Evidence map›Paper›PMID 37917483›Full record

ArticleCultural diversity & ethnic minority psychology2025

The impact of hurricane trauma and cultural stress on posttraumatic stress among hurricane Maria survivors relocated to the U.S. mainland.

James C Hodges, Mildred M Maldonado-Molina, Seth J Schwartz, María F García, María F Pineros-Leano, Melissa M Bates, Pablo Montero-Zamora, Ivonne Calderón, José Rodríguez, Christopher P Salas-Wright

Open access · hybridAbstract read
In one paragraph

Article in Cultural diversity & ethnic minority psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 14% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Cultural stress, parent-adolescent communication, and depressive symptoms: Longitudinal dyadic study among recently immigrated Hispanic families.Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43) · 2026
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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 4 institutions in 1 country.

James C HodgesSchool of Social Work, Boston College.ORCID 0000-0003-4657-1979
Mildred M Maldonado-MolinaDepartment of Health Education in Behavior, School of Health and Human Performance, University of Florida.
Seth J SchwartzDepartment of Kinesiology and Health Education, College of Education, University of Texas at Austin.
María F GarcíaSchool of Social Work, Boston College.
María F Pineros-LeanoSchool of Social Work, Boston College.
Melissa M BatesSchool of Social Work, Boston College.
Pablo Montero-ZamoraDepartment of Kinesiology and Health Education, College of Education, University of Texas at Austin.
Ivonne CalderónDepartment of Health Education in Behavior, School of Health and Human Performance, University of Florida.
José RodríguezIglesia Episcopal Jesus de Nazaret.
Christopher P Salas-WrightSchool of Social Work, Boston College.
Boston College · USFlorida Department of Health · USThe University of Texas at Austin · 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
Preventing Alcohol and Other Drug Use and Violence among Latino YouthK01AA026645 · NIAAA · BOSTON UNIVERSITY (CHARLES RIVER CAMPUS) · PI SALAS-WRIGHT, CHRISTOPHER PATRICK · 2018 to 2022
$794k
The Role of Social Relationships in Behavioral Health Treatment-Seeking in Post-Maria Puerto Rican MigrantsF31MD017465 · NIMHD · BOSTON COLLEGE · PI HODGES, JAMES · 2022 to 2024
$95k
National Institutes of Health; National Institute on Alcohol Abuse and AlcoholismNational Institutes of Health; National Institute on Minority Health and Health Disparities (NIMHD)NIAAA NIH HHS K01 AA026645NIMHD NIH HHS F31 MD017465NIMHD NIH HHS R01 MD014694
6 · The paper itself

Abstract

objectivesFollowing Hurricane Maria, scores of Puerto Rican "Maria migrants" fled the island with thousands permanently resettling on the United States (U.S.) mainland. Emerging evidence suggests that many Maria migrants are exposed to migration-related cultural stressors, including discrimination, negative context of reception, and language stress. The present study examines the associations of premigration hurricane trauma and postmigration cultural stress with posttraumatic stress disorder (PTSD) symptom severity and positive PTSD screens.

methodParticipants were 319 adult (age 18+, 71% female) Puerto Rican Hurricane Maria survivors on the U.S. mainland. Data were collected virtually between August 2020 and October 2021. Participants completed Spanish-language measures of hurricane-related trauma, postmigration cultural stress exposure, PTSD symptoms, and positive screens.

resultsOne in five (20.5%) Maria migrants reported PTSD scores in the range indicating a likely PTSD diagnosis (i.e., positive screen of 50+). Both hurricane trauma and migration-related cultural stressors independently predicted posttraumatic stress and positive PTSD screens. Additionally, controlling for the effect of hurricane trauma, discrimination and language stress were strongly linked with PTSD. Further, hurricane trauma and cultural stressors interact such that cultural stress predicts PTSD-positive screens at low-to-moderate levels of hurricane trauma exposure but not at high-to-very-high levels.

conclusionFindings underscore the importance of providing mental health and other psychosocial supports to hurricane survivors and evacuees beyond the immediate aftermath of the disaster, and the need to consider both premigration trauma and postmigration experiences in terms of the mental health of crisis migrant populations. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Indexed as

Cyclonic StormsHispanic or LatinoStress Disorders, Post-TraumaticStress, PsychologicalSurvivorsTransients and MigrantsAdolescentAdultFemaleHumansMaleMiddle AgedPuerto RicoUnited StatesYoung Adult

Identifiers

PMID37917483
PMCPMC11063122
OpenAlexW4388280861

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.