{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T11:02:43Z","timestamp":1761562963744,"version":"build-2065373602"},"reference-count":39,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2023,4,4]],"date-time":"2023-04-04T00:00:00Z","timestamp":1680566400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"UNM CTSC"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>People impacted by disasters may have adverse non-communicable disease health effects associated with the disaster. This research examined the independent and joint impacts of federally declared disasters on the diagnosis of hypertension (HTN), diabetes (DM), anxiety, and medication changes 6 months before and after a disaster. Patients seen in zip codes that received a federal disaster declaration for Hurricanes Gustave or Ike in 2008 and who had electronic health records captured by MarketScan\u00ae were analyzed. The analysis included patients seen 6 months before or after Hurricanes Gustav and Ike in 2008 and who were diagnosed with HTN, DM, or anxiety. There was a statistically significant association between post-disaster and diagnosis of hypertension, X2 (1, n = 19,328) = 3.985, p = 0.04. There was no association post-disaster and diabetes X2 (1, n = 19,328) = 0.778, p = 0.378 or anxiety, X2 (1, n = 19,328) = 0.017, p = 0.898. The research showed that there was a change in the diagnosis of HTN after a disaster. Changes in HTN are an additional important consideration for clinicians in disaster-prone areas. Data about non-communicable diseases help healthcare disaster planners to include primary care needs and providers in the plans to prevent the long-term health impacts of disasters and expedite recovery efforts.<\/jats:p>","DOI":"10.3390\/ijerph20075388","type":"journal-article","created":{"date-parts":[[2023,4,4]],"date-time":"2023-04-04T04:09:50Z","timestamp":1680581390000},"page":"5388","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Healthcare Impacts Associated with Federally Declared Disasters\u2014Hurricanes Gustave and Ike"],"prefix":"10.3390","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6106-8066","authenticated-orcid":false,"given":"Roberta","family":"Lavin","sequence":"first","affiliation":[{"name":"College of Nursing, University of New Mexico, Albuquerque, NM 87131, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7786-8092","authenticated-orcid":false,"given":"Mary Pat","family":"Couig","sequence":"additional","affiliation":[{"name":"College of Nursing, University of New Mexico, Albuquerque, NM 87131, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5266-447X","authenticated-orcid":false,"given":"Patricia Watts","family":"Kelley","sequence":"additional","affiliation":[{"name":"College of Nursing, University of New Mexico, Albuquerque, NM 87131, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thais","family":"Schwarts","sequence":"additional","affiliation":[{"name":"Clinical and Translational Science Center, University of New Mexico, Albuquerque, NM 87131, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fermin","family":"Ramos","sequence":"additional","affiliation":[{"name":"College of Nursing, University of New Mexico, Albuquerque, NM 87131, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,4,4]]},"reference":[{"unstructured":"World Meteorological Organization (2021). WHO Atlas of Mortality and Economic Losses from Weather, Climate and Water Extremes (1970\u20132019), WHO. Available online: https:\/\/library.wmo.int\/doc_num.php?explnum_id=10989.","key":"ref_1"},{"doi-asserted-by":"crossref","unstructured":"Rodriguez, H., Donner, W., and Trainor, J. (2018). Handbook of Disaster Research, Springer International Publishing.","key":"ref_2","DOI":"10.1007\/978-3-319-63254-4"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1056\/NEJMp2012910","article-title":"Racial Health Disparities and COVID-19\u2014Caution and Context","volume":"383","author":"Chowkwanyun","year":"2020","journal-title":"N. Engl. J. Med."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"527","DOI":"10.1080\/17476348.2020.1740089","article-title":"Impact of long-term exposure wildfire smog on respiratory health outcomes","volume":"14","author":"Ontawong","year":"2020","journal-title":"Expert Rev. Respir. Med."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"e040710","DOI":"10.1136\/bmjopen-2020-040710","article-title":"Chronic disaster impact: The long-term psychological and physical health consequences of housing damage due to induced earthquakes","volume":"11","author":"Stroebe","year":"2021","journal-title":"BMJ Open"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1157","DOI":"10.1093\/eurheartj\/ehac031","article-title":"Long COVID: Post-acute sequelae of COVID-19 with a cardiovascular focus","volume":"43","author":"Raman","year":"2022","journal-title":"Eur. Heart J."