4.5 Article

Mitigating Health Disparities After Natural Disasters: Lessons From The RISK Project

Journal

HEALTH AFFAIRS
Volume 39, Issue 12, Pages 2128-2135

Publisher

PROJECT HOPE
DOI: 10.1377/hlthaff.2020.01161

Keywords

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Funding

  1. Eunice Kennedy Shriver National Institute of Child Health and Human Development [P01HD082032, R01HD057599, R01HD046162]
  2. National Science Foundation [BCS-0555240]
  3. John D. and Catherine T. MacArthur Foundation [04-80775-000-HCD]
  4. Robert Wood Johnson Foundation [23029]
  5. Princeton Center for Economic Policy Studies
  6. Harvard Center for Population and Development Studies
  7. Malcolm H. Wiener PhD Scholarship at the Harvard Kennedy School
  8. Brown Population Studies and Training Center [P2CHD041020]

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Climate change exacerbates the severity of natural disasters, which disproportionately affect vulnerable populations. Mitigating disasters' health consequences is critical to promoting health equity, but few studies have isolated the short- and long-term effects of disasters on vulnerable groups. We filled this gap by conducting a fifteen-year (2003-2018) prospective study of low-income, predominantly Black parents who experienced Hurricane Katrina: the Resilience in Survivors of Katrina (RISK) Project. Here we describe this project and synthesize lessons from work that has resulted from it. Our findings can guide policy makers, service providers, and health officials in disaster planning and response. We synthesize them into an organizational schema of five priorities: Primary efforts should be aimed at preventing exposure to trauma through investments in climate resilience and by eliminating impediments to evacuation, health care policies should promote uninterrupted and expanded access to care, social services should integrate and strive to reduce the administrative burden on survivors, programs should aid survivors in forging or strengthening connections to their communities, and policy makers should fund targeted long-term services for highly affected survivors.

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