The Impact of Hurricane Katrina on the Mental and Physical Health of Low-Income Parents in New Orleans

American Journal of Orthopsychiatry

Volumn 80, Issue 2, 2010, Pages 237-247

  Rhodes, Jean ^a   Chan, Christian ^a   Paxson, Christina ^b   Rouse, Cecilia Elena ^b   Waters, Mary ^c   Fussell, Elizabeth ^d  

^a UNIVERSITY OF MASSACHUSETTS BOSTON   (United States)

^b PRINCETON UNIVERSITY   (United States)

^c HARVARD UNIVERSITY   (United States)

^d WASHINGTON STATE UNIVERSITY   (United States)

Author keywords

African Americans; Health outcomes; Hurricane Katrina; Natural disasters; New Orleans; Posttraumatic stress disorder; Single parents; Women

Indexed keywords

ADULT; ARTICLE; CONTROLLED STUDY; FEMALE; HEALTH; HUMAN; HURRICANE; LOWEST INCOME GROUP; MAJOR CLINICAL STUDY; MALE; MENTAL HEALTH; PARENT; POSTTRAUMATIC STRESS DISORDER; PREVALENCE; SOCIAL STATUS; SOCIAL SUPPORT; STRESS; SYMPTOM; UNITED STATES; AFRICAN AMERICAN; DISASTER; HEALTH STATUS; MENTAL DISORDERS; MENTAL STRESS; POVERTY; PSYCHOLOGY; SEVERITY OF ILLNESS INDEX; STRESS DISORDERS, POST-TRAUMATIC; TIME;

ADULT; AFRICAN AMERICANS; CYCLONIC STORMS; DISASTERS; FEMALE; HEALTH STATUS; HUMANS; MALE; MENTAL DISORDERS; NEW ORLEANS; PARENTS; POVERTY; PREVALENCE; SEVERITY OF ILLNESS INDEX; SOCIAL SUPPORT; STRESS DISORDERS, POST-TRAUMATIC; STRESS, PSYCHOLOGICAL; TIME FACTORS;

EID: 77953607626     PISSN: 00029432     EISSN: 19390025     Source Type: Journal    
DOI: 10.1111/j.1939-0025.2010.01027.x     Document Type: Article

References (78)

