Effect of insurance-related factors on the association between flooding and mental health outcomes

English National Study of Flooding Health Study Group

doi:10.3390/ijerph16071174

Effect of insurance-related factors on the association between flooding and mental health outcomes

English National Study of Flooding Health Study Group

Research output: Contribution to journal › Article › peer-review

20 Citations (Scopus)

Abstract

Floods are a significant public health problem linked with increased psychological morbidity. We aimed to investigate the effect of insurance-related factors on the association between flooding and probable mental health outcomes. We performed a secondary analysis of cross-sectional survey data from the English National Study of Flooding and Health (NSFH) collected two years after an initial flooding event in 2013-14. Our analysis focused on 851 respondents who experienced flooding or disruption. Multivariable logistic regression models were run for each exposure group. Among those whose homes had been flooded, not having household insurance was associated with increased odds of all outcomes compared to those with household insurance, significantly so for post-traumatic stress disorder (PTSD) (aOR 4.31, 95% CI 1.31–14.20). Those who reported severe stress due to insurance issues had increased odds of probable depression (aOR 11.08, 95% CI 1.11–110.30), anxiety (aOR 4.48, 95% CI 1.02–19.70) and PTSD (aOR 7.95, 95% CI 2.10–30.1) compared to those reporting no/mild stress. The study suggests there is increased psychological morbidity amongst the uninsured and those who report feeling severe stress as a result of insurance issues associated with flooding. Services should be prepared to support communities through insurance processes, to reduce probable mental health morbidity following a flood event.

Original language	English
Article number	1174
Journal	International Journal of Environmental Research and Public Health
Volume	16
Issue number	7
DOIs	https://doi.org/10.3390/ijerph16071174
Publication status	Published - 1 Apr 2019

Bibliographical note

Funding Information:
Funding: This work was supported by the National Institute for Health Research Health Protection Research Units (NIHR HPRU) in Evaluation of Interventions at the University of Bristol, in partnership with Public Health England (PHE), the NIHR HPRU Emergency Preparedness and Response at King’s College London in partnership with PHE and the NIHR HPRU in Environmental Change and Health at the London School of Hygiene and Tropical Medicine in partnership with PHE. The views expressed are those of the authors and not those of the NHS, the NIHR, the Department of Health and Social Care or PHE.

Publisher Copyright:
© 2019 by the authors. Licensee MDPI, Basel, Switzerland.

Keywords

Flooding
Insurance
Mental health
Natural disasters

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.3390/ijerph16071174

Cite this

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title = "Effect of insurance-related factors on the association between flooding and mental health outcomes",

abstract = "Floods are a significant public health problem linked with increased psychological morbidity. We aimed to investigate the effect of insurance-related factors on the association between flooding and probable mental health outcomes. We performed a secondary analysis of cross-sectional survey data from the English National Study of Flooding and Health (NSFH) collected two years after an initial flooding event in 2013-14. Our analysis focused on 851 respondents who experienced flooding or disruption. Multivariable logistic regression models were run for each exposure group. Among those whose homes had been flooded, not having household insurance was associated with increased odds of all outcomes compared to those with household insurance, significantly so for post-traumatic stress disorder (PTSD) (aOR 4.31, 95% CI 1.31–14.20). Those who reported severe stress due to insurance issues had increased odds of probable depression (aOR 11.08, 95% CI 1.11–110.30), anxiety (aOR 4.48, 95% CI 1.02–19.70) and PTSD (aOR 7.95, 95% CI 2.10–30.1) compared to those reporting no/mild stress. The study suggests there is increased psychological morbidity amongst the uninsured and those who report feeling severe stress as a result of insurance issues associated with flooding. Services should be prepared to support communities through insurance processes, to reduce probable mental health morbidity following a flood event.",

keywords = "Flooding, Insurance, Mental health, Natural disasters",

author = "{English National Study of Flooding Health Study Group} and Ranya Mulchandani and Melissa Smith and Ben Armstrong and Charles Beck and Isabel Oliver and Thomas Davidwaite and Angie Bone and Richard Amlot and Sari Kovats and Giovanni Leonardi and {James Rubin}, G.",

note = "Funding Information: Funding: This work was supported by the National Institute for Health Research Health Protection Research Units (NIHR HPRU) in Evaluation of Interventions at the University of Bristol, in partnership with Public Health England (PHE), the NIHR HPRU Emergency Preparedness and Response at King{\textquoteright}s College London in partnership with PHE and the NIHR HPRU in Environmental Change and Health at the London School of Hygiene and Tropical Medicine in partnership with PHE. The views expressed are those of the authors and not those of the NHS, the NIHR, the Department of Health and Social Care or PHE. Publisher Copyright: {\textcopyright} 2019 by the authors. Licensee MDPI, Basel, Switzerland.",

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AU - Mulchandani, Ranya

AU - Smith, Melissa

AU - Armstrong, Ben

AU - Beck, Charles

AU - Oliver, Isabel

AU - Davidwaite, Thomas

AU - Bone, Angie

AU - Amlot, Richard

AU - Kovats, Sari

AU - Leonardi, Giovanni

AU - James Rubin, G.

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N2 - Floods are a significant public health problem linked with increased psychological morbidity. We aimed to investigate the effect of insurance-related factors on the association between flooding and probable mental health outcomes. We performed a secondary analysis of cross-sectional survey data from the English National Study of Flooding and Health (NSFH) collected two years after an initial flooding event in 2013-14. Our analysis focused on 851 respondents who experienced flooding or disruption. Multivariable logistic regression models were run for each exposure group. Among those whose homes had been flooded, not having household insurance was associated with increased odds of all outcomes compared to those with household insurance, significantly so for post-traumatic stress disorder (PTSD) (aOR 4.31, 95% CI 1.31–14.20). Those who reported severe stress due to insurance issues had increased odds of probable depression (aOR 11.08, 95% CI 1.11–110.30), anxiety (aOR 4.48, 95% CI 1.02–19.70) and PTSD (aOR 7.95, 95% CI 2.10–30.1) compared to those reporting no/mild stress. The study suggests there is increased psychological morbidity amongst the uninsured and those who report feeling severe stress as a result of insurance issues associated with flooding. Services should be prepared to support communities through insurance processes, to reduce probable mental health morbidity following a flood event.

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KW - Flooding

KW - Insurance

KW - Mental health

KW - Natural disasters

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JO - International Journal of Environmental Research and Public Health

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Effect of insurance-related factors on the association between flooding and mental health outcomes

Abstract

Bibliographical note

Keywords

UN SDGs

Access to Document

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