Hispanic Health Disparities After a Flood Disaster: Results of a Population-Based Survey of Individuals Experiencing Home Site Damage in El Paso (Texas, USA)
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In 2006, El Paso County, a predominantly Hispanic urban area, was affected by a flood disaster; 1,500 homes were damaged. We assessed the health impacts of the disaster upon 475 individuals whose homes were flood-damaged using mail survey data and logistic regression. Substantial proportions of individuals had one or more physical (43 %) or mental (18 %) health problem in the four months following the floods; 28 % had one or more injury or acute effect related to post-flood cleanup. Adverse event experiences, older age, and lower socioeconomic status were significantly associated with negative post-flood health outcomes in all three logistic regression models. A lack of access to healthcare, non-US citizenship, and English proficiency were significant predictors of negative outcomes in both the physical and mental health models, while Hispanic ethnicity (physical), native-birth (mental), and more serious home damage (cleanup) were significant predictors in one model each. The disaster had disproportionate negative health impacts on those who were more exposed, poorer, older, and with constrained resource-access. While a lack of US citizenship and Hispanic ethnicity were associated with higher risks, being less acculturated (i.e., English-deficient, foreign-born) may have protected against health impacts.
KeywordsFlood disaster Physical and mental health Acculturation Hispanic El Paso (TX)
Marilú Gamez, from the University of Texas at El Paso (UTEP) Languages and Linguistics Department, provided invaluable expertise with survey translation. UTEP students Lorena Sifuentes and Yolanda McDonald assisted with survey administration and data entry. We acknowledge Bill Hargrove from the Center for Environmental Resource Management at UTEP for providing summer research assistantship funding. This project was supported primarily by Award Number P20MD002287 from the National Institute on Minority Health and Health Disparities (NIMHD). The content is solely the responsibility of the authors and does not necessarily represent official views of the NIMHD or the National Institutes of Health.
- 2.Center for Disease Control (CDC). The impact of malaria worldwide. Available from: http://www.cdc.gov/malaria/malaria_worldwide/impact.html (2011). Cited 15 Jan 2011.
- 7.Malilay JF. The public health consequences of disasters. In: Noji EK, editor. Oxford, UK: Oxford University Press; 1997; p. 287–301.Google Scholar
- 11.Center for Disease Control (CDC). Key facts about hurricane and flood recovery: protect your health and safety after a hurricane or flood. Available from: http://www.bt.cdc.gov/disasters/hurricanes/pdf/recovery.pdf (2008). Cited 29 Aug 2011.
- 15.Hajat S, et al. The health consequences for flooding in Europe and the implications for public health: a review of the evidence. Appl Environ Sci Public Health. 2003;1:13–21.Google Scholar
- 18.Weisler R. et al. Mental health and recovery in the Gulf Coast after Hurricanes Katrina and Rita. JAMA. 2006;296(5):585–588.Google Scholar
- 21.Intergovernmental Panel on Climate Change (IPCC). Climate change 2007: the physical science basis. Contribution of Working Group I to the fourth assessment report of the intergovernmental panel on climate change. Cambridge, UK: Cambridge University Press; 2007.Google Scholar
- 24.Marmot M, Wilkinson RG. Social determinants of health. 2nd ed. Oxford: Oxford University Press; 2005.Google Scholar
- 26.Phillips B, Thomas D, Fothergill A, Blinn-Pike L, editors. Social vulnerability to disasters. London: Taylor and Francis; 2009.Google Scholar
- 27.Wisner B, et al. At risk: natural hazards, people’s vulnerability and disasters. 2nd ed. London: Routledge; 2004.Google Scholar
- 28.Chia-Chen Chen A, et al. Hurricane Katrina: prior trauma, poverty and health among Vietnamese-American survivors. Int Nurs Rev. 2007;54(4):324–331.Google Scholar
- 30.Singer A. The rise of new immigrant gateways. Brookings Institution, Center on Urban and Metropolitan Policy, Washington, DC. Available from: http://www.brookings.edu/urban/pubs/20040301_gateways.pdf (2004). Cited 29 Aug 2011.
- 33.Dillman DA, et al. Internet, Mail, and mixed-mode surveys: The Tailored design method. 3rd ed. Hoboken, New Jersey: John Wiley & Sons; 2009.Google Scholar
- 34.American Red Cross (ARC). Repairing your flooded home. Available from: http://www.redcross.org/www-files/Documents/pdf/Preparedness/file_cont333_lang0_150.pdf (1992). Cited 29 Aug 2011.
- 35.Environmental Protection Agency (EPA). Mold remediation in schools and commercial buildings. Available from: http://www.epa.gov/iedmold1/pdfs/moldremediation.pdf 2001. Cited 29 Aug 2011.
- 36.Environmental Protection Agency (EPA). A brief guide to mold, moisture, and your home. Available from: http://www.epa.gov/iedmold1/pdfs/moldguide.pdf 2010. Cited 29 Aug 2011.
- 37.Federal Emergency Management Agency (FEMA). Mold & mildew: cleaning up your flood-damaged home. Available from: http://www.fema.gov/library/viewRecord.do?id=3049 2007. Cited 29 Aug 2011.
- 41.Enders CK. Applied missing data analysis. New York: Guilford Press; 2010.Google Scholar
- 42.Pleis JR, et al. Summary health statistics for US adults: National Health Interview Survey, 2009. National Center for Health Statistics. Vital Health Stat. 2010;10(249).Google Scholar
- 43.Centers for Disease Control and Prevention (CDC). Summary health statistics for US children: National Health Interview Survey Data, 2010. National center for health statistics. Vital Health Stat. 2011;10(250).Google Scholar
- 44.Centers for Disease Control and Prevention (CDC). National health interview survey data, 2007. National Center for Health Statistics. Available from: http://www.cdc.gov/asthma/nhis/07/table4-1.htm 2007. Cited 12 Dec 2011.
- 47.Substance Abuse and Mental Health Services Administration (SAMHSA). The National Survey on drug use and health report: major depressive episode among youths aged 12 to 17 in the United States: 2004 to 2006. Rockville, MD: Office of Applied Studies; 2008.Google Scholar
- 48.Centers for Disease Control and Prevention (CDC). Current depression among adults—United States, 2006 and 2008 (erratum). MMWR Morb Mortal Wkly Rep. 2010;59(38):1229–1235.Google Scholar
- 55.Frisbie WP, et al. Hispanic pregnancy outcomes: additional evidence. Social Science Quarterly. 1998;79:149–60.Google Scholar
- 58.Marin G, Marin BV. Research with Hispanic populations. Newbury Park, CA: Sage; 1991.Google Scholar