Exposure to disasters and other extreme events is rising across the globe, but the impact on long-term mortality risks of affected populations is not established. We examine how mortality and individual-specific traumatic exposures at the time of the disaster affect mortality risks of survivors over the subsequent ten years, using data from Aceh, Indonesia, collected before and after the 2004 Indian Ocean tsunami. Across communities, the higher the percentage of individuals killed in the tsunami, the lower the mortality rate for adults over the subsequent decade. However, among older adults post-disaster mortality is elevated for males with poor post-tsunami psychosocial health and for females whose spouse died in the tsunami. Individual-specific tsunami exposures do not affect the mortality of younger adults within the ten-year time frame. Whereas positive mortality selection is evident for all adults, scarring is evident only for older adults and is large enough to substantively counteract the reductions in risk from positive mortality selection.
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Vaupel, J., Yashin, A. & Manton, K. Debilitation’s aftermath: stochastic process models of mortality. Math. Popul. Stud. 1, 21–48 (1988).
Deschenes, O. & Moretti, E. Extreme weather events, mortality, and migration. Rev. Econ. Stat. 91, 659–681 (2009).
Chen, J. et al. Heatwave and elderly mortality: an evaluation of death burden and health costs considering short-term mortality displacement. Environ. Int. 115, 224–342 (2018).
Kishore, N. et al. Mortality in Puerto Rico after Hurricane Maria. N. Engl. J. Med. 379, 162–170 (2018).
Vaupel, J. & Yashin, A. Heterogeneity’s ruses: some surprising effects of selection on population dynamics. Am. Stat. 39, 176–185 (1985).
Campbell-Staton, S. et al. Winter storms drive rapid phenotypic, regulatory, and genomic shifts in the green anole lizard. Science 357, 495–497 (2017).
Donihue, C. M. et al. Hurricane-induced selection on the morphology of an island lizard. Nature 560, 88–91 (2018).
Grant, P. Evolution, climate change, and extreme events. Science 357, 451–453 (2017).
Cohen, A., Tillinghast, J. & Canudas-Romo, V. No consistent effects of prenatal or neonatal exposure to Spanish flu on late-life mortality in 24 developed countries. Demogr. Res. 20, 579–634 (2010).
Myrskylä, M., Mehta, N. K. & Chang, V. W. Early life exposure to the 1918 influenza pandemic and old-age mortality by cause of death. Am. J. Public Health 103, e83–e90 (2013).
Helgertz, J. & Bengtsson, T. The long-lasting influenza: the impact of fetal stress during the 1918 influenza pandemic on socioeconomic attainment and health in Sweden, 1968–2012. Demography 56, 1389–1425 (2019).
Brown, R. & Thomas, D. On the Long-Term Effects of the 1918 U.S. Influenza Pandemic Working Paper No. 569 (BREAD, 2019).
Ho, J., Frankenberg, E., Sumantri, C. & Thomas, D. Adult mortality five years after a natural disaster. Popul. Dev. Rev. 43, 467–490 (2017).
Subarya, C. et al. Plate-boundary deformation associated with the great Sumatra–Andaman earthquake. Nature 440, 46–51 (2006).
Titov, V., Rabinovich, A., Mofjeld, H., Thomson, R. & Gonzalez, F. The global reach of the 26 December 2004 Sumatra tsunami. Science 309, 2045–2048 (2005).
Lavigne, F. et al. Reconstruction of tsunami inland propagation on December 26, 2004 in Banda Aceh, Indonesia, through field investigations. Pure Appl. Geophys. 166, 259–281 (2009).
Monecke, K. et al. A 1,000-year sediment record of tsunami recurrence in northern Sumatra. Nature 453, 1232–1234 (2008).
Rubin, M. et al. Highly variable recurrence of tsunamis in the 7,400 years before the 2004 Indian Ocean tsunami. Nat. Commun. 8, 16019 (2017).
Degueldre, H., Metzger, J., Geisel, T. & Fleischmann, R. Random focusing of tsunami waves. Nat. Phys. 12, 259–262 (2016).
