Individual and Community-Level Determinants of Mental and Physical Health After the Deepwater Horizon Oil Spill: Findings from the Gulf States Population Survey

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• 作者：Amy Z. Fan (1)
  Marta R. Prescott (2)
  Guixiang Zhao (1)
  Carol A. Gotway (1)
  Sandro Galea (2)
  
  1. Division of Behavioral Surveillance ; Public Health Surveillance and Informatics Program Office ; Office of Surveillance ; Epidemiology and Laboratory Services ; Centers for Disease Control and Prevention ; Atlanta ; GA ; USA
  2. Department of Epidemiology ; Mailman School of Public Health ; Columbia University ; New York ; NY ; USA
  
• 刊名：The Journal of Behavioral Health Services & Research
• 出版年：2015
• 出版时间：January 2015
• 年：2015
• 卷：42
• 期：1
• 页码：23-41
• 全文大小：208 KB
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• 刊物主题：Public Health; Health Psychology; Community and Environmental Psychology; Health Promotion and Disease Prevention; Health Informatics; Psychiatry;
• 出版者：Springer US
• ISSN：1556-3308

文摘

The 2010 Deepwater Horizon oil spill had enormous consequences on the environment. Prevalence of mental and physical health conditions among Gulf residents after the disaster, however, are still being assessed. The Gulf State Population Survey (GSPS) was a representative survey of 38,361 residents in four Gulf States and was conducted from December 2010 to December 2011. Analysis of the GSPS data showed that differences in individual characteristics and direct or indirect exposure to the disaster drove the individual-level variation in health outcomes (mental distress, physical distress, and depression). Direct exposure to the disaster itself was the most important determinant of health after this event. Selected county-level characteristics were not found to be significantly associated with any of our health indicators of interest. This study suggests that in the context of an overwhelming event, persons who are most directly affected through direct exposure should be the primary focus of any public health intervention effort.