{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:12:38Z","timestamp":1787015558249,"version":"build-2736575974"},"reference-count":45,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T00:00:00Z","timestamp":1765843200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T00:00:00Z","timestamp":1765843200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["RF1AG083768"],"award-info":[{"award-number":["RF1AG083768"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>While the immediate effect of exposure to severe weather from hurricanes on mortality is well documented, it is unknown whether mortality in the year following exposure to severe weather differs across older Americans with specific vulnerable characteristics. This paper sought to determine whether the association between exposure to high rain and one\u2010year mortality differs across vulnerable subgroups of older adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective cohort study used Medicare claims data from fee\u2010for\u2010service beneficiaries aged \u2265\u200965 in Texas and Louisiana in the year before and after Hurricane Harvey. Historical weather data was used to construct a 4\u2010day measure of cumulative rainfall, the primary severe weather caused by Hurricane Harvey. We identified vulnerable subgroups based on five chronic health conditions requiring regular healthcare access, and sociodemographic factors (e.g., \u2265\u200985\u2009years, dual eligibility). Cox proportional hazards regression was used to adjust for covariates when estimating the association between high rain exposure and mortality up to 1\u2009year after exposure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In adjusted models, high rain exposure was significantly associated with greater mortality risk (HR 1.03, 95% CI 1.01\u20131.05). Among those with chronic health conditions including Alzheimer's disease and related dementias (ADRD) (HR 1.05 [95% CI 1.03, 1.08]), diabetes (HR 1.04 [1.02, 1.07]), and chronic kidney disease (HR 1.04 [1.01, 1.06]) exposed to high rain versus those unexposed to high rain, associations with high rain were found. Higher mortality was also observed among Non\u2010Hispanic Black (HR 1.06 [95% CI 1.01, 1.11]) and Hispanic and Latino populations (HR 1.13 [95% CI 1.08, 1.19]).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Exposure to high rain from Hurricane Harvey was associated with higher one\u2010year mortality that varied across vulnerable groups. The largest associations were observed among older adults with health conditions that require regular healthcare (e.g., CKD, ADRD) and minoritized racial and ethnic groups.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.70237","type":"journal-article","created":{"date-parts":[[2025,12,17]],"date-time":"2025-12-17T07:01:10Z","timestamp":1765954870000},"page":"377-386","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Variation in One\u2010Year Mortality Following Severe Weather Exposure Among Older Americans by Chronic Health Condition and Sociodemographic Status"],"prefix":"10.1111","volume":"74","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6890-2006","authenticated-orcid":false,"given":"Sue Anne","family":"Bell","sequence":"first","affiliation":[{"name":"School of Nursing, Department of Systems, Populations, and Leadership University of Michigan  Ann Arbor Michigan USA"},{"name":"Institute for Healthcare Policy and Innovation University of Michigan  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa","family":"Fiffer","sequence":"additional","affiliation":[{"name":"Children's Environmental Health Initiative University of Illinois Chicago  Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Martindale","sequence":"additional","affiliation":[{"name":"School of Nursing, Department of Systems, Populations, and Leadership University of Michigan  Ann Arbor Michigan USA"},{"name":"School of Medicine University of Michigan  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie P. 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