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Peritraumatic Stress From a Disaster Increases Risk for Onset of Chronic Diseases Among Older Adults

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dc.contributor.authorSands, Laura P.en
dc.contributor.authorDo, Quyenen
dc.contributor.authorDu, Pangen
dc.contributor.authorPruchno, Rachelen
dc.date.accessioned2022-01-31T15:06:11Zen
dc.date.available2022-01-31T15:06:11Zen
dc.date.issued2022-01-01en
dc.date.updated2022-01-31T15:06:07Zen
dc.description.abstractBackground and objectives: Our understanding of the impact of disaster exposure on the physical health of older adults is largely based on hospital admissions for acute illnesses in the weeks following a disaster. Studies of longer-term outcomes have centered primarily on mental health. Missing have been studies examining whether exposure to disaster increases the risk for the onset of chronic diseases. We examined the extent to which 2 indicators of disaster exposure (geographic exposure and peritraumatic stress) were associated with new onset of cardiovascular disease, diabetes, arthritis, and lung disease to improve our understanding of the long-term physical health consequences of disaster exposure. Research design and methods: We linked self-reported data collected prior to and following Hurricane Sandy from a longitudinal panel study with Medicare data to assess time to new onset of chronic diseases in the 4 years after the hurricane. Results: We found that older adults who reported high levels of peritraumatic stress from Hurricane Sandy had more than twice the risk of experiencing a new diagnosis of lung disease, diabetes, and arthritis in the 4 years after the hurricane compared to older adults who did not experience high levels of peritraumatic stress. Geographic proximity to the hurricane was not associated with these outcomes. Analyses controlled for known risk factors for the onset of chronic diseases, including demographic, psychosocial, and health risks. Discussion and implications: Findings reveal that physical health effects of disaster-related peritraumatic stress extend beyond the weeks and months after a disaster and include new onset of chronic diseases that are associated with loss of functioning and early mortality.en
dc.description.versionPublished versionen
dc.format.extent11 page(s)en
dc.format.mimetypeapplication/pdfen
dc.identifierARTN igab052 (Article number)en
dc.identifier.doihttps://doi.org/10.1093/geroni/igab052en
dc.identifier.eissn2399-5300en
dc.identifier.issn2399-5300en
dc.identifier.issue1en
dc.identifier.orcidSands, Laura [0000-0003-2446-4486]en
dc.identifier.orcidDu, Pang [0000-0003-1365-4831]en
dc.identifier.otherigab052 (PII)en
dc.identifier.pmid34993355en
dc.identifier.urihttp://hdl.handle.net/10919/108044en
dc.identifier.volume6en
dc.language.isoenen
dc.publisherOxford University Pressen
dc.relation.urihttp://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000743607000002&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=930d57c9ac61a043676db62af60056c1en
dc.rightsCreative Commons Attribution 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en
dc.subjectLife Sciences & Biomedicineen
dc.subjectGeriatrics & Gerontologyen
dc.subjectGerontologyen
dc.subjectDisasteren
dc.subjectHospitalen
dc.subjectHurricane Sandyen
dc.subjectEAST JAPAN EARTHQUAKEen
dc.subjectFUNCTIONAL DISABILITYen
dc.subjectPSYCHOLOGICAL STRESSen
dc.subjectHEALTH CONSEQUENCESen
dc.subjectNATURAL DISASTERSen
dc.subjectMAJOR DEPRESSIONen
dc.subjectMENTAL-HEALTHen
dc.subjectIMPACTen
dc.subjectSYMPTOMSen
dc.subjectHEARTen
dc.titlePeritraumatic Stress From a Disaster Increases Risk for Onset of Chronic Diseases Among Older Adultsen
dc.title.serialInnovation in Agingen
dc.typeArticle - Refereeden
dc.type.dcmitypeTexten
dc.type.otherArticleen
dc.type.otherJournalen
pubs.organisational-group/Virginia Techen
pubs.organisational-group/Virginia Tech/Scienceen
pubs.organisational-group/Virginia Tech/Science/Statisticsen
pubs.organisational-group/Virginia Tech/Faculty of Health Sciencesen
pubs.organisational-group/Virginia Tech/All T&R Facultyen
pubs.organisational-group/Virginia Tech/Science/COS T&R Facultyen
pubs.organisational-group/Virginia Tech/Liberal Arts and Human Sciencesen
pubs.organisational-group/Virginia Tech/Liberal Arts and Human Sciences/CLAHS T&R Facultyen

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