{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T05:10:21Z","timestamp":1787634621919,"version":"build-2736575974"},"reference-count":12,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2019,1,30]],"date-time":"2019-01-30T00:00:00Z","timestamp":1548806400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Disaster med. public health prep."],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec id=\"S1935789318001519_abs1\" sec-type=\"objectives\"><jats:title>Objectives<\/jats:title><jats:p>The aim of this study was to compare the effect of Hurricane Maria on internalizing and posttraumatic stress disorders (PTSD) among Puerto Ricans who moved to Florida after the storm versus those who stayed on the island.<\/jats:p><\/jats:sec><jats:sec id=\"S1935789318001519_abs2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>In March through April 2018 (6 months after Hurricane Maria), an online survey was used to assess the effects of the storm on mental health. A sample of 213 displaced Puerto Ricans living in urban and rural\/suburban areas in Florida, as well as urban and rural areas of Puerto Rico, participated in the study.<\/jats:p><\/jats:sec><jats:sec id=\"S1935789318001519_abs3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Rates of PTSD were high in both sites (Florida, 65.7%; Puerto Rico, 43.6%); however, participants in Florida were far more likely than those in Puerto Rico to meet diagnostic criteria for PTSD (OR, 2.94; 95% CI, 1.67-5.26). Among participants in both Florida and Puerto Rico, those living in urban areas were more likely than those in rural\/suburban areas to meet criteria for PTSD and generalized anxiety disorder.<\/jats:p><\/jats:sec><jats:sec id=\"S1935789318001519_abs4\" sec-type=\"conclusions\"><jats:title>Conclusions<\/jats:title><jats:p>Results suggest that post-Hurricane Maria adjustment and adaptation may have been more psychologically taxing for Puerto Ricans who moved to Florida than it was for those who remained on the island, and more difficult for those in urban areas than it was for those in suburban or rural areas. (<jats:italic>Disaster Med Public Health Preparedness.<\/jats:italic> 2019;13:24\u201327)<\/jats:p><\/jats:sec>","DOI":"10.1017\/dmp.2018.151","type":"journal-article","created":{"date-parts":[[2019,1,30]],"date-time":"2019-01-30T07:17:45Z","timestamp":1548832665000},"page":"24-27","source":"Crossref","is-referenced-by-count":101,"title":["The Mental Health Impact of Hurricane Maria on Puerto Ricans in Puerto Rico and Florida"],"prefix":"10.1017","volume":"13","author":[{"given":"Carolina","family":"Scaramutti","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher P.","family":"Salas-Wright","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saskia R.","family":"Vos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seth J.","family":"Schwartz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2019,1,30]]},"reference":[{"key":"S1935789318001519_ref7","doi-asserted-by":"publisher","DOI":"10.1177\/0739986306290645"},{"key":"S1935789318001519_ref4","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.75.1.154"},{"key":"S1935789318001519_ref12","doi-asserted-by":"publisher","DOI":"10.1007\/s10584-008-9416-y"},{"key":"S1935789318001519_ref1","unstructured":"Sesin C . Over 200,000 Puerto Ricans have arrived in Florida since Hurricane Maria. https:\/\/www.nbcnews.com\/news\/latino\/over-200-000-puerto-ricans-have-arrived-florida-hurricane-maria-n825111. Accessed December 3, 2017."},{"key":"S1935789318001519_ref2","unstructured":"Wilson D . Florida public school enrollment has jumped by 8,000 post-Maria. http:\/\/orlando-rising.com\/florida-public-school-enrollment-jumped-8000-post-maria\/. Accessed December 3, 2017."},{"key":"S1935789318001519_ref3","unstructured":"Morales PG . Hurricane Maria victims scramble for housing as FEMA vouchers expire. https:\/\/www.pbs.org\/newshour\/nation\/hurricane-maria-victims-scramble-for-housing-as-fema-vouchers-expire. Accessed September 12, 2018."},{"key":"S1935789318001519_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaac.2011.01.004"},{"key":"S1935789318001519_ref6","doi-asserted-by":"publisher","DOI":"10.1002\/jmcd.12052"},{"key":"S1935789318001519_ref10","volume-title":"Mplus User\u2019s Guide, Version 7","author":"Muth\u00e9n","year":"2014"},{"key":"S1935789318001519_ref8","doi-asserted-by":"publisher","DOI":"10.1037\/0882-7974.12.2.277"},{"key":"S1935789318001519_ref9","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.166.10.1092"},{"key":"S1935789318001519_ref11","first-page":"359","article-title":"Prevalence of mental illness in immigrant and nonimmigrant U.S. Latino groups","volume":"165","author":"Alegr\u00eda","year":"2008","journal-title":"Arch Gen Psychiatry"}],"container-title":["Disaster Medicine and Public Health Preparedness"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1935789318001519","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,12]],"date-time":"2019-04-12T19:41:01Z","timestamp":1555098061000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1935789318001519\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,1,30]]},"references-count":12,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2019,2]]}},"alternative-id":["S1935789318001519"],"URL":"https:\/\/doi.org\/10.1017\/dmp.2018.151","relation":{},"ISSN":["1935-7893","1938-744X"],"issn-type":[{"value":"1935-7893","type":"print"},{"value":"1938-744X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,1,30]]}}}