed to Hurricane Sandy

2016 ◽  
Vol 10 (3) ◽  
pp. 362-370 ◽  
Author(s):  
Allison R. Heid ◽  
Zachary Christman ◽  
Rachel Pruchno ◽  
Francine P. Cartwright ◽  
Maureen Wilson-Genderson
Keyword(s):  
Older Adults ◽  
Traumatic Stress ◽  
Hurricane Sandy ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Ptsd Symptoms ◽  
Post Traumatic Stress ◽  
Group Status ◽  
Chronic Health ◽  
Post Traumatic

AbstractObjectiveDrawing on pre-disaster, peri-disaster, and post-disaster data, this study examined factors associated with the development of post-traumatic stress disorder (PTSD) symptoms in older adults exposed to Hurricane Sandy.MethodsWe used a sample of older participants matched by gender, exposure, and geographic region (N=88, mean age=59.83 years) in which one group reported clinically significant levels of PTSD symptoms and the other did not. We conducted t-tests, chi-square tests, and exact logistic regressions to examine differences in pre-disaster characteristics and peri-disaster experiences.ResultsOlder adults who experienced PTSD symptoms reported lower levels of income, positive affect, subjective health, and social support and were less likely to be working 4 to 6 years before Hurricane Sandy than were people not experiencing PTSD symptoms. Those developing PTSD symptoms reported more depressive symptoms, negative affect, functional disability, chronic health conditions, and pain before Sandy and greater distress and feelings of danger during Hurricane Sandy. Exact logistic regression revealed independent effects of preexisting chronic health conditions and feelings of distress during Hurricane Sandy in predicting PTSD group status.ConclusionsOur findings indicated that because vulnerable adults can be identified before disaster strikes, the opportunity to mitigate disaster-related PTSD exists through identification and resource programs that target population subgroups. (Disaster Med Public Health Preparedness. 2016;10:362–370)

scholarly journals Group Play Therapy for Preadolescents: Post-Traumatic Stress Disorder of Natural Disaster Victims in Indonesia

2020 ◽  
Vol 13 (1) ◽  
pp. 213-222
Author(s):  
Nandang Rusmana ◽  
Anne Hafina ◽  
Dodi Suryana
Keyword(s):  
Natural Disasters ◽  
Play Therapy ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Post Traumatic Stress ◽  
Disaster Victims ◽  
Group Play Therapy ◽  
Post Traumatic ◽  
Group Play

Background: This study was motivated by the failure of coping and adaptation to traumatic experiences that cause a wide, deep, and long-term snowball effect that may not be reversible. Objective: This study aims to test the effectiveness of the implementation of group play therapy in dealing with post-traumatic stress disorder (PTSD) victims of natural disasters in three provinces in Indonesia. Materials and Methods: The study employed an explanatory mixed methods design. The procedures and steps taken in this study refer to the research and development cycle. The subjects and objects of the study were 106 male and 92 female preadolescent students of junior high school in three provinces in Indonesia. Results: Traumatic counselling through group play therapy techniques has the effect of reducing post-traumatic stress disorder on victims of the tsunami disaster in three provinces in Indonesia. The first study conducted in Lombok West Nusa Tenggara province obtained the results of the calculation of the value μ2 = 0.021 for the value of μ1> 0.05. The second study in Palu, Central Sulawesi Province obtained the results of the calculation of the value of μ2 = 0.018 for the value of μ1> 0.05, and the third study in Anyer, Banten province obtained the results of the calculation of the value of µ2 = 0.011 for the value of µ1 > 0.05. Conclusion: Teaching and practising the skills of traumatic counselling using using Group Play Therapy can handle PTSD victims of natural disasters that significantly change victims.

scholarly journals Peritraumatic Stress From a Disaster Increases Risk for Onset of Chronic Diseases Among Older Adults

2022 ◽  
Vol 6 (1) ◽  
Author(s):  
Laura P Sands ◽  
Quyen Do ◽  
Pang Du ◽  
Rachel Pruchno
Keyword(s):  
Older Adults ◽  
Physical Health ◽  
Lung Disease ◽  
Chronic Diseases ◽  
Hospital Admissions ◽  
Panel Study ◽  
Hurricane Sandy ◽  
The Impact ◽  
Disaster Exposure ◽  
New Onset

Abstract Background and Objectives Our understanding of the impact of disaster exposure on the physical health of older adults is largely based on hospital admissions for acute illnesses in the weeks following a disaster. Studies of longer-term outcomes have centered primarily on mental health. Missing have been studies examining whether exposure to disaster increases the risk for the onset of chronic diseases. We examined the extent to which 2 indicators of disaster exposure (geographic exposure and peritraumatic stress) were associated with new onset of cardiovascular disease, diabetes, arthritis, and lung disease to improve our understanding of the long-term physical health consequences of disaster exposure. Research Design and Methods We linked self-reported data collected prior to and following Hurricane Sandy from a longitudinal panel study with Medicare data to assess time to new onset of chronic diseases in the 4 years after the hurricane. Results We found that older adults who reported high levels of peritraumatic stress from Hurricane Sandy had more than twice the risk of experiencing a new diagnosis of lung disease, diabetes, and arthritis in the 4 years after the hurricane compared to older adults who did not experience high levels of peritraumatic stress. Geographic proximity to the hurricane was not associated with these outcomes. Analyses controlled for known risk factors for the onset of chronic diseases, including demographic, psychosocial, and health risks. Discussion and Implications Findings reveal that physical health effects of disaster-related peritraumatic stress extend beyond the weeks and months after a disaster and include new onset of chronic diseases that are associated with loss of functioning and early mortality.

scholarly journals Exposure to the World Trade Center Disaster and 9/11-Related Post-Traumatic Stress Disorder and Household Disaster Preparedness

2015 ◽  
Vol 9 (6) ◽  
pp. 625-633 ◽  
Author(s):  
Lisa M. Gargano ◽  
Kimberly Caramanica ◽  
Sarah Sisco ◽  
Robert M. Brackbill ◽  
Steven D. Stellman
Keyword(s):  
Social Support ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
World Trade ◽  
World Trade Center ◽  
Hurricane Sandy ◽  
Post Traumatic Stress ◽  
World Trade Center Disaster ◽  
Trade Center ◽  
Post Traumatic

AbstractObjectiveIn a population with prior exposure to the World Trade Center disaster, this study sought to determine the subsequent level of preparedness for a new disaster and how preparedness varied with population characteristics that are both disaster-related and non-disaster-related.MethodsThe sample included 4496 World Trade Center Health Registry enrollees who completed the Wave 3 (2011-2012) and Hurricane Sandy (2013) surveys. Participants were considered prepared if they reported possessing at least 7 of 8 standard preparedness items. Logistic regression was used to determine associations between preparedness and demographic and medical factors, 9/11-related post-traumatic stress disorder (PTSD) assessed at Wave 3, 9/11 exposure, and social support.ResultsOver one-third (37.5%) of participants were prepared with 18.8% possessing all 8 items. The item most often missing was an evacuation plan (69.8%). Higher levels of social support were associated with being prepared. High levels of 9/11 exposure were associated with being prepared in both the PTSD and non-PTSD subgroups.ConclusionsOur findings indicate that prior 9/11 exposure favorably impacted Hurricane Sandy preparedness. Future preparedness messaging should target people with low social support networks. Communications should include information on evacuation zones and where to find information about how to evacuate. (Disaster Med Public Health Preparedness. 2015;9:625–633)

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