# The Contribution of Structural Racism to the Long-Term Effects of Natural Disaster on Behavioral Health Outcomes (SALENDO)

> **NIH NIH R01** · DUKE UNIVERSITY · 2024 · $298,675

## Abstract

ABSTRACT
Black and Latinx people in the United States (US) suffer disproportionately high levels of substance use and
mental health disorders. Further, racial and ethnic minoritized groups have decreased access to behavioral
health treatment services than white people. Emergent literature has zeroed in on how structural factors can
impact various health outcomes. In this application, our main objective is to understand the connection between
behavioral health outcomes, structural racism, and an urgent and escalating contemporary issue: natural
disasters. Therefore, in response to RFA-DA-23-013 we propose our project, “The Contribution of Structural
Racism to the Effects of Natural Disaster on Behavioral Health Outcomes (SALENDO)” study. The objective of
this study is to clarify the overlapping effects of structural racism, natural disaster exposure and risk, and
behavioral health. Our specific aims are: 1) Evaluate temporal and geographic correlations of structural racism,
utilizing indices at the concentration of extremes (ICE) measures, natural disaster susceptibility, and rates
behavioral health-related emergency department visits/inpatient hospitalizations/overdoses by county in Texas
(TX) and Louisiana (LA); 2) Examine how Hurricane Harvey shaped behavioral healthcare utilization and
overdose fatalities and the role that structural racism played in these consequences; and 3) Interpret and
actionize data in collaboration with impacted communities.

## Key facts

- **NIH application ID:** 10986501
- **Project number:** 1R01DA059008-01A1
- **Recipient organization:** DUKE UNIVERSITY
- **Principal Investigator:** Lauren Brinkley-Rubinstein
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2024
- **Award amount:** $298,675
- **Award type:** 1
- **Project period:** 2024-08-15 → 2025-05-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10986501

## Citation

> US National Institutes of Health, RePORTER application 10986501, The Contribution of Structural Racism to the Long-Term Effects of Natural Disaster on Behavioral Health Outcomes (SALENDO) (1R01DA059008-01A1). Retrieved via AI Analytics 2026-06-12 from https://api.ai-analytics.org/grant/nih/10986501. Licensed CC0.

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