• Gregory H Cohen, Ruochen Wang, Laura Sampson, Sarah R Lowe, Catherine K Ettman, Salma M Abdalla, Gregory A Wellenius, Howard Cabral, Kenneth Ruggiero, and Sandro Galea.
• Department of Epidemiology, Boston University School of Public Health, Boston, MA, USA. ghcohen@bu.edu.
• J Urban Health. 2023 Aug 1; 100 (4): 860869860-869.

AbstractLittle is known about the combined impact of the COVID-19 pandemic and other major disasters on mental health. Hurricane Harvey hit the Gulf Coast in 2017, resulting in substantial costs, significant levels of displacement, and approximately 100 deaths, and was followed in 2020 by the COVID-19 pandemic. We randomly sampled 1167 Houstonians from 88 designated super-neighborhoods and surveyed them about their demographics, event-specific traumas and stressors, and symptoms of current depression and post-traumatic stress disorder (PTSD). We estimated the prevalence of depression (5.8%) and PTSD (12.6%) more than three years after Hurricane Harvey, and assessed the relative influence of event-specific stressors and traumas on current mental health. Overall, we observed evidence for two key findings that are salient for residents of urban environments in the context of multiple disasters. First, stressors were primary influences on depression, whereas both stressors and traumas influenced PTSD. Second, the influences of stressors and traumas on depression and PTSD symptoms faded with time.© 2023. The New York Academy of Medicine.

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