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"553","DOI":"10.1253\/circj.CJ-11-1510","article-title":"Disaster hypertension\u2014Its characteristics, mechanism, and management\u2014","volume":"76","author":"Kario","year":"2012","journal-title":"Circ. J."},{"unstructured":"Homeland Security (2023, January 13). National Response Framework, 4th ed.; Published Online, 28 October 2019, Available online: https:\/\/www.fema.gov\/sites\/default\/files\/2020-04\/NRF_FINALApproved_2011028.pdf.","key":"ref_8"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1273","DOI":"10.2337\/dci17-0026","article-title":"Diabetes and Hypertension: A Position Statement by the American Diabetes Association","volume":"40","author":"Bangalore","year":"2017","journal-title":"Diabetes Care"},{"unstructured":"(2022, July 01). The National Risk Index, Available online: https:\/\/hazards.fema.gov\/nri\/.","key":"ref_10"},{"unstructured":"Johnson, S. (2022, July 24). The Demographics of Disaster. In U.S. News & World Report; 2022. Available online: https:\/\/www.usnews.com\/news\/health-news\/articles\/2022-06-22\/disaster-disparities-natural-hazards-climate-change-threaten-underserved-communities.","key":"ref_11"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"426","DOI":"10.1016\/j.annemergmed.2007.04.004","article-title":"Burden of disease and health status among Hurricane Katrina-displaced persons in shelters: A population-based cluster sample","volume":"51","author":"Greenough","year":"2008","journal-title":"Ann. Emerg. Med."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1080\/15287394.2019.1568329","article-title":"Ethnic differences in risk: Experiences, medical needs, and access to care after hurricane Sandy in new jersey","volume":"82","author":"Burger","year":"2019","journal-title":"J. Toxicol. Environ. Health A"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"e2213867","DOI":"10.1001\/jamanetworkopen.2022.13867","article-title":"Trends and Variations in Emergency Department Use Associated with Diabetes in the US by Sociodemographic Factors, 2008\u20132017","volume":"5","author":"Uppal","year":"2022","journal-title":"JAMA Netw Open"},{"doi-asserted-by":"crossref","unstructured":"Hudon, C., Courteau, J., Krieg, C., and Vanasse, A. (2017). Factors associated with chronic frequent emergency department utilization in a population with diabetes living in metropolitan areas: A population-based retrospective cohort study. BMC Health Serv. Res., 17.","key":"ref_15","DOI":"10.1186\/s12913-017-2453-3"},{"key":"ref_16","first-page":"30","article-title":"Type II Diabetes Emergency Room Visits Associated with Hurricane Sandy in New Jersey: Implications for Preparedness","volume":"79","author":"Shendell","year":"2016","journal-title":"J. Environ. Health"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"e000248","DOI":"10.1136\/bmjdrc-2016-000248","article-title":"Acute post-disaster medical needs of patients with diabetes: Emergency department use in New York City by diabetic adults after Hurricane Sandy","volume":"4","author":"Lee","year":"2016","journal-title":"BMJ Open Diabetes Res. Care"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"1592","DOI":"10.1289\/ehp.1104239","article-title":"The Head-off Environmental Asthma in Louisiana (HEAL) study--methods and study population","volume":"120","author":"Chulada","year":"2012","journal-title":"Environ. Health Perspect."},{"key":"ref_19","first-page":"A46","article-title":"Chronic disease in health emergencies: In the eye of the hurricane","volume":"3","author":"Ford","year":"2006","journal-title":"Prev. Chronic. Dis."},{"key":"ref_20","first-page":"439","article-title":"Prevalence Rate of Diabetes and Hypertension in Disaster-Exposed Populations: A Systematic Review and Meta-Analysis","volume":"30","author":"Gohardehi","year":"2020","journal-title":"Ethiop. J. Health Sci."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"853","DOI":"10.1177\/003335491112600611","article-title":"Adverse respiratory symptoms and environmental exposures among children and adolescents following Hurricane Katrina","volume":"126","author":"Rath","year":"2011","journal-title":"Public Health Rep."},{"unstructured":"Corsini, R. (2002). The Dictionary of Psychology, Brunner\/Routledge.","key":"ref_22"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1620\/tjem.246.213","article-title":"Beneficial Roles of Social Support for Mental Health Vary in the Japanese Population depending on Disaster Experience: A Nationwide cross-Sectional Study","volume":"246","author":"Ozaki","year":"2018","journal-title":"Tohoku J. Exp. Med."