Impact of Hurricane Katrina on the Louisiana HIV/AIDS Epidemic: A Socio-Ecological Perspective

Robinson, William T.

doi:10.5772/55472

Natural Disasters - Multifaceted Aspects in Management and Impact Assessment 2013

DOI: 10.5772/55472

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Impact of Hurricane Katrina on the Louisiana HIV/AIDS Epidemic: A Socio-Ecological Perspective

William T. Robinson¹

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Cited by 3 publications

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“…In the aftermath of Hurricane Katrina, for example, people who use drugs reported increases in substance use risk 8 and HIV/HCV risk behavior patterns. 9 People living with HIV who presented with posttraumatic stress disorder (PTSD) symptoms after Katrina were more likely to experience an increase in negative health outcomes associated with HIV. 10 Prior to HM, Puerto Rican people living with HIV who use drugs were already living in a "layered risk environment" mired with social disadvantages and challenges across the care continuum.…”

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confidence: 99%

Assessing HIV Care Outcomes Among Persons Who Use Drugs in Puerto Rico Before and After Hurricane Maria

Hernández,

Pan,

Cardenas

et al. 2023

Disaster med. public health prep.

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Objectives: To explore the health impacts of Hurricane Maria (HM) on HIV care outcomes among people living with HIV who use drugs. Methods: Using data from an ongoing cohort study in San Juan, Puerto Rico (Proyecto PACTo), we measured differences in HIV care outcomes (viral load, viral suppression, and CD4 counts) before and after HM using assessments conducted at 6-month intervals. Generalized estimating equations were used to assess factors associated with HIV care outcomes. Results: All HIV care outcomes showed a deterioration from pre-HM values to post-HM values (mean viral load increased, CD4 counts decreased, and rate of viral suppression decreased) after controlling for pre-HM sociodemographic and health characteristics. In addition to HM, age (aIRR = 1·01), being homeless (aIRR = 0·78) and having health insurance (aIRR = 1·6) were independently associated with viral suppression. Participants: 219 participants completed follow-up visits between April 2017 and January 2018, before and after HM. Conclusions: People living with HIV who use drugs in Puerto Rico experienced poorer HIV outcomes following HM. Socio-environmental factors contributing to these outcomes is discussed in the context of disaster response, recovery, and program planning.

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mentioning

confidence: 99%

Assessing HIV Care Outcomes Among Persons Who Use Drugs in Puerto Rico Before and After Hurricane Maria

Hernández,

Pan,

Cardenas

et al. 2023

Disaster med. public health prep.

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Use of Rapid HIV Self-Test to Screen Potential Sexual Partners: Results of the ISUM Study

et al. 2019

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Trend Analysis of Substance Abuse Treatment Admissions in New Orleans From 2000–2012: A Population-Based Comparison Pre- and Post-Hurricane Katrina

Shuler

Wallington

Qualls-Hampton

et al. 2016

Substance Use & Misuse

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Treatment admissions stabilized following Hurricane Katrina; however, since 2009, they have begun to decline. Targeted exploration of factors affecting admission to treatment in New Orleans with populations such as the homeless, those with a psychiatric illness in addition to a substance abuse problem, and those referred by the criminal justice system is essential. The results of this study assist in identifying variations in substance abuse treatment characteristics for those admitted to treatment in New Orleans.

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Impact of Hurricane Katrina on the Louisiana HIV/AIDS Epidemic: A Socio-Ecological Perspective

Cited by 3 publications

References 27 publications

Assessing HIV Care Outcomes Among Persons Who Use Drugs in Puerto Rico Before and After Hurricane Maria

Assessing HIV Care Outcomes Among Persons Who Use Drugs in Puerto Rico Before and After Hurricane Maria

Use of Rapid HIV Self-Test to Screen Potential Sexual Partners: Results of the ISUM Study

Trend Analysis of Substance Abuse Treatment Admissions in New Orleans From 2000–2012: A Population-Based Comparison Pre- and Post-Hurricane Katrina

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