Faculty Articles

PubMed Identifier

26789078

Are Natural Disasters In Early Childhood Associated With Mental Health And Substance Use Disorders As An Adult?

Publication Title

Social Science & Medicine

Publisher

ScienceDirect

ISSN

0277-9536

Publication Date

2-1-2016

Keywords

adult, child, child, preschool, disasters, female, humans, male, mental health, middle aged, psychological trauma, stress disorders, post-traumatic, substance-related disorders

Abstract

Understanding factors that influence risk for mental health and substance use disorders is critical to improve population health and reduce social costs imposed by these disorders. We examine the impact of experiencing a natural disaster-a serious fire, tornado, flood, earthquake, or hurricane-by age five on adult mental health and substance use disorders. The analysis uses data from the 2004 to 2005 National Epidemiologic Survey of Alcohol and Related Conditions. The analysis sample includes 27,129 individuals ages 21-64 years. We also exploit information on parenting strategies to study how parents respond to natural disasters encountered by their children. We find that experiencing one or more of these natural disasters by age five increases the risk of mental health disorders in adulthood, particularly anxiety disorders, but not substance use disorders. Parents alter some, but not all, of their parenting strategies following a natural disaster experienced by their children. It is important to provide support, for example through counseling services and financial assistance, to families and children exposed to natural disasters to mitigate future mental health and substance use problems attributable to such exposure.

DOI

10.1016/j.socscimed.2016.01.006

Volume

151

First Page

78

Last Page

91

Disciplines

Medicine and Health Sciences | Pharmacy and Pharmaceutical Sciences

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