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Journal of Immigrant and Minority Health
Published in: Journal of Immigrant and Minority Health 2/2013

01-04-2013 | Original Paper

Hispanic Health Disparities After a Flood Disaster: Results of a Population-Based Survey of Individuals Experiencing Home Site Damage in El Paso (Texas, USA)

Authors: Timothy W. Collins, Anthony M. Jimenez, Sara E. Grineski

Published in: Journal of Immigrant and Minority Health | Issue 2/2013

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Abstract

In 2006, El Paso County, a predominantly Hispanic urban area, was affected by a flood disaster; 1,500 homes were damaged. We assessed the health impacts of the disaster upon 475 individuals whose homes were flood-damaged using mail survey data and logistic regression. Substantial proportions of individuals had one or more physical (43 %) or mental (18 %) health problem in the four months following the floods; 28 % had one or more injury or acute effect related to post-flood cleanup. Adverse event experiences, older age, and lower socioeconomic status were significantly associated with negative post-flood health outcomes in all three logistic regression models. A lack of access to healthcare, non-US citizenship, and English proficiency were significant predictors of negative outcomes in both the physical and mental health models, while Hispanic ethnicity (physical), native-birth (mental), and more serious home damage (cleanup) were significant predictors in one model each. The disaster had disproportionate negative health impacts on those who were more exposed, poorer, older, and with constrained resource-access. While a lack of US citizenship and Hispanic ethnicity were associated with higher risks, being less acculturated (i.e., English-deficient, foreign-born) may have protected against health impacts.
Footnotes
1
These characteristics are closely connected with Hispanic ethnicity in El Paso County. In 2006, Hispanics made up 99 % of the county’s total Spanish-speaking population that spoke English not well or at all (115,356/116,270), 93 % of the total foreign-born population (187,809/202,516) and 95 % of the total non-US citizen population (114,363/120,812).
 
2
An expert translated the survey from English into Spanish; then the survey was reviewed by multiple bilingual English–Spanish graduate students, and revised to ensure clarity and comparability.
 
3
To explore interrelationships between independent variables, we ran supplemental subgroup and interaction analyses. Using only Hispanic subjects, results for the physical health problems and mental health problems models were nearly identical to the model results reported in Table 4 for all subjects. The same independent variables were significant in the same directions. For the Hispanic cleanup injuries/acute effects model, two variables became significant (the relationships were in the same direction as in the model using all subjects). Access to medical care was associated with significantly lower odds, and foreign-birth significantly higher odds, of cleanup injuries/acute effects. This foreign-born effect is probably due to increased participation rates in home site cleanup among people from households with foreign-born members, necessitated by their relatively constrained access to cleanup assistance from organizations involved in providing post-disaster aid. Then, using all subjects we explored interactions between Hispanic ethnicity and each of the variables with significant results in the physical health problems, mental health problems and cleanup injuries/acute effects models that we report in Table 4. The only statistically significant interaction term was “Hispanic ethnicity × adverse event experiences” in both the physical health problems and mental health problems models, demonstrating that Hispanic ethnicity modified the effect of adverse event experiences. Adverse event experiences were more strongly related to physical and mental health problems for Hispanics than for non-Hispanics, but the effects were positive for both subgroups. This highlights the increased health risk for Hispanics who experienced flood-related stressors.
 