},{"doi-asserted-by":"crossref","unstructured":"Schwartz, R.M., Gillezeau, C.N., Liu, B., Lieberman-Cribbin, W., and Taioli, E. (2017). Longitudinal Impact of Hurricane Sandy Exposure on Mental Health Symptoms. Int. J. Environ. Res. Public Health, 14.","key":"ref_24","DOI":"10.3390\/ijerph14090957"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"448","DOI":"10.3389\/fpsyt.2020.00448","article-title":"Long-Term Mental Health Effects of a Devastating Wildfire Are Amplified by Socio-Demographic and Clinical Antecedents in Elementary and High School Staff","volume":"11","author":"Agyapong","year":"2020","journal-title":"Front. Psychiatry"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"683","DOI":"10.3389\/fpsyt.2019.00683","article-title":"Mental Health Effects in Primary Care Patients 18 Months after a Major Wildfire in Fort McMurray: Risk Increased by Social Demographic Issues, Clinical Antecedents, and Degree of Fire Exposure","volume":"10","author":"Moosavi","year":"2019","journal-title":"Front. Psychiatry"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"119S","DOI":"10.1177\/1010539510392556","article-title":"Climate change and farmers\u2019 mental health: Risks and responses","volume":"23","author":"Berry","year":"2011","journal-title":"Asia Pac. J. Public Health"},{"doi-asserted-by":"crossref","unstructured":"Stanke, C., Kerac, M., Prudhomme, C., Medlock, J., and Murray, V. (2013). Health effects of drought: A systematic review of the evidence. PLoS Curr., 5.","key":"ref_28","DOI":"10.1371\/currents.dis.7a2cee9e980f91ad7697b570bcc4b004"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1002\/da.20528","article-title":"RGS2 and generalized anxiety disorder in an epidemiologic sample of hurricane-exposed adults","volume":"26","author":"Koenen","year":"2009","journal-title":"Depress. Anxiety"},{"doi-asserted-by":"crossref","unstructured":"Jim\u00e9nez-Mangual, B.C., Cuevas-Acevedo, D.M., Quiles-Alves, N., Rodr\u00edguez-Nazario, I., and Melin, K.R. (2019). Description of Patients Medications Needs and the Community Pharmacist\u2019s Role in Puerto Rico Following a Natural Disaster. J. Prim. Care Community Health, 10.","key":"ref_30","DOI":"10.1177\/2150132719842701"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1016\/j.puhe.2022.10.026","article-title":"A scoping review of non-professional medication practices and medication safety outcomes during public health emergencies","volume":"214","author":"Kelly","year":"2023","journal-title":"Public Health"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"705","DOI":"10.1017\/dmp.2019.96","article-title":"Ready to Respond: A Survey of Interdisciplinary Health-Care Students and Administrators on Disaster Management Competencies","volume":"14","author":"Charney","year":"2020","journal-title":"Disaster Med. Public Health Prep."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1097\/JPN.0000000000000418","article-title":"Zika and Flint Water Public Health Emergencies: Disaster Training Tool Kits Relevant to Pregnant Women and Children","volume":"33","author":"Lavin","year":"2019","journal-title":"J. Perinat. Neonatal Nurs."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"936","DOI":"10.1017\/dmp.2019.17","article-title":"National Assessment of Nursing Schools and Nurse Educators Readiness for Radiation Emergencies and Nuclear Events","volume":"13","author":"Veenema","year":"2019","journal-title":"Disaster Med. Public Health Prep."},{"unstructured":"(2022, May 21). Human Costs of Disasters (2000\u20132019); Published Online, 2020. Available online: https:\/\/cred.be\/sites\/default\/files\/CRED-Disaster-ReportHuman-Cost2000-2019.pdf.","key":"ref_35"},{"unstructured":"Family Caregiver Alliance (2016). Caregiver Statistics: Demographics, Family Caregiver Alliance. Available online: https:\/\/www.caregiver.org\/resource\/caregiver-statistics-demographics\/.","key":"ref_36"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1016\/S2155-8256(22)00010-2","article-title":"Analysis of Nurse Practitioners\u2019 Educational Preparation, Credentialing, and Scope of Practice in U.S. Emergency Departments","volume":"12","author":"Lavin","year":"2022","journal-title":"J. Nurs. Regul."},{"unstructured":"United Health Faoundation (2022, December 02). America\u2019s Health Rankings Analysis of America\u2019s Health Rankings Composit Measure. Available online: https:\/\/www.americashealthrankings.org\/.","key":"ref_38"},{"unstructured":"United States Census Bureau (2022, April 05). DP05 ACS Demographic and Housing Estimates, Available online: https:\/\/data.census.gov\/table?g=040XX00US22&y=2010&tid=ACSDP1Y2010.DP05.","key":"ref_39"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/20\/7\/5388\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T19:09:40Z","timestamp":1760123380000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/20\/7\/5388"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4,4]]},"references-count":39,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2023,4]]}},"alternative-id":["ijerph20075388"],"URL":"https:\/\/doi.org\/10.3390\/ijerph20075388","relation":{},"ISSN":["1660-4601"],"issn-type":[{"type":"electronic","value":"1660-4601"}],"subject":[],"published":{"date-parts":[[2023,4,4]]}}}