IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i20p13243-d942251.html
   My bibliography  Save this article

How Social Determinants of Health of Individuals Living or Working in U.S. Department of Veterans Affairs Home-Based Long-Term Care Programs in Puerto Rico Influenced Recovery after Hurricane Maria

Author

Listed:
  • Leah M. Haverhals

    (Denver-Seattle VA Center of Innovation for Value Driven & Veteran-Centric Care, Rocky Mountain Regional VA Medical Center at VA Eastern Colorado Health Care System, 1700 N. Wheeling St., Aurora, CO 80045, USA
    Department of Health Care Policy & Research, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, USA)

Abstract

In September 2017, Hurricane Maria devastated Puerto Rico, causing extensive infrastructure damage and a significant number of deaths. In the months and years since, recovery from Maria has been slow, hampered by delayed delivery of fiscal aid, corruption, economic hardships, and Puerto Rico’s colonial status. Simultaneously, Puerto Rico’s population is rapidly aging and hundreds of thousands of mostly younger Puerto Ricans are migrating out of Puerto Rico for more opportunities. Many Puerto Ricans who are older or disabled and need long-term care receive this care in home-based environments, as Puerto Rico has minimal institutionalized long-term care infrastructure and limited funding to expand it. The Department of Veterans Affairs (VA) offers several home-based long-term care options for Veterans in Puerto Rico. In this qualitative case study, veterans, VA staff, veterans’ caregivers, caregivers’ family members, and veterans’ family members receiving or involved with providing this care were interviewed regarding their experiences during and after Hurricane Maria. Specifically, this study highlights how social determinants of health of those residing in or involved with VA home-based long-term care programs influenced recovery from Hurricane Maria, and how findings can inform disaster recovery and provision of home-based long-term care going forward.

