Evidence map›Paper›PMID 36802364›Full record

ArticleThe American journal of orthopsychiatry2023

Hurricane stress, cultural stress, and mental health among hurricane Maria migrants in the U.S. mainland.

Pablo Montero-Zamora, Christopher P Salas-Wright, Mildred M Maldonado-Molina, Eric C Brown, Saskia R Vos, Maria Fernanda Garcia, Carolina Scaramutti, José Rodriguez, Melissa M Bates, Seth J Schwartz

Open access · hybridAbstract read
In one paragraph

Article in The American journal of orthopsychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
7.5field-weighted citation impact, top 2% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Typologies of hurricane trauma exposure: a person centered approach.Social psychiatry and psychiatric epidemiology · 2026
    Article
  3. Article
  4. Optimism and language proficiency predict incidence of and remission from PTSD among climate migrants.Psychological trauma : theory, research, practice and policy · 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

10 authors at 5 institutions in 1 country.

Pablo Montero-ZamoraDepartment of Kinesiology and Health Education, University of Texas at Austin.ORCID 0000-0002-8437-2113
Christopher P Salas-WrightSchool of Social Work, Boston College.
Mildred M Maldonado-MolinaDepartment of Health Education and Behavior, University of Florida.
Eric C BrownDepartment of Public Health Sciences, University of Miami.
Saskia R VosDepartment of Public Health Sciences, University of Miami.
Maria Fernanda GarciaDepartment of Kinesiology and Health Education, University of Texas at Austin.
Carolina ScaramuttiDepartment of Public Health Sciences, University of Miami.
José RodriguezIglesia Episcopal Jesus de Nazaret.
Melissa M BatesDepartment of Health Education and Behavior, University of Florida.
Seth J SchwartzDepartment of Kinesiology and Health Education, University of Texas at Austin.
The University of Texas at Austin · USUniversity of Miami · USFlorida Department of Health · USBoston College · USEpiscopal Academy · US

Funding

Understanding the needs of Post Maria PR Migrants in New Growth CommunitiesR01MD014694 · NIMHD · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI BROWN, ERIC C, MALDONADO-MOLINA, MILDRED M · 2019 to 2023
$3.4M
NIMHD NIH HHS R01 MD014694
6 · The paper itself

Abstract

Hurricane Maria (2017) caused great damage to Puerto Rico, undermining people's quality of life and forcing thousands to migrate to the U.S. mainland. Identifying individuals at elevated risk of suffering mental health problems as a function of being exposed to hurricane and cultural stress is crucial to reducing the burden of such health outcomes. The present study was conducted in 2020-2021 (3-4 years postdisaster) with 319 adult Hurricane Maria survivors on the U.S. mainland. We aimed to (a) identify latent stress subgroups, as defined by hurricane stress and cultural stress, and (b) map these latent stress subgroups or classes onto sociodemographic characteristics and mental health indicators (i.e., symptoms of posttraumatic stress disorder, depression, and anxiety). We used latent profile analysis and multinomial regression modeling to accomplish the study aims. We extracted four latent classes: (a) low hurricane stress/low cultural stress (44.7%), (b) low hurricane stress/moderate cultural stress (38.7%), (c) high hurricane stress/moderate cultural stress (6.3%), and (d) moderate hurricane stress/high cultural stress (10.4%). Individuals in the low hurricane stress/low cultural stress class reported the highest household incomes and levels of English-language proficiency. The moderate hurricane stress/high cultural stress class reported the worst mental health outcomes. While postmigration cultural stress, as a chronic stressor, emerged as the most important predictor of poor mental health, hurricane stress, as an acute stressor that occurred several years earlier, emerged as less influential. Our findings might be used to inform mental health prevention experts who work with natural disaster survivors forced to migrate. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Indexed as

Cyclonic StormsStress Disorders, Post-TraumaticTransients and MigrantsAdultHumansMental HealthQuality of Life

Identifiers

PMID36802364
PMCPMC11977423
OpenAlexW4321447458

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.