Table 3.

Data reduction: derivation of the global theme from organizing and basic themes.

Basic theme	Organizing theme	Global theme
- The mental health of participants was affected by sensory experiences they encountered. The sounds, sights, and experiences during and after the storm brought out different mental health impacts in the participants such as fear and anxiety. - The social health of some participants affected their mental health and vice versa. For instance, individuals who had good social support tended to have a better mental health outlook and vice versa. - The physical health of the participants affected their mental health as well. For some individuals who were distressed mentally, it eventually took a toll on their physical bodies.	The multi-faceted health impacts of severe storms	The impacts that severe storms have had on the lives of middle-aged Dominican are complex interactions between the direct and indirect barriers and facilitators of health and disaster management that affect their lives in the long term.
- The roles the participants played in their communities and families in the context of the hurricanes helped with subsequent recovery. - Participants recovered from health issues and economic issues through the use of different coping mechanisms such as adapting to the new situations. - Different sensory experiences faced by the participants forced them to play roles such as a supporter and a protector to family and community members.	Response to and recovery from severe storms
- General precaution and safety measure the participants used to prepare for storms both before and after experiencing severe storms.	Preparedness and precaution for severe storms