Umitsu, M., Tanavud, C. & Patanakanog, B. Effects of landforms on tsunami flow in the Plains of Banda Aceh, Indonesia, and Nam Khem, Thailand. Mar. Geol. 242, 141–153 (2007).
Elo, I. & Preston, S. Effects of early life conditions on adult mortality: a review. Popul. Dev. Rev. 58, 186–212 (1992).
Currie, J. & Rossin-Slater, M. Weathering the storm: hurricanes and birth outcomes. J. Health Econ. 32, 487–503 (2013).
Jayachandran, S. Air quality and early-life mortality: evidence from Indonesia’s wildfires. J. Hum. Resour. 44, 916–954 (2009).
Smith, J. P. & Thomas, D. Remembrance of things past: test–retest reliability of retrospective migration histories. J. R. Stat. Soc. A 166, 23–49 (2003).
McEwen, B. & Wingfield, J. The concept of allostasis in biology and biomedicine. Horm. Behav. 43, 2–15 (2003).
Stam, R. PTSD and stress sensitization: a tale of brain and body. Part 1: human studies. Neurosci. Biobehav. Rev. 31, 530–557 (2007).
Stam, R. PTSD and stress sensitization: a tale of brain and body. Part 2: animal models. Neurosci. Biobehav. Rev. 31, 558–584 (2007).
Boscarino, J. Posttraumatic stress disorder and mortality among U.S. Army veterans 30 years after military service. Ann. Epidemiol. 16, 248–256 (2006).
Frankenberg, E., Gillespie, T., Preston, S., Sikoki, B. & Thomas, D. Mortality, the family and the Indian Ocean tsunami. Econ. J. 121, F162–F182 (2011).
Dalgleish, T. in Post-traumatic Stress Disorders: Concepts and Therapy (ed. Yule, W.) 193–222 (Wiley, 1999).
Weathers, F. W. et al. The PTSD Checklist: Reliability, Validity, & Diagnostic Utility (presented at the annual meeting of the International Society for Traumatic Stress Studies, 1993).
Paxson, C., Fussell, E., Rhodes, J. & Waters, M. Five years later: recovery from post traumatic stress and psychological distress among low-income mothers affected by Hurricane Katrina. Soc. Sci. Med. 74, 150–157 (2012).
Waters, M. C. Life after Hurricane Katrina: the Resilience in Survivors of Katrina (RISK) Project. Sociol. Forum 31, 750–769 (2016).
Nobles, J., Frankenberg, E. & Thomas, D. The effects of mortality on fertility: population dynamics after a natural disaster. Demography 52, 15–38 (2015).
Clark, G., Frankenberg, E., Gillespie, T., Sumantri, C. & Thomas, D. Studying displacement after a disaster using large-scale survey methods: Sumatra after the 2004 tsunami. Ann. Am. Assoc. Geogr. 104, 594–612 (2014).
Frankenberg, E. et al. Mental health in Sumatra after the tsunami. Am. J. Public Health 98, 1671–1677 (2008).
Greene, W. The behaviour of the maximum likelihood estimator of limited dependent variable models in the presence of fixed effects. Econ. J. 7, 98–119 (2004).
This work was supported by the National Institute on Aging at the National Institutes of Health (grant numbers R01 AG031266 and R01 AG065395) and the Eunice Kennedy Shriver National Institute of Child Health and Development at the National Institutes of Health (grant numbers R01 HD052762, R21 HD051970 and P2C HD050924), the National Science Foundation (grant number CMS-0527763), the World Bank, the Hewlett Foundation, the MacArthur Foundation (grant number 05-85158-000) and the Wellcome Trust (grant number 106853/A/15/Z).
The authors declare no competing interests.
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Frankenberg, E., Sumantri, C. & Thomas, D. Effects of a natural disaster on mortality risks over the longer term. Nat Sustain 3, 614–619 (2020). https://doi.org/10.1038/s41893-020-0536-3
Population and Environment (2021)