1. Abramson D, Garfield R. On the edge: Children and families displaced by Hurricanes Katrina and Rita face a looming medical and mental health crisis 2006, http://preventionweb.net/english/professional/publications/v.php?i.d.=2958, New York, Columbia University, Mailman School of Public Health, Retrieved May 26, 2008, from
2. Adeola F O. Katrina cataclysm: Does duration of residency and prior experience affect impacts, evacuation, and adaptation behavior among survivors? Environment and Behavior 2009, 41:459-489.
3. Aptekar L. Environmental disasters in global perspective 1994, New York, GK Hall/Macmillan
4. Arata C M, Picou J S, Johnson G D, McNally T S. Coping with technological disaster: An application of the conservation of resources model to the Exxon Valdez oil spill. Journal of Traumatic Stress 2000, 13:23-39.
5. Bolin R, Bolton P. Race, religion, and ethnicity in disaster recovery 1986, Monograph No. 42, Boulder, University of Colorado, Institute of Behavioral Science
6. Bonanno G A. Loss, trauma, and human resilience: Have we underestimated the human capacity to thrive after extremely adversive events? Psychological Trauma: Theory, Research, Practice, and Policy 2008, 1:101-113.
7. Bonanno G A, Galea S, Bucciarelli A, Vlahov D. What predicts psychological resilience after disaster? The role of demographics, resources, and life stress. Journal of Consulting and Clinical Psychology 2007, 75:671-682.
8. Bonanno G, Rennicke C, Dekel S. Self-enhancement among high-exposure survivors of the September 11th terrorist attack: Resilience or social maladjustment? Journal of Personality and Social Psychology 2005, 88:984-998.
9. Brock T, Richburg-Hayes L. Paying for persistence: Early results of a Louisiana scholarship program for low-income parents attending community college 2006, New York, MDRC
10. Brodie M, Weltzien E, Altman D, Blendon R J, Benson J M. Experiences of Hurricane Katrina evacuees in Houston shelters: Implications for future planning. American Journal of Public Health 2006, 96:1402-1408.
11. Assessment of health-related needs after Hurricanes Katrina and Rita-Orleans and Jefferson Parishes, New Orleans area, Louisiana, October 17-22, 2005. Morbidity and Mortality Weekly Report 2006, 55:38-41.
12. Chan C S, Lowe S R, Zwiebach L, Rhodes J E. Psychological distress among Hurricane Katrina survivors and barriers to mental health service utilization: A longitudinal study 2008, April, Poster presented at the Psychology and Social Justice Conference 2008, New York
13. Cohen S, Kamarck T, Mermelstein R. Global measure of perceived stress. Journal of Health and Social Behavior 1983, 24:385-396.
14. Cohen S, Williamson G M. Stress and infectious disease in humans. Psychological Bulletin 1991, 109:5-24.
15. Cook J D, Bickman L. Social support and psychological symptomatology following a natural disaster. Journal of Traumatic Stress 1990, 3:541-556.
16. Creamer M, Bell R, Failla S. Psychometric properties of the Impact of Event Scale-Revised. Behavior Research and Therapy 2003, 41:1489-1496.
17. Cutrona C E, Russell D W. The provisions of social relationships and adaptation to stress. Advances in Personal Relationships 1987, 37-67. Jones W H, Perlman D. Eds, Vol. 1, Greenwich, CT, JAI Press
18. Dyson M E. Come hell or high water: Hurricane Katrina and the color of disaster 2006, New York, Basic Books
19. Elliot J R, Pais J. Race, class, and Hurricane Katrina: Social differences in human response to disaster. Social Science Research 2006, 35:295-321.
20. Erickson K T. Everything in its path: Destruction of community in the Buffalo Creek flood 1976, New York, Simon & Schuster
21. Frankenberg E, Friedman J, Gillespie T W, Ingwersen N, Pynoos R S, Rifai I. Mental health in Sumatra after the tsunami. American Journal of Public Health 2008, 98:1671-1677.
22. Furukawa T A, Kessler R C, Slade T, Andrews G. The performance of the K6 and K10 screening scales for psychological distress in the Australian National Survey of Mental Health and Well-Being. Psychological Medicine 2003, 33:357-362.
23. Fussell E. Help from family, friends, and strangers during Hurricane Katrina: Finding the limits of social networks. Displaced: Voices from the Katrina diaspora Weber LPeek L. Eds, AustUniversity of Texas Press
24. Fussell E, Sastry N, VanLandingham M. Race, socio-economic status, and return migration to New Orleans after Hurricane Katrina. Population & Environment
25. Galea S, Brewin C R, Gruber M, Jones R T, King D W, King L A. Exposure to hurricane-related stressors and mental illness after Hurricane Katrina. Archives of General Psychiatry 2007, 64:1427-1434.
26. Galea S, Nandi A, Vlahov D. The epidemiology of post-traumatic stress disorder after disasters. Epidemiologic Reviews 2005, 27:78-91.
27. Galea S, Tracy M, Norris F, Coffey S F. Financial and social circumstances and the incidence and course of PTSD in Mississippi during the first two years after Hurricane Katrina. Journal of Traumatic Stress 2008, 21:357-368.
