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灾后负面健康遗产:安德鲁飓风过后路易斯安那州的妊娠结局

The post-disaster negative health legacy: pregnancy outcomes in Louisiana after Hurricane Andrew.

作者信息

Antipova Anzhelika, Curtis Andrew

机构信息

Assistant Professor, Department of Earth Sciences, University of Memphis, United States.

Director of the GIS Health and Hazards Lab and Associate Professor, Department of Geography, Kent State University, United States.

出版信息

Disasters. 2015 Oct;39(4):665-86. doi: 10.1111/disa.12125. Epub 2015 Mar 5.

DOI:10.1111/disa.12125
PMID:25754615
Abstract

Disasters and displacement increasingly affect and challenge urban settings. How do pregnant women fare in the aftermath of a major disaster? This paper investigates the effect of pregnancies in disaster situations. The study tests a hypothesis that pregnant women residing in hurricane-prone areas suffer higher health risks. The setting is Louisiana in the Gulf Coast, United States, a state that continually experiences hurricane impacts. The time period for the analysis is three years following the landfall of Hurricane Andrew in 1992. We analysed low birth weight and preterm deliveries before and after landfall, as a whole and by race. Findings support an association between hazards and health of a community and indicate that pregnant women in the affected area, irrespective of race, are more likely to experience preterm deliveries compared to pre-event births. Results suggest there is a negative health legacy impact in Louisiana as a result of hurricane landfall.

摘要

灾难和流离失所问题日益影响并挑战着城市环境。在重大灾难发生后,孕妇的情况如何?本文调查了灾难情况下怀孕所产生的影响。该研究检验了一个假设,即居住在易受飓风影响地区的孕妇面临更高的健康风险。研究地点是美国墨西哥湾沿岸的路易斯安那州,该州经常遭受飓风袭击。分析的时间段是1992年安德鲁飓风登陆后的三年。我们分析了飓风登陆前后低体重儿和早产的情况,整体情况以及按种族分类的情况。研究结果支持了灾害与社区健康之间的关联,并表明与飓风来临前相比,受灾地区的孕妇,无论种族如何,都更有可能早产。结果表明,飓风登陆给路易斯安那州带来了负面的健康遗留影响。

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