2025
Floods and cause-specific mortality in the United States applying a triply robust approach
Chu L, Warren J, Spatz E, Lowe S, Lu Y, Ma X, Ross J, Krumholz H, Chen K. Floods and cause-specific mortality in the United States applying a triply robust approach. Nature Communications 2025, 16: 2853. PMID: 40122917, PMCID: PMC11930965, DOI: 10.1038/s41467-025-58236-0.Peer-Reviewed Original ResearchConceptsCDC's National Center for Health StatisticsNational Center for Health StatisticsCause-specific mortality ratesCenter for Health StatisticsCause-specific mortalityHealth impacts of floodingExcess all-cause deathsLong-term health risksFlood daysLong-term associationDeath recordsHealth StatisticsConfounder adjustmentExternal causesStorm Events DatabaseAll-cause deathHealth impactsImpact of floodsPropensity scorePost‐flood yearMortality rateMyocardial infarctionPost-floodContiguous U.S.Respiratory diseaseCumulative disaster exposure and hypertension among mothers who survived Hurricane Katrina
Meadows M, Desai M, Zacher M, Lowe S. Cumulative disaster exposure and hypertension among mothers who survived Hurricane Katrina. Environmental Research Health 2025, 3: 025005. PMID: 39968533, PMCID: PMC11831098, DOI: 10.1088/2752-5309/adb32c.Peer-Reviewed Original ResearchPsychological distressHurricane exposureAdverse physical health outcomesDisaster exposurePhysical health outcomesLow-income mothersImpact mental healthShort-term health impactsHurricane KatrinaExposure to hypertensionHealth outcomesChronic conditionsPhysical healthMental healthHypertension oddsHypertension riskIncreased oddsVulnerable populationsSurvey wavesLogistic regressionCumulative exposureHealth impactsPotential mediatorsExposure to hurricanesPost-Katrina
2024
Beyond the storms: Exploring predictors of posttraumatic stress and posttraumatic growth among survivors of hurricanes Irma and Maria in Puerto Rico
Meadows M, Serino N, Camacho-Monclova D, Joshipura K, Lowe S. Beyond the storms: Exploring predictors of posttraumatic stress and posttraumatic growth among survivors of hurricanes Irma and Maria in Puerto Rico. The Journal Of Climate Change And Health 2024, 21: 100365. PMID: 40026672, PMCID: PMC11870674, DOI: 10.1016/j.joclim.2024.100365.Peer-Reviewed Original ResearchDisaster-related exposurePosttraumatic growth subscalesPosttraumatic growthAssociated with higher levelsPosttraumatic stressPosttraumatic growth domainsHealth impactsMental health outcomesAppreciation of lifeMental health ailmentsPredictors of posttraumatic stressHealth outcomesAssociated with greater identificationPuerto RicansDisaster exposureStructured interviewsPuerto Rican contextHome damageHigher levelsPuerto RicoMultivariate modelSpiritual growthDisaster-affected communitiesSocial factorsHealth ailments
2023
Mental health during the COVID-19 pandemic in a longitudinal study of Hurricane Katrina survivors
Zacher M, Raker E, Meadows M, Ramírez S, Woods T, Lowe S. Mental health during the COVID-19 pandemic in a longitudinal study of Hurricane Katrina survivors. SSM - Mental Health 2023, 3: 100198. PMID: 36844796, PMCID: PMC9940480, DOI: 10.1016/j.ssmmh.2023.100198.Peer-Reviewed Original ResearchMental health adversitiesHealth adversitiesMental health servicesElevated psychological distressCOVID-19 pandemicElevated posttraumatic stress symptomsLogistic regression modelsMental health impactLow-income mothersMental health challengesPosttraumatic stress symptomsHealth servicesMedical careHealth challengesStressful exposureMental healthPsychological distressSimilar exposureLongitudinal studyHealth impactsStress symptomsPrevalenceRegression modelsPandemicExposure
2021
Preparedness, hurricanes Irma and Maria, and impact on health in Puerto Rico
Joshipura K, Martínez-Lozano M, Ríos-Jiménez P, Camacho-Monclova D, Noboa-Ramos C, Alvarado-González G, Lowe S. Preparedness, hurricanes Irma and Maria, and impact on health in Puerto Rico. International Journal Of Disaster Risk Reduction 2021, 67: 102657. PMID: 35036300, PMCID: PMC8754401, DOI: 10.1016/j.ijdrr.2021.102657.Peer-Reviewed Original ResearchNon-communicable diseasesDetrimental health impactsHealth impactsFederally Qualified Health CentersQualified health centersSan Juan Overweight Adults Longitudinal StudyAdults Longitudinal StudyDisruption of water serviceHealth centersLow preparednessHurricane preparednessHigher oddsOverall healthInterview dateEvaluate associationsLogistic regressionDiet changeHealthPreparedness effortsLongitudinal studyPuerto RicoParticipantsPreparednessPre-hurricane dataInterviews
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