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The Mental Health Impact of Hurricane Maria on Puerto Ricans in Puerto Rico and Florida

Published online by Cambridge University Press:  30 January 2019

Carolina Scaramutti ,
Christopher P. Salas-Wright ,
Saskia R. Vos  and
Seth J. Schwartz
Carolina Scaramutti*
Affiliation:
Division of Epidemiology, Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, Florida
Christopher P. Salas-Wright
Affiliation:
School of Social Work, Boston University, Boston, Massachusetts
Saskia R. Vos
Affiliation:
Division of Epidemiology, Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, Florida
Seth J. Schwartz
Affiliation:
Division of Epidemiology, Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, Florida
*
Correspondence and reprint requests to Carolina Scaramutti, Department of Public Health Sciences, Leonard M. Miller School of Medicine, University of Miami, 1120 NW 14th Street, 10th Floor, Miami, Florida 33136 (e-mail: cscaramutti@med.miami.edu).
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Abstract

Objectives

The aim of this study was to compare the effect of Hurricane Maria on internalizing and posttraumatic stress disorders (PTSD) among Puerto Ricans who moved to Florida after the storm versus those who stayed on the island.

Methods

In March through April 2018 (6 months after Hurricane Maria), an online survey was used to assess the effects of the storm on mental health. A sample of 213 displaced Puerto Ricans living in urban and rural/suburban areas in Florida, as well as urban and rural areas of Puerto Rico, participated in the study.

Results

Rates of PTSD were high in both sites (Florida, 65.7%; Puerto Rico, 43.6%); however, participants in Florida were far more likely than those in Puerto Rico to meet diagnostic criteria for PTSD (OR, 2.94; 95% CI, 1.67-5.26). Among participants in both Florida and Puerto Rico, those living in urban areas were more likely than those in rural/suburban areas to meet criteria for PTSD and generalized anxiety disorder.

Conclusions

Results suggest that post-Hurricane Maria adjustment and adaptation may have been more psychologically taxing for Puerto Ricans who moved to Florida than it was for those who remained on the island, and more difficult for those in urban areas than it was for those in suburban or rural areas. (Disaster Med Public Health Preparedness. 2019;13:24–27)

Keywords

Puerto RicoHurricane Mariadepressiongeneralized anxietyPTSDtraumacultural adjustment
Type
Brief Report
Information
Disaster Medicine and Public Health Preparedness , Volume 13 , Special Issue 1: Serial Hurricanes , February 2019 , pp. 24 - 27
Copyright
Copyright © 2019 Society for Disaster Medicine and Public Health, Inc. 

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References

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