Literature
1.
Ahern M, et al. Global health impacts of floods: epidemiologic evidence. Epidemiol Rev. 2005;27:36–46.PubMedCrossRef
2.
3.
Greenough G, et al. The potential impacts of climate variability and change on health impacts of extreme weather events in the United States. Environ Health Perspect. 2001;109:191–8.PubMedCrossRef
4.
5.
Kunii O, et al. The impact on health and risk factors of the diarrhea epidemics in the 1998 Bangladesh floods. Public Health. 2002;116:68–74.PubMedCrossRef
6.
MacKenzie WR, et al. A massive outbreak in Milwaukee of cryptosporidium infection transmitted through the public water supply. N Engl J Med. 1994;331(3):161–7.CrossRef
7.
Malilay JF. The public health consequences of disasters. In: Noji EK, editor. Oxford, UK: Oxford University Press; 1997; p. 287–301.
8.
Moll DM, et al. Health impact of water and sanitation infrastructure reconstruction programmes in eight Central American communities affected by Hurricane Mitch. J. Water Health. 2007;5:51–65.PubMedCrossRef
9.
Ochoa T, Cleary T. Epidemiology and spectrum of disease of Escherichia coli O157. Curr Opin Infect Dis. 2003;16:259–63.PubMedCrossRef
10.
Verger P, et al. Assessment of exposure to a flood disaster in a mental-health study. J Expo Anal Environ Epidemiol. 2003;13:436–42.PubMedCrossRef
11.
12.
Rath B, et al. Adverse health outcomes after Hurricane Katrina among children and adolescents with chronic conditions. J Health Care Poor Underserved. 2007;18:405–17.PubMedCrossRef
13.
Riggs MA, et al. Resident cleanup activities, characteristics of flood-damaged homes and airborne microbial concentrations in New Orleans, Louisiana, October 2005. Environ Res. 2008;106:401–9.PubMedCrossRef
14.
Fritze JG, et al. Hope, despair and transformation: climate change and the promotion of mental health and wellbeing. Int J Ment Health Syst. 2008;2(1):13.PubMedCrossRef
15.
Hajat S, et al. The health consequences for flooding in Europe and the implications for public health: a review of the evidence. Appl Environ Sci Public Health. 2003;1:13–21.
16.
Norris FH, et al. 60,000 disaster victims speak: part I. an empirical review of the empirical literature, 1981–2001. Psychiatry. 2002;65(3):207–39.PubMed
17.
Silove D, Steel Z. Understanding community psychosocial needs after disasters: implications for mental health services. J Postgrad Med. 2006;52(2):121–5.PubMed
18.
Weisler R. et al. Mental health and recovery in the Gulf Coast after Hurricanes Katrina and Rita. JAMA. 2006;296(5):585–588.
19.
20.
English P, et al. Environmental health indicators of climate change for the United States: findings from the state environmental health indicator collaborative. Environ Health Perspect. 2009;117:1673–81.PubMed
21.
Intergovernmental Panel on Climate Change (IPCC). Climate change 2007: the physical science basis. Contribution of Working Group I to the fourth assessment report of the intergovernmental panel on climate change. Cambridge, UK: Cambridge University Press; 2007.
22.
Trenberth K, et al. The changing character of precipitation. Bull Am Meteorol Soc. 2003;84:1205–17.CrossRef
23.
Wilkinson RG. Unhealthy societies, the afflictions of inequalities. London: Routledge; 1996.CrossRef
24.
Marmot M, Wilkinson RG. Social determinants of health. 2nd ed. Oxford: Oxford University Press; 2005.
25.
Cutter S. Vulnerability to environmental hazards. Prog Hum Geogr. 1996;20(4):529–39.CrossRef
26.
Phillips B, Thomas D, Fothergill A, Blinn-Pike L, editors. Social vulnerability to disasters. London: Taylor and Francis; 2009.
27.
Wisner B, et al. At risk: natural hazards, people’s vulnerability and disasters. 2nd ed. London: Routledge; 2004.
28.
Chia-Chen Chen A, et al. Hurricane Katrina: prior trauma, poverty and health among Vietnamese-American survivors. Int Nurs Rev. 2007;54(4):324–331.
29.
Vu L, VanLandingham MJ. Physical and mental health consequences of Katrina on Vietnamese immigrants in New Orleans: a pre- and post-disaster assessment. J Immigrant Minority Health. 2011;. doi:10.​1007/​s10903-011-9504-3.
30.
31.
Collins T. The production of unequal risk in hazardscapes: an explanatory frame applied to disaster at the US-Mexico border. Geoforum. 2009;40(4):589–601.CrossRef
32.
Collins T. Marginalization, facilitation, and the production of unequal risk: the 2006 Paso del Norte floods. Antipode. 2010;42(2):258–88.CrossRef