28. Ginzburg H M. Long-term psychiatric consequences of Hurricane Katrina. Psychiatric Annals 2008, 38:81-91.
29. Green B L, Lindy J D, Grace M C, Gleser G C, Leonard A C, Korol M. Buffalo Creek survivors in the second decade: Stability of stress symptoms. American Journal of Orthopsychiatry 1990, 60:43-54.
30. Haines V A, Beggs J J, Hurlbert V A. Exploring the structural contexts of the support process: Social networks, social statuses, social support, and psychological distress. Advances in Medical Sociology 2002, 8:269-292.
31. Hobfoll S E. Conservation of resources: A new attempt at conceptualizing stress. American Psychologist 1989, 44:513-524.
32. Hobfoll S E, Parris Stevens M A. Social support during extreme stress: Consequences and intervention. Social support: An interactional view 1990, 454-481. Sarason B R, Sarason I GPierce G R. Eds, New York, Wiley
33. Honaker J, King G, Blackwell M. Amelia II: A program for missing data. 2008, http://gking.harvard.edu/amelia/, [Computer software], Retrieved June 5, 2009, from
34. Jones-DeWeever A. Women in the wake of the storm: Examining the post-Katrina realities of the women of New Orleans and the Gulf Coast 2008, Washington, DC, Institute for Women's Policy Research
35. Kaiser C F, Sattler D N, Bellack D R, Dersin J. A conservation of resources approach to a natural disaster: Sense of coherence and psychological distress. Journal of Social Behavior and Personality 1996, 11:459-476.
36. Kaniasty K, Norris F H. A test of the social deterioration model in the context of natural disaster. Journal of Personality and Social Psychology 1993, 64:395-408.
37. Kaniasty K, Norris F H. Longitudinal linkages between perceived social support and posttraumatic stress symptoms: Sequential roles of social causation and social selection. Journal of Traumatic Stress 2008, 21:274-281.
38. Kaniasty K, Norris F H. Distinctions that matter: Received social support, perceived social support and social embeddedness after disasters. Mental health consequences of disasters 2009, 175-202. Neria Y, Galea SNorris F. Eds, (pp, New York, Cambridge University Press
39. Kessler R C, Andrews G, Colpe L J, Hiripi E, Mroczek D K, Normand S L. Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychological Medicine 2002, 32:959-976.
40. Kessler R C, Barker P R, Colpe L J, Epstein J F, Groerer J C, Hiripi E. Screening for serious mental illness in the general population. Archives of General Psychiatry 2003, 60:184-189.
41. Kessler R C, Galea S, Gruber M J, Sampson N A, Ursano R J, Wessely S. Trends in mental illness and suicidality after Hurricane Katrina. Molecular Psychiatry 2008, 13:374-384.
42. Kessler R C, Galea S, Jones R T, Parker H A. Mental illness and suicidality after Hurricane Katrina. Bulletin of the World Health Organization 2006, 84:930-939.
43. Kim S C, Plumb R, Gredig Q N, Rankin L, Taylor B. Medium-term post-Katrina health sequelae among New Orleans residents: Predictors of poor mental and physical health. Journal of Clinical Nursing 2008, 17:2335-2342.
44. Lavelle K, Feagin J R. Hurricane Katrina: The race and class debate. 2006, http://www.monthlyreview.org/0706lavelle.htm, Retrieved May 26, 2008, from
45. Lieberman R C. " The storm didn't discriminate": Katrina and the politics of color blindness. The Du Bois Review 2006, 3:7-22.
46. Lima B, Pai S, Santacruz H, Lozano J, Luna J. Screening for the psychological consequences of a major disaster in a developing country: Armero, Colombia. Acta Psychiatrica Scandinavica 1987, 76:345-352.
47. Mills M A, Edmondson D, Park C L. Trauma and stress response among Hurricane Katrina evacuees. American Journal of Public Health 2007, 97(Suppl. 1):S116-S123.
48. Norris F H, Baker C K, Murphy A D, Kaniasty K. Social support mobilization and deterioration after Mexico's 1999 flood: Effects of context, gender and time. American Journal of Community Psychology 2005, 36:15-28.
49. Norris F H, Friedman M J, Watson P J, Byrne C M, Diaz E, Kaniasty K. 60,000 disaster victims speak: Part I. An empirical review of the empirical literature, 1981-2001. Psychiatry: Interpersonal and Biological Processes 2002, 65:207-239.
50. Norris F H, Kaniasty K. Received and perceived social support in times of stress: A test of the social support deterioration-deterrence model. Journal of Personality and Social Psychology 1996, 7:498-511.
51. Ozer E J, Weiss D S. Who develops posttraumatic stress disorder? Current Directions in Psychological Science 2004, 13:169-172.
52. Pfefferbaum B, Doughty D E. Increased alcohol use in a treatment sample of Oklahoma City bombing victims. Psychiatry 2001, 64:296-303.
53. Rateau M R. Differences in emotional well-being of hurricane survivors: A secondary analysis of the ABC news Hurricane Katrina anniversary poll. Archives of Psychiatric Nursing 2009, 23:269-271.
54. Rubin D B. Multiple imputation for nonresponse in surveys 1987, New York, Wiley
55. Rubonis A V, Bickman L. Psychological impairments in the wake of disaster: The disaster-psychopathology relationship. Psychological Bulletin 1991, 109:384-389.
56. Ruscher J B. Stranded by Katrina: Past and present. Analyses of Social Issues and Public Policy 2006, 6:33-38.
57. Salzer M, Bickman L. The short- and long-term psychological impact of disaster: Implications for mental health interventions and policy. Response to disaster: Psychosocial, community, and ecological approaches 1999, 63-82. Gist R M, Lubin B. Eds, New York, Taylor & Francis
58. Sastry N, VanLandingham M. One year later: Mental illness prevalence and disparities among New Orleans residents displaced by Hurricane Katrina. American Journal of Public Health 2009, 99:S725-S731.
59. Sattler D N, Preston A, Kaiser C F, Olivera V E, Valdez J, Schlueter S. Hurricane Georges: A cross-national study examining preparedness, resource loss, and psychological distress in the U.S. Virgin Islands, Puerto Rico, Dominican Republic, and the United States. Journal of Traumatic Stress 2002, 15:339-350.
60. Schoenbaum M, Butler B, Kataoka S, Norquist G, Springgate B, Sullivan G. Promoting mental health recovery after Hurricanes Katrina and Rita. Archives of General Psychiatry 2009, 66:906-914.
61. Sharkey P. Survival and death in New Orleans: An empirical look at the human impact of Katrina. Journal of Black Studies 2007, 37:482-501.
62. Smith B W, Freedy J R. Psychosocial resource loss as a mediator of the effects of flood exposure on psychological distress and physical symptoms. Journal of Trauma Stress 2000, 13:349-357.
63. Solomon S D, Green B L. Mental health effects of natural and human-made disasters. PTSD Research Quarterly 1992, 3:1-3.
64. Spence P R, Lachlan K A, Griffin D R. Crisis communication, race, and natural disasters. Journal of Black Studies 2007, 37:539-554.
65. Stein B, Elliott M, Jaycox L, Collins R, Berry S, Klein D. A longitudinal study of the psychological consequences of the September 11, 2001 terrorist attacks: Reactions, impairment, and help-seeking. Psychiatry 2004, 67:105-117.
66. Stephens N M, Hamedani M G, Markus H R, Bergsieker H B, Eloul L. Why did they " choose" to stay? Perspectives of Hurricane Katrina observers and survivors. Psychological Science 2009, 20:878-886.
67. Sümer N, Karanci{dotless} A N, Berument S K, ve Güneş H. The role of personal resources in predicting psychological distress following the 1999 Marmara, Turkey Earthquake. Journal of Traumatic Stress 2005, 18:331-342.
68. Sundin E C, Horowitz M J. Horowitz's " Impact of Event Scale." Evaluation of 20 years of use. Psychosomatic Medicine 2003, 65:870-876.
69. Thienkrua W, Cardozo B L, Chakkraband M L S, Guadamuz T E, Pengjuntr W, Tantipiwatanaskul P. Symptoms of posttraumatic stress disorder and depression among children in tsunami-affected areas in southern Thailand. Journal of the American Medical Association 2006, 296:549-559.
70. Gulf coast recovery: 7 months after the hurricanes 2006, http://www.esa.doc.gov/Reports/2008/April2006.pdf, Washington, DC, Economics and Statistics Administration, Retrieved May 20, 2007, from
71. van Griensven F, Chakkraband M L S, Thienkrua W, Pengjuntr W, Cardozo B, Tantipiwatanaskul P. Mental health problems among adults in tsunami-affected areas in southern Thailand. Journal of the American Medical Association 2006, 296:537-548.
72. Wang P S, Demler O, Kessler R C. Adequacy of treatment for serious mental illness in the United States. American Journal of Public Health 2002, 92:92-98.
73. Wang P S, Gruber M J, Powers R E, Schoenbaum M, Speier A H, Wells K B. Mental health service use among Hurricane Katrina survivors in the eight months after the disaster. Psychiatric Services 2007, 58:1403-1411.
74. Wang P S, Gruber M J, Powers R E, Schoenbaum M, Speier A H, Wells K B. Disruption of existing mental health treatments and failure to initiate new treatment after Hurricane Katrina. American Journal of Psychiatry 2008, 165:34-41.
75. Weems C F, Watts S E, Marsee M A, Taylor L K, Costa N M, Cannon M F. The psychosocial impact of Hurricane Katrina: Contextual differences in psychological symptoms, social support, and discrimination. Behaviour Research and Therapy 2007, 45:2295-2306.
76. Weisler R H, Barbee J G, Townsend M H. Mental health and recovery in the gulf coast after Hurricanes Katrina and Rita. Journal of the American Medical Association 2006, 296:585-588.
77. Weiss D S, Marmar C R. The impact of events scale-revised. Assessing psychological trauma and PTSD: A practitioner's handbook 1997, 399-411. Wilson J P, Kean T M. Eds, New York, Guilford
78. Young A S, Klap R, Sherbourne C D, Wells K B. The quality of care for depressive and anxiety disorders in the United States. Archives of General Psychiatry 2001, 58:55-61.