Evidence map›Paper›PMID 35036300›Full record

ArticleInternational journal of disaster risk reduction : IJDRR2022

Preparedness, Hurricanes Irma and Maria, and Impact on Health in Puerto Rico.

K J Joshipura, M Martínez-Lozano, P I Ríos-Jiménez, D M Camacho-Monclova, C Noboa-Ramos, G A Alvarado-González, S R Lowe

Open access · hybridAbstract read
In one paragraph

Article in International journal of disaster risk reduction : IJDRR, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
4.6field-weighted citation impact, top 5% of its field
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

11 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
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  4. Article
  5. Article
  6. Infants exposedmSphere · 2023
    Article
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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 at 4 institutions in 3 countries.

K J JoshipuraCenter for Clinical Research and Health Promotion, School of Dental Medicine, University of Puerto Rico Medical Sciences Campus, San Juan, PR, USA.
M Martínez-LozanoCenter for Clinical Research and Health Promotion, School of Dental Medicine, University of Puerto Rico Medical Sciences Campus, San Juan, PR, USA.
P I Ríos-JiménezCenter for Clinical Research and Health Promotion, School of Dental Medicine, University of Puerto Rico Medical Sciences Campus, San Juan, PR, USA.
D M Camacho-MonclovaCenter for Clinical Research and Health Promotion, School of Dental Medicine, University of Puerto Rico Medical Sciences Campus, San Juan, PR, USA.
C Noboa-RamosCenter for Clinical Research and Health Promotion, School of Dental Medicine, University of Puerto Rico Medical Sciences Campus, San Juan, PR, USA.
G A Alvarado-GonzálezCorporación dfe Servicios de Salud y Medicina Avanzada (COSSMA), PR, USA.
S R LoweDepartment of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT, USA.
University of Puerto Rico, Medical Sciences Campus · PRHarvard University · USSociedad Andaluza de Medicina Familiar y Comunitaria · ESYale University · US

Funding

Upstream Regulation and Downstream effectors of c-MYC in Ovarian CancerU54MD007600 · NIMHD · UNIVERSITY OF PUERTO RICO MED SCIENCES · PI Emma Fernandez-Repollet · 2017 to 2026
$35.8M
TECHNOLOGIES AND RESOURCES FOR CORE LABORATORIESU54MD007587 · NIMHD · UNIVERSITY OF PUERTO RICO MED SCIENCES · PI LUCIANO, CARLOS A., WOJNA, VALERIE · 2012 to 2018
$23.2M
Tracking and Evaluation CoreU54GM133807 · NIGMS · UNIVERSITY OF PUERTO RICO MED SCIENCES · PI CRUZ-CORREA, MARCIA ROXANA · 2020 to 2024
$17.7M
Periodontitis and pre-clinical diabetesR01DE020111 · NIDCR · UNIVERSITY OF PUERTO RICO MED SCIENCES · PI JOSHIPURA, KAUMUDI J, PEREZ, CYNTHIA MADELINE · 2010 to 2015
$3.1M
Changes in Risk for Non-Communicable Disease, and Resilience, after Hurricanes Irma and MariaR21MD013666 · NIMHD · UNIVERSITY OF PUERTO RICO MED SCIENCES · PI JOSHIPURA, KAUMUDI J · 2018 to 2019
$413k
NIDCR NIH HHS R01 DE020111NIGMS NIH HHS U54 GM133807NIMHD NIH HHS R21 MD013666NIMHD NIH HHS U54 MD007587NIMHD NIH HHS U54 MD007600
6 · The paper itself

Abstract

objectivesOnly few studies evaluated whether hurricane preparedness impacts health. The PREPARE study addresses this gap.

methodsWe recruited participants who had pertinent pre-hurricane data from the San Juan Overweight Adults Longitudinal Study (SOALS: n=364) and 125 patients with diabetes from Federally Qualified Health Center (COSSMA) in Puerto Rico. Participants aged 42-75 years completed interviews 20-34 months after Hurricanes Irma and Maria. We evaluated associations between self-reported hurricane preparedness and health and other related associations using logistic regression controlling for age, location, education and interview date.

resultsOnly 41% of participants reported high pre-hurricane preparedness; 25% reported gaps (moderate/low availability) in information and 48% reported gaps in resources for hurricane preparedness. Participants reporting lower pre-hurricane preparedness had higher reported hurricane-related detrimental health impact (OR=1.96; 95% CI: 1.31, 2.95) and higher odds (OR=2.07; 95% CI: 0.92, 4.68) of developing new non-communicable disease (NCD) compared to others. Post-hurricane drinking water disruption for ≥ 3 months versus none or less (OR=2.76; 95% CI: 1.39, 5.47) and similarly diet changes due to cooking/refrigeration access (OR=1.96; 95% CI: 1.24, 3.07), and diet changes for ≥ 20 months due to finances/access to shops (OR=2.83; 95% CI: 1.85, 4.32) were also associated with detrimental health impact.

conclusionLower preparedness was associated with higher detrimental impact of the hurricanes on overall health, and marginally significant impact on NCD. Future preparedness efforts could especially target means of coping with disruption of water services and regular diet, as these were also associated with detrimental health impact.

Identifiers

PMID35036300
PMCPMC8754401
OpenAlexW3209640451

What OpenQuestion holds

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Registered trials

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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.