Suggested Citation

  • Leah M. Haverhals, 2022. "How Social Determinants of Health of Individuals Living or Working in U.S. Department of Veterans Affairs Home-Based Long-Term Care Programs in Puerto Rico Influenced Recovery after Hurricane Maria," IJERPH, MDPI, vol. 19(20), pages 1-19, October.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:20:p:13243-:d:942251
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/20/13243/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/19/20/13243/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Suzanne Phibbs & Christine Kenney & Graciela Rivera-Munoz & Thomas J. Huggins & Christina Severinsen & Bruce Curtis, 2018. "The Inverse Response Law: Theory and Relevance to the Aftermath of Disasters," IJERPH, MDPI, vol. 15(5), pages 1-25, May.
    2. Satu Elo & Maria Kääriäinen & Outi Kanste & Tarja Pölkki & Kati Utriainen & Helvi Kyngäs, 2014. "Qualitative Content Analysis," SAGE Open, , vol. 4(1), pages 21582440145, February.
    3. Melissa Fernández Arrigoitia, 2019. "Editorial: Revolt, chronic disaster and hope," City, Taylor & Francis Journals, vol. 23(4-5), pages 405-410, September.
    4. Benach, Joan & Díaz, Marinilda Rivera & Muñoz, Nylca J. & Martínez-Herrera, Eliana & Pericàs, Juan Manuel, 2019. "What the Puerto Rican hurricanes make visible: Chronicle of a public health disaster foretold," Social Science & Medicine, Elsevier, vol. 238(C), pages 1-1.
    5. Daniel Aldrich, 2011. "The power of people: social capital’s role in recovery from the 1995 Kobe earthquake," Natural Hazards: Journal of the International Society for the Prevention and Mitigation of Natural Hazards, Springer;International Society for the Prevention and Mitigation of Natural Hazards, vol. 56(3), pages 595-611, March.
    6. Lichtveld, M., 2018. "Disasters through the lens of disparities: Elevate community resilience as an essential public health service," American Journal of Public Health, American Public Health Association, vol. 108(1), pages 28-30.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Aparna Kumari & Tim G. Frazier, 2021. "Evaluating social capital in emergency and disaster management and hazards plans," Natural Hazards: Journal of the International Society for the Prevention and Mitigation of Natural Hazards, Springer;International Society for the Prevention and Mitigation of Natural Hazards, vol. 109(1), pages 949-973, October.
    2. Gizelis, Theodora-Ismene & Karim, Sabrina & Østby, Gudrun & Urdal, Henrik, 2017. "Maternal Health Care in the Time of Ebola: A Mixed-Method Exploration of the Impact of the Epidemic on Delivery Services in Monrovia," World Development, Elsevier, vol. 98(C), pages 169-178.
    3. Ying Wang & Hao Chen & Juan Li, 2012. "Factors affecting earthquake recovery: the Yao’an earthquake of China," Natural Hazards: Journal of the International Society for the Prevention and Mitigation of Natural Hazards, Springer;International Society for the Prevention and Mitigation of Natural Hazards, vol. 64(1), pages 37-53, October.
    4. William duPont IV & Ilan Noy, 2015. "What Happened to Kobe? A Reassessment of the Impact of the 1995 Earthquake in Japan," Economic Development and Cultural Change, University of Chicago Press, vol. 63(4), pages 777-812.
    5. Gallagher, H. Colin & Block, Karen & Gibbs, Lisa & Forbes, David & Lusher, Dean & Molyneaux, Robyn & Richardson, John & Pattison, Philippa & MacDougall, Colin & Bryant, Richard A., 2019. "The effect of group involvement on post-disaster mental health: A longitudinal multilevel analysis," Social Science & Medicine, Elsevier, vol. 220(C), pages 167-175.
    6. Xiaomei Wang & Andrew South & Brett Hashimoto & Clifton Farnsworth, 2024. "Six Connotations of Sustainability in Civil and Construction Engineering: A Corpus Linguistics Study," Sustainability, MDPI, vol. 16(15), pages 1-18, July.
    7. Uslaner, Eric & yamamura, Eiji, 2016. "Disaster and political trust: The Japan Tsunami and Earthquake of 2011," MPRA Paper 70527, University Library of Munich, Germany.
    8. Harpreet Sohal & Lisa Huddlestone & Elena Ratschen, 2016. "Preparing for Completely Smoke-Free Mental Health Settings: Findings on Patient Smoking, Resources Spent Facilitating Smoking Breaks, and the Role of Smoking in Reported Incidents from a Large Mental ," IJERPH, MDPI, vol. 13(3), pages 1-12, February.
    9. Paloma Díaz & John M. Carroll & Ignacio Aedo, 2016. "Coproduction as an Approach to Technology-Mediated Citizen Participation in Emergency Management," Future Internet, MDPI, vol. 8(3), pages 1-16, August.
    10. Lynham, John & Noy, Ilan & Page, Jonathan, 2017. "The 1960 Tsunami in Hawaii: Long-Term Consequences of a Coastal Disaster," World Development, Elsevier, vol. 94(C), pages 106-118.
    11. Henrich R. Greve & Lori Qingyuan Yue, 2017. "Hereafter: How Crises Shape Communities Through Learning and Institutional Legacies," Organization Science, INFORMS, vol. 28(6), pages 1098-1114, December.
    12. Elizabeth Jordan & Amy Javernick-Will & Kathleen Tierney, 2016. "Post-tsunami recovery in Tamil Nadu, India: combined social and infrastructural outcomes," Natural Hazards: Journal of the International Society for the Prevention and Mitigation of Natural Hazards, Springer;International Society for the Prevention and Mitigation of Natural Hazards, vol. 84(2), pages 1327-1347, November.
    13. Mackenzie Consoer & Anita Milman, 2016. "The dynamic process of social capital during recovery from Tropical Storm Irene in Vermont," Natural Hazards: Journal of the International Society for the Prevention and Mitigation of Natural Hazards, Springer;International Society for the Prevention and Mitigation of Natural Hazards, vol. 84(1), pages 155-174, October.
    14. Furong Chen & Yuyuan Yi & Yifu Zhao, 2023. "The Effect of Social Capital at the Community and Individual Levels on Farmers’ Participation in the Rural Public Goods Provision," Agriculture, MDPI, vol. 13(6), pages 1-17, June.
    15. Kim, Jooho & Hastak, Makarand, 2018. "Social network analysis: Characteristics of online social networks after a disaster," International Journal of Information Management, Elsevier, vol. 38(1), pages 86-96.
    16. Blake Poland & Anne Gloger & Garrett T. Morgan & Norene Lach & Suzanne F. Jackson & Rylan Urban & Imara Rolston, 2021. "A Connected Community Approach: Citizens and Formal Institutions Working Together to Build Community-Centred Resilience," IJERPH, MDPI, vol. 18(19), pages 1-17, September.
    17. Toake Endoh, 2017. "Surrogate Guardian: Responsibility to Protect Migrants in Disasters and Responses by the Japanese State," Journal of International Migration and Integration, Springer, vol. 18(1), pages 319-339, February.
    18. Michele Battisti & Antonio Francesco Gravina & Andrea Mario Lavezzi & Giuseppe Maggio & Giorgio Tortorici, 2024. "Educational Take-off and the Role of Wealth," Discussion Papers 2024/302, Dipartimento di Economia e Management (DEM), University of Pisa, Pisa, Italy.
    19. David Mhlanga, 2021. "Artificial Intelligence in the Industry 4.0, and Its Impact on Poverty, Innovation, Infrastructure Development, and the Sustainable Development Goals: Lessons from Emerging Economies?," Sustainability, MDPI, vol. 13(11), pages 1-16, May.
    20. Rebecca Balasa & Julie Chartrand & Katherine Moreau & Kelley Tousignant & Kaylee Eady, 2021. "Patients’ and parents’ perspectives of and experiences with assessing nursing students’ paediatric clinical practice," Journal of Clinical Nursing, John Wiley & Sons, vol. 30(1-2), pages 217-228, January.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:20:p:13243-:d:942251. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.