Evidence map›Paper›PMID 34336567›Full record

ArticleInternational journal of disaster risk reduction : IJDRR2021

Assessing the effects of disasters and their aftermath on pregnancy and infant outcomes: A conceptual model.

Emily W Harville, Leslie Beitsch, Christopher K Uejio, Samendra Sherchan, Maureen Y Lichtveld

Open access · greenAbstract read
In one paragraph

Article in International journal of disaster risk reduction : IJDRR, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
4.1field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 42 citations in OpenAlex.

  1. Pooled it
  2. Climate Change-Related Environmental Exposures and Perinatal and Maternal Health Outcomes in the U.S.International journal of environmental research and public health · 2023
    Pooled it
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  13. The effects of an earthquake experienced during pregnancy and perinatal outcomes.Revista da Associacao Medica Brasileira (1992) · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Emily W HarvilleDepartment of Epidemiology, Tulane School of Public Health and Tropical Medicine, New Orleans, LA.
Leslie BeitschDepartment of Behavioral Sciences and Social Medicine, College of Medicine, Florida State University, Tallahassee, FL.
Christopher K UejioDepartment of Geography, College of Social Sciences and Public Policy, Florida State University, Tallahassee, FL.
Samendra SherchanDepartment of Environmental Health Sciences, Tulane School of Public Health and Tropical Medicine, New Orleans, LA.
Maureen Y LichtveldProfessor and Chair, Department of Environmental Health Sciences, Tulane School of Public Health and Tropical Medicine, New Orleans, LA; Currently Dean and professor, Department of Environmental and Occupational Health, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA.
Tulane University · USFlorida State University · US

Funding

Environmental influences on pregnancy outcomes after Hurricane MichaelR21ES031020 · NIEHS · TULANE UNIVERSITY OF LOUISIANA · PI HARVILLE, EMILY WHEELER, LICHTVELD, MAUREEN Y. · 2019 to 2020
$433k
NIEHS NIH HHS R21 ES031020
6 · The paper itself

Abstract

Although many studies have examined broad patterns of effects on pregnancy and infant outcomes after disasters, the causes of adverse outcomes are not always clear. Disasters cause interrelated exposure to environmental pollutants, psychological stressors, and lack of health care, and interacts with other social determinants of health. This topical review examines the short- and long-term effects of disasters on pregnancy and how they are mediated by social, behavioral, and environmental effects. In the short term, disasters are associated with physical trauma, adverse environmental exposures, and unstable housing. In the longer term, disasters may lead to relocation, changes in family functioning, and negative economic effects. These aspects of disaster exposure, in turn, lead to lack of access to health care, increased stress and negative mental health outcomes, and negative behavioral changes, including smoking and substance use, poor nutrition, physical overexertion and limited activity, and reduction in breastfeeding. All of these factors interact with social determinants of health to worsen effects on the most vulnerable women, infants, and communities. Few interventions after disasters have been tested. With the increase in disasters due to climate change and the ongoing coronavirus pandemic, the models of effects of disasters and their human health consequences need increasing refinement, and, more importantly, should be applied to interventions that improve disaster prevention, mitigation, and response.

Indexed as

birthweightdisasterenvironmentpregnancytropical cyclones

Identifiers

PMID34336567
PMCPMC8318346
OpenAlexW3175291985

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.