Mental health service use by cleanup workers in the aftermath of the Deepwater Horizon oil spill

Sarah Lowe, Richard K. Kwok, Julianne Payne, Lawrence S. Engel, Sandro Galea, Dale P. Sandler

Research output: Contribution to journalArticleResearchpeer-review

5 Citations (Scopus)

Abstract

High rates of mental health (MH) problems have been documented among disaster relief workers. However, few workers utilize MH services, and predictors of service use among this group remain unexplored. The purpose of this study was to explore associations between predisposing, illness-related, and enabling factors from Andersen's behavioral model of treatment-seeking and patterns of service use among participants who completed at least one full day of cleanup work after the Deepwater Horizon oil spill and participated in home visits for the NIEHS GuLF STUDY (N=8931). Workers reported on MH symptoms and whether they had used counseling or medication for MH problems since the oil spill. Hierarchical logistic regression models explored associations between predictors and counseling and medication use in the full sample, and type of use (counseling only, medication only, both) among participants who used either service. Analyses were replicated for subsamples of participants with and without symptom inventory scores suggestive of probable post-disaster mental illness. Having a pre-spill MH diagnosis, pre-spill service use, more severe post-spill MH symptoms, and healthcare coverage were positively associated with counseling and medication use in the full sample. Among participants who used either service, non-Hispanic Black race, pre-spill counseling, lower depression, and not identifying a personal doctor or healthcare provider were predictive of counseling only, whereas older age, female gender and pre-spill medication were predictive of medication only. The results were generally consistent among participants with and without probable post-disaster mental illness. The results suggest variability in which factors within Andersen's behavioral model are predictive of different patterns of service use among disaster relief workers.

Original languageEnglish
Pages (from-to)125-134
Number of pages10
JournalSocial Science and Medicine
Volume130
DOIs
StatePublished - 1 Apr 2015

Fingerprint

Petroleum Pollution
Mental Health Services
Counseling
counseling
health service
medication
mental health
Disasters
Mental Health
worker
disaster
mental illness
National Institute of Environmental Health Sciences (U.S.)
Logistic Models
House Calls
predictive model
Causality
Health Personnel
Medication
Health Services

Keywords

  • Deepwater Horizon oil spill
  • Disaster relief workers
  • Disasters
  • Mental health service use

Cite this

Lowe, Sarah ; Kwok, Richard K. ; Payne, Julianne ; Engel, Lawrence S. ; Galea, Sandro ; Sandler, Dale P. / Mental health service use by cleanup workers in the aftermath of the Deepwater Horizon oil spill. In: Social Science and Medicine. 2015 ; Vol. 130. pp. 125-134.
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Mental health service use by cleanup workers in the aftermath of the Deepwater Horizon oil spill. / Lowe, Sarah; Kwok, Richard K.; Payne, Julianne; Engel, Lawrence S.; Galea, Sandro; Sandler, Dale P.

In: Social Science and Medicine, Vol. 130, 01.04.2015, p. 125-134.

Research output: Contribution to journalArticleResearchpeer-review

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