Online Program

329687
Stress of Resources Lost: Examining the relationship between Post Traumatic Stress, Housing Damage, and Resource Use following Hurricane Sandy


Wednesday, November 4, 2015 : 8:50 a.m. - 9:10 a.m.

Rachael Piltch-Loeb, MSPH, Global Institute of Public Health, New York University, New York, NY
David Abramson, PhD MPH, Global Institute of Public Health, New York University, New York, NY
Alexis Merdjanoff, PhD, College of Global Public Health, New York University, New York, NY
Hurricane Sandy was one of the most devastating storms to strike New Jersey, leaving approximately 2.6 million residents without power, heat, or hot water, and damaging over 325,000 homes. The losses covered by insurance in New Jersey  are estimated at $7.8 billion, although that may represent only 20% of actual economic losses.  New Jersey residents sought alternative financial resources to rebuild, including public grant mechanisms, savings, credit, and loans.  The combination of such financial strains and hurricane-related housing damage are hypothesized to be associated with mental health distress and post-traumatic stress disorder (PTSD).  

Using data from the Sandy Child and Family Health (S-CAFH) study, a population study of 1,000 randomly sampled households exposed to the storm, this analysis examines the relationship between household damage, financial resources spent mitigating that damage, and post traumatic stress as measured by the Trauma Severity Questionnaire.

Logistic regression analyses indicate that damage is associated with higher odds of PTSD; however, this relationship is mediated by whether an individual had to spend their savings on home repairs or recovery.  Respondents who had to spend their savings were five times as likely to report PTSD as were those who did not have to access their savings, regardless of damage to the household.

Additional analyses on the impact of taking on debt to deal with recovery as well as applying for external funds to mitigate the costs of recovery are explored to explain the relationship between damage to one’s home, household economic burden, and disaster related trauma.

Learning Areas:

Environmental health sciences
Epidemiology
Public health or related research
Social and behavioral sciences

Learning Objectives:
Analyze the relationship between damage to one’s home, household economic burden, and disaster related trauma (PTSD) following Hurricane Sandy

Keyword(s): Mental Health, Built Environment

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: As a junior research scientist, I am responsible for instrument design, data collection, and data analysis of the Sandy Child and Family Health Study (S-CAFH). I have experience in preparedness, recovery, and response systems issues research and training in public mental health research.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.