Evidence map›Paper›PMID 36781693›Full record

ArticleMaternal and child health journal2023

Hurricane Michael and Adverse Social and Mental Health Risk Factors.

E W Harville, K Pan, L Beitsch, C K Uejio, M Lichtveld, S Sherchan, C Timuta

Open access · greenAbstract read
In one paragraph

Article in Maternal and child health journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact, top 98% 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 0 citations in OpenAlex.

  1. Pooled it
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

7 authors at 4 institutions in 1 country.

E W HarvilleDepartment of Epidemiology, Tulane University School of Public Health and Tropical Medicine, 1440 Canal St. #8318, 70112, New Orleans, LA, USA. harville@tulane.edu.
K PanDepartment of Epidemiology, Tulane University School of Public Health and Tropical Medicine, 1440 Canal St. #8318, 70112, New Orleans, LA, USA.
L BeitschDepartment of Behavioral Sciences and Social Medicine, College of Medicine, Florida State University, Tallahassee, FL, USA.
C K UejioDepartment of Geography, College of Social Sciences and Public Policy, Florida State University, Tallahassee, FL, USA.
M LichtveldDepartment of Environmental Health Sciences, Tulane School of Public Health and Tropical Medicine, New Orleans, LA, USA.
S SherchanDepartment of Environmental Health Sciences, Tulane School of Public Health and Tropical Medicine, New Orleans, LA, USA.
C TimutaFlorida Association of Healthy Start Associations, Tallahassee, FL, USA.
Tulane University · USFlorida State University · USHealthy Start · USUniversity of Pittsburgh · 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 ES031020NIEHS NIH HHS R21ES031020
6 · The paper itself

Abstract

objectivesTo assess changes in mental health and social risk factors in pregnant women in counties affected by Hurricane Michael (October 2018).

methodsData from the Universal Perinatal Risk Screen (UPRS) and vital statistics for the state of Florida were obtained. Prenatal risk factors (unplanned pregnancy, mental health services, high stress, use of tobacco or alcohol, young children at home or with special needs, trouble paying bills) were compared in the year before and year after Hurricane Michael in affected counties (n = 18,887). Log-Poisson regression with robust variance was used for binary outcomes, adjusting for maternal age, race, BMI, and education.

resultsA smaller proportion of pregnant women were screened in the months after the hurricane. No changes were seen in overall scores. The proportion referred was lower in the 1 month after Michael compared to that in 1 month before Michael (RR 0.78, 95% CI = 0.71, 0.86), but greater in the year after (RR = 1.07, 95% CI: 1.04, 1.10). Most individual risk factors on the screener did not change significantly, except having an illness that required ongoing medical care was less common in the short term (3 months after vs. 3 months before: aRR = 0.76, 95% CI: 0.66, 0.87), and more common in the longer term (1 year after vs. 1 year before, aRR = 1.09, 95% CI: 1.02, 1.18). Birth certificate data suggested smoking during pregnancy was higher among women who experienced Michael during their pregnancies (aRR = 1.15, 95% CI: 1.01, 1.32). DISCUSSION: Perinatal screening and referral declined in the short-term aftermath of Hurricane Michael.

Indexed as

Cyclonic StormsMental HealthChildChild, PreschoolFemaleFloridaHumansMaternal AgePregnancyRisk FactorsDisastersHