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Long-term Effects of Disasters on Seniors With Diabetes: Evidence From Hurricanes Katrina and Rita.
- Source :
-
Diabetes care [Diabetes Care] 2019 Nov; Vol. 42 (11), pp. 2090-2097. Date of Electronic Publication: 2019 Sep 23. - Publication Year :
- 2019
-
Abstract
- Objective: To estimate the long-run mortality effects of Hurricanes Katrina and Rita on seniors with diabetes.<br />Research Design and Methods: We performed a retrospective cohort analysis of Medicare enrollment and claims data covering four states and ∼10 years. Affected individuals were identified by whether they lived in a county that suffered a high impact and were stratified by whether they moved to a different county following the storms. Propensity scores matched affected and comparison subjects based on demographic and socioeconomic characteristics and the presence of chronic conditions. Our sample consisted of 170,328 matched affected subjects.<br />Results: The affected subjects had a nearly 40% higher all-cause mortality risk in the 1st month after the storms, but the difference fell to <6% by the end of the full observation period. The mortality risks of heart disease and nephritis also exhibited the largest differences immediately following the storms. Among the affected subjects, the all-cause mortality risk was higher for those who moved to a different county, with an especially large difference among those who moved to an affected county.<br />Conclusions: The propensity matching procedure resulted in the comparison and affected groups having similar observable characteristics. However, we only examined the extreme outcome of mortality, our definition of affected was somewhat crude, and our sample did not include individuals enrolled in Medicare Advantage. Our findings highlight the importance of the immediate response to disasters, yet also demonstrate the long-lasting impact disasters can have.<br /> (© 2019 by the American Diabetes Association.)
- Subjects :
- Aged
Aged, 80 and over
Alabama epidemiology
Cyclonic Storms history
Disasters history
Female
History, 21st Century
Humans
Louisiana epidemiology
Male
Medicare
Mississippi epidemiology
Propensity Score
Retrospective Studies
Texas epidemiology
United States epidemiology
Cyclonic Storms mortality
Diabetes Mellitus mortality
Disasters statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 1935-5548
- Volume :
- 42
- Issue :
- 11
- Database :
- MEDLINE
- Journal :
- Diabetes care
- Publication Type :
- Academic Journal
- Accession number :
- 31548250
- Full Text :
- https://doi.org/10.2337/dc19-0567