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Health Risk Behaviors after Disaster Exposure Among Older Adults

Published online by Cambridge University Press:  15 January 2019

Sue Anne Bell Open the ORCID record for Sue Anne Bell [Opens in a new window] ,
HwaJung Choi ,
Kenneth M. Langa  and
Theodore J. Iwashyna
Sue Anne Bell*
Affiliation:
School of Nursing, University of Michigan, Ann Arbor, MichiganUSA
HwaJung Choi
Affiliation:
University of Michigan Medical School, Ann Arbor, MichiganUSA
Kenneth M. Langa
Affiliation:
University of Michigan Medical School, Ann Arbor, MichiganUSA Institute for Social Research, University of Michigan, Ann Arbor, MichiganUSA Center for Clinical Management Research at VA Ann Arbor Healthcare System, Ann Arbor, MichiganUSA
Theodore J. Iwashyna
Affiliation:
University of Michigan Medical School, Ann Arbor, MichiganUSA Institute for Social Research, University of Michigan, Ann Arbor, MichiganUSA Center for Clinical Management Research at VA Ann Arbor Healthcare System, Ann Arbor, MichiganUSA
*
Correspondence: Sue Anne Bell, PhD, FNP-BC, NHDP-BC Clinical Associate Professor School of Nursing, University of Michigan 400 North Ingalls Rm 2181 Ann Arbor, Michigan 48109 USA E-mail: [email protected]
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Abstract

Objective

The aim of this study was to examine the extent to which an exposure to disaster is associated with change in health behaviors.

Methods

Federal disaster declarations were matched at the county-level to self-reported behaviors for participants in the Health and Retirement Study (HRS), 2000-2014. Multivariable logistic regression was used to evaluate the relationship between disaster and change in physical activity, body mass index (BMI), and cigarette smoking.

Results

The sample included 20,671 individuals and 59,450 interviews; 1,451 unique disasters were declared in counties in which HRS respondents lived during the study period. Exposure to disaster was significantly associated with weight gain (unadjusted RRR=1.19; 95% CI, 1.11-1.27; adjusted RRR=1.21; 95% CI, 1.13-1.30). Vigorous physical activity was significantly lower among those who had experienced a disaster compared to those who had not (unadjusted OR=0.89; 95% CI, 0.84-0.95; adjusted OR=0.84; 95% CI, 0.79-0.89). No significant difference in cigarette smoking was found.

Conclusions

This study found an increase in weight gain and decrease in physical activity among older adults after disaster exposure. Adverse health behaviors such as these can contribute to functional decline among older adults.

BellSA, ChoiH, LangaKM, IwashynaTJ. Health Risk Behaviors after Disaster Exposure Among Older Adults. Prehosp Disaster Med. 2019;34(1):95–97.

Keywords

agingdisasterhealth behavior
Type
Brief Report
Information
Prehospital and Disaster Medicine , Volume 34 , Issue 1 , February 2019 , pp. 95 - 97
Copyright
© World Association for Disaster and Emergency Medicine 2019 

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Footnotes

Conflicts of interest: none

References

1. Federal Emergency Management Agency. Disaster Declarations. 2017. https://www.fema.gov/disasters. Accessed July 17, 2017.Google Scholar
2. Malik, S, Lee, DC, Doran, KM, et al. Vulnerability of older adults in disasters: emergency department utilization by geriatric patients after Hurricane Sandy. Disaster Med Public Health Prep. 2018;12(2):184-193.Google Scholar
3. Cherry, KE, Brown, JS, Marks, LD, et al. Longitudinal assessment of cognitive and psychosocial functioning after Hurricanes Katrina and Rita: exploring disaster impact on middle-aged, older, and oldest-old adults. J Appl Biobehav Res. 2011;16(3-4):187-211.Google Scholar
4. Klinenberg, E. Heat Wave: A Social Autopsy of Disaster in Chicago. Chicago, Illinois USA: University of Chicago Press; 2015.Google Scholar
5. Tanji, F, Sugawara, Y, Tomata, Y, et al. Psychological distress and the incident risk of functional disability in elderly survivors after the Great East Japan Earthquake. J Affect Disord. 2017;221:145-150.Google Scholar
6. Hill, JO, Catenacci, V, Wyatt, HR. Obesity: overview of an epidemic. Psychiat Clin North Am. 2005;28(1):1-23, vii.Google Scholar
7. Anstey, KJ, von Sanden, C, Salim, A, O’Kearney, R. Smoking as a risk factor for dementia and cognitive decline: a meta-analysis of prospective studies. Am J Epidemiol. 2007;166(4):367-378.Google Scholar
8. Whitehead, BR. Health behaviors in older adults: considering age, affect, and attitudes. J Health Psychol. 2017;22(13):1652-1657.Google Scholar
9. Beydoun, MA, Beydoun, HA, Wang, Y. Obesity and central obesity as risk factors for incident dementia and its subtypes: a systematic review and meta-analysis. Obesity Rev. 2008;9(3):204-218.Google Scholar
10. Lee, Y, Back, JH, Kim, J, et al. Systematic review of health behavioral risks and cognitive health in older adults. Int Psychogeriatr. 2010;22(2):174-187.Google Scholar
11. Flory, K, Hankin, BL, Kloos, B, Cheely, C, Turecki, G. Alcohol and cigarette use and misuse among Hurricane Katrina survivors: psychosocial risk and protective factors. Subst Use Misuse. 2009;44(12):1711-1724.Google Scholar
12. Moise, IK, Ruiz, MO. Hospitalizations for substance abuse disorders before and after Hurricane Katrina: spatial clustering and area-level predictors, New Orleans, 2004 and 2008. Prev Chronic Dis. 2016;13:E145.Google Scholar
13. Sonnega, A, Faul, JD, Ofstedal, MB, Langa, KM, Phillips, JW, Weir, DR. Cohort Profile: the Health and Retirement Study (HRS). Int J Epidemiol. 2014;43(2):576-585.Google Scholar
14. Federal Emergency Management Agency. OpenFEMA. 2018. https://www.fema.gov/openfema. Accessed January 11, 2018.Google Scholar
15. Bellemare, MF, Masaki, T, Pepinsky, TB. Lagged explanatory variables and the estimation of causal effect. J Politics. 2017;79(3).Google Scholar
16. Dormann, C, Griffin, MA. Optimal time lags in panel studies. Psychol Methods. 2015;20(4):489-505.Google Scholar
17. Peters, RJ Jr., Meshack, A, Amos, C, Scott-Gurnell, K, Savage, C, Ford, K. The association of drug use and post-traumatic stress reactions due to Hurricane Ike among Fifth Ward Houstonian youth. J Ethn Subst Abuse. 2010;9(2):143-151.Google Scholar
18. Feng, X, Croteau, K, Kolt, GS, Astell-Burt, T. Does retirement mean more physical activity? A longitudinal study. BMC Public Health. 2016;16:605.Google Scholar
19. Quinones, AR, Nagel, CL, Newsom, JT, Huguet, N, Sheridan, P, Thielke, SM. Racial and ethnic differences in smoking changes after chronic disease diagnosis among middle-aged and older adults in the United States. BMC Geriatr. 2017;17(1):48.Google Scholar
20. Prescott, HC, Chang, VW. Overweight or obese BMI is associated with earlier, but not later survival after common acute illnesses. BMC Geriatr. 2018;18(1):42.Google Scholar
21. Brilleman, SL, Wolfe, R, Moreno-Betancur, M, et al. Associations between community-level disaster exposure and individual-level changes in disability and risk of death for older Americans. Soc Sci Med. 2017;173:118-125.Google Scholar