33.
Dillman DA, et al. Internet, Mail, and mixed-mode surveys: The Tailored design method. 3rd ed. Hoboken, New Jersey: John Wiley & Sons; 2009.
34.
35.
36.
37.
38.
Curry SJ, et al. A randomized trial of a brief primary-care-based intervention for reducing at-risk drinking practices. Health Psychol. 2003;22(2):156–65.PubMedCrossRef
39.
Pollitt RA, et al. Early-life and adult socioeconomic status and inflammatory risk markers in adulthood. Eur J Epidemiol. 2007;22:55–66.PubMedCrossRef
40.
Penn DA. Estimating missing values from the general social survey: an application of multiple imputation. Social Science Quarterly. 2007;88(2):573–84.CrossRef
41.
Enders CK. Applied missing data analysis. New York: Guilford Press; 2010.
42.
Pleis JR, et al. Summary health statistics for US adults: National Health Interview Survey, 2009. National Center for Health Statistics. Vital Health Stat. 2010;10(249).
43.
Centers for Disease Control and Prevention (CDC). Summary health statistics for US children: National Health Interview Survey Data, 2010. National center for health statistics. Vital Health Stat. 2011;10(250).
44.
45.
Kessler RC, et al. Prevalence, severity, and comorbidity of twelve-month DSM-IV disorders in the National Comorbidity Survey Replication (NCS-R). Arch Gen Psychiatry. 2005;62(6):617–27.PubMedCrossRef
46.
Merikangas KR, et al. Lifetime prevalence of mental disorders in US adolescents: results from the National Comorbidity Study-Adolescent Supplement (NCS-A). J Am Acad Child Adolesc Psychiatry. 2010;49(10):980–9.PubMedCrossRef
47.
Substance Abuse and Mental Health Services Administration (SAMHSA). The National Survey on drug use and health report: major depressive episode among youths aged 12 to 17 in the United States: 2004 to 2006. Rockville, MD: Office of Applied Studies; 2008.
48.
Centers for Disease Control and Prevention (CDC). Current depression among adults—United States, 2006 and 2008 (erratum). MMWR Morb Mortal Wkly Rep. 2010;59(38):1229–1235.
49.
Norris FH, Murrell SA. Prior experience as a moderator of disaster impact on anxiety symptoms in older adults. Am J Commun Psychol. 1988;16(5):665–83.CrossRef
50.
51.
Norris FH, et al. Placing age differences in cultural context: A comparison of the effects of age on PTSD after disasters in the US, Mexico, and Poland. J Clin Geropsychol. 2002;8:153–73.CrossRef
52.
Ticehurst S, et al. The psychosocial impact of an earthquake on the elderly. Int J Geriatr Psychiatry. 1996;11(11):943–51.CrossRef
53.
Perilla J, et al. Ethnicity, culture, and disaster response: identifying and explaining ethnic differences in PTSD six months after Hurricane Andrew. J Soc Clin Psychol. 2002;21(1):20–45.CrossRef
54.
Markides KS, Coreil J. The health of Hispanics in the southwestern United States: an epidemiologic paradox. Public Health Rep. 1986;101:253–65.PubMed
55.
Frisbie WP, et al. Hispanic pregnancy outcomes: additional evidence. Social Science Quarterly. 1998;79:149–60.
56.
Hamilton ER, et al. Health insurance and health-care utilization of US-born Mexican-American children. Social Science Quarterly. 2006;387:1280–94.CrossRef
57.
Morales LS, et al. Socioeconomic, cultural and behavioral factors affecting Hispanic health outcomes. J Health Care Poor Underserved. 2002;13:477–503.PubMed
58.
Marin G, Marin BV. Research with Hispanic populations. Newbury Park, CA: Sage; 1991.
59.
Cho Y, et al. Nativity, duration of residence and the health of Hispanic adults in the United States. International Migration Review. 2006;38:184–211.CrossRef
60.
Collins T, et al. Understanding environmental health inequalities through comparative intracategorical analysis: racial/ethnic disparities in cancer risks from air toxics in El Paso County, Texas. Health Place. 2011;17(1):335–44.PubMedCrossRef
Metadata
Title
Hispanic Health Disparities After a Flood Disaster: Results of a Population-Based Survey of Individuals Experiencing Home Site Damage in El Paso (Texas, USA)
Authors
Timothy W. Collins
Anthony M. Jimenez
Sara E. Grineski
Publication date
01-04-2013
Publisher
Springer US
Published in
Journal of Immigrant and Minority Health / Issue 2/2013
Print ISSN: 1557-1912
Electronic ISSN: 1557-1920
DOI
https://doi.org/10.1007/s10903-012-9626-2

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