The increasing frequency and severity of climate related disasters pose significant threats to public health, especially when they coincide with other crises, such as pandemics. Puerto Rico has faced multiple large scale disasters in recent years; however, research on their cumulative health effects remains limited. This study examines the associations between disaster exposure Hurricane Maria and the COVID-19 pandemic and the self reported physical, mental, and behavioral health of Puerto Rican adults, using data from the Behavioral Risk Factor Surveillance System (2015-2021). Methods: Multivariable linear models and log-binomial models were used, adjusted for key sociodemographic factors.
Analyze the association between exposure to multiple disasters Hurricane Maria and the COVID-19 pandemic and self-reported physical, mental, and behavioral health outcomes in adults residing in Puerto Rico, as well as evaluate the effect of sociodemographic factors such as sex, income, education, and employment status.