{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T11:36:12Z","timestamp":1785411372207,"version":"3.56.0"},"reference-count":10,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T00:00:00Z","timestamp":1777248000000},"content-version":"unspecified","delay-in-days":116,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100008618","name":"Natural Hazards Center, University of Colorado Boulder","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008618","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Disaster med. public health prep."],"published-print":{"date-parts":[[2026]]},"abstract":"Abstract<\/jats:title>\n \n Objective<\/jats:title>\n This brief report examines physical and mental health symptom profiles among older adults approximately 5 months after Hurricane Helene\u2013related flooding in Southern Appalachia.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Survey data were collected from 233 older adults and assessed physical health symptoms, posttraumatic stress disorder, depressive symptoms, flood event exposure, environmental contaminant exposure, and post-flood stressors. Cluster analysis was conducted to identify post-disaster physical and mental health symptom profiles, and analysis of variance and chi-square tests were conducted to examine differences in disaster exposure, post-flood stressors, and sociodemographic characteristics across profiles.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Three distinct post-disaster health symptom profiles were identified: a lower symptom profile, an elevated mental health symptom profile, and a combined elevated physical and mental health symptom profile. Disaster exposure, contaminant exposure, and post-flood stressors increased in a graded manner across profiles, indicating a dose\u2013response framework of disaster-related health impacts. Higher symptom burden profiles were disproportionately represented among older adults with disabilities\/chronic illness and among older age groups.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Findings highlight heterogeneity in post-disaster health experiences among older adults and underscore the value of identifying high-risk subgroups and implementing recovery strategies that address co-occurring physical and mental health needs among older adults following flood events.<\/jats:p>\n <\/jats:sec>","DOI":"10.1017\/dmp.2026.10365","type":"journal-article","created":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T04:05:42Z","timestamp":1777262742000},"source":"Crossref","is-referenced-by-count":0,"title":["Physical and Mental Health Symptom Profiles Among Older Adults Following Hurricane Helene in Southern Appalachia"],"prefix":"10.1017","volume":"20","author":[{"given":"Jennifer M.","family":"First","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02ymw8z06","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. Brian","family":"Houston","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02ymw8z06","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,4,27]]},"reference":[{"key":"S1935789326103656_r7","doi-asserted-by":"publisher","DOI":"10.4135\/9781071802687"},{"key":"S1935789326103656_r5","doi-asserted-by":"publisher","DOI":"10.1037\/t02622-000"},{"key":"S1935789326103656_r10","article-title":"Variation in one-year mortality following severe weather exposure among older Americans by chronic health condition and sociodemographic status","author":"Bell","year":"2025","journal-title":"J Am Geriatr Soc"},{"key":"S1935789326103656_r8","doi-asserted-by":"publisher","DOI":"10.1111\/disa.12452"},{"key":"S1935789326103656_r1","unstructured":"1. National Oceanic and Atmospheric Administration. Water Resources Dashboard. NOAA; 2024. Accessed April 15, 2025. https:\/\/water.noaa.gov\/"},{"key":"S1935789326103656_r4","doi-asserted-by":"publisher","DOI":"10.1177\/0033354920930133"},{"key":"S1935789326103656_r9","doi-asserted-by":"publisher","DOI":"10.1016\/S2542-5196(25)00132-9"},{"key":"S1935789326103656_r6","doi-asserted-by":"publisher","DOI":"10.1097\/01.MLR.0000093487.78664.3C"},{"key":"S1935789326103656_r2","unstructured":"2. Appalachian Regional Commission. Key vulnerabilities in Appalachia prior to COVID-19. Appalachian Regional Commission; 2022. Accessed April 15, 2025. https:\/\/www.arc.gov\/news\/arc-releases-new-data-indicating-recession-recovery-key-vulnerabilities-in-appalachia-prior-to-covid-19\/"},{"key":"S1935789326103656_r3","doi-asserted-by":"publisher","DOI":"10.1007\/s10615-021-00830-y"}],"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\/S1935789326103656","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T04:05:43Z","timestamp":1777262743000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1935789326103656\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":10,"alternative-id":["S1935789326103656"],"URL":"https:\/\/doi.org\/10.1017\/dmp.2026.10365","relation":{},"ISSN":["1935-7893","1938-744X"],"issn-type":[{"value":"1935-7893","type":"print"},{"value":"1938-744X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"article-number":"e95"}}