Effect of stress on cardiometabolic health 12 years after the Indian Ocean tsunami: a quasi-experimental longitudinal study

BackgroundStress is associated with elevated cardiometabolic health risks, but establishing a causal mechanism is challenging, and evidence of the longer-term effects of large-scale stressors on health is limited. To fill these gaps, we investigated the effect of elevated stress from direct exposure to the 2004 Indian Ocean tsunami on diabetes risk 12 years later. The Indian Ocean tsunami destroyed the built and natural environment along coastal...