Evidence map›Paper›PMID 30913348›Full record

ArticleJournal of traumatic stress2019

Cumulative Disaster Exposure and Mental and Physical Health Symptoms Among a Large Sample of Gulf Coast Residents.

Sarah R Lowe, John A McGrath, Megan N Young, Richard K Kwok, Lawrence S Engel, Sandro Galea, Dale P Sandler

Abstract read
In one paragraph

Article in Journal of traumatic stress, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed.

  1. Article
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  5. Article
  6. Residential natural hazard risk and mental health effects.American journal of epidemiology · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Sarah R LoweDepartment of Psychology, Montclair State University, Montclair, New Jersey, USA.
John A McGrathSocial & Scientific Systems, Inc., Silver Spring, Maryland, USA.
Megan N YoungDepartment of Psychology, Montclair State University, Montclair, New Jersey, USA.
Richard K KwokEpidemiology Branch, National Institute of Environmental Health Sciences, Durham, North Carolina, USA.
Lawrence S EngelEpidemiology Branch, National Institute of Environmental Health Sciences, Durham, North Carolina, USA.
Sandro GaleaDean's Office, Boston University School of Public Health, Boston, Massachusetts, USA.
Dale P SandlerEpidemiology Branch, National Institute of Environmental Health Sciences, Durham, North Carolina, USA.

Funding

UNC-CH CENTER FOR ENVIRONMENTAL HEALTH &SUSCEPTIBILITYP30ES010126 · NIEHS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Stephanie Engel · 2001 to 2026
$36.3M
Gulf Longitudinal Follow-up (GuLF) Worker StudyZIAES102945 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI SANDLER, DALE P · 2010 to 2025
$15.3M
Intramural NIH HHS ZIA ES102945NIEHS NIH HHS P30 ES010126
6 · The paper itself

Abstract

A large body of research has linked disaster exposure to adverse mental and physical health outcomes. Few studies, however, have explored the cumulative impact of exposure to multiple disasters. Participants (N = 8,366) from the National Institute of Environmental Health Sciences Gulf Long-Term Follow-Up Study were classified as having been exposed to both, either, or neither Hurricane Katrina and the Deepwater Horizon oil spill (DHOS). Participants also reported on a range of mental and physical health symptoms. Logistic regression models found that participants who were exposed to both disasters had significantly higher odds of probable generalized anxiety disorder, odds ratio (OR) = 1.72, 95% CI [1.52, 1.96]; major depression, OR = 1.53, 95% CI [1.32, 1.77]; and posttraumatic stress disorder, OR = 2.51, 95% CI [2.03, 3.10], than participants who were exposed to only one disaster, ps < .001. Additionally, a linear regression model found that participants who were exposed to both disasters had significantly more physical health symptoms at the time of the spill than those who were exposed to only one disaster, B = 0.99, SE = .20, p < .001. The results indicate that cumulative disaster exposure confers enhanced risk for adverse mental and physical health outcomes. The findings demonstrate that screening for prior exposure among disaster-affected individuals might identify those at greatest risk for adverse health outcomes.

Indexed as

AdultAnxiety DisordersCyclonic StormsDisaster VictimsFemaleHealth StatusHumansMajor Depressive DisorderMaleMiddle AgedPetroleum PollutionPsychiatric Status Rating ScalesSoutheastern United StatesStress Disorders, Post-TraumaticTexas

Identifiers

PMID30913348
PMCPMC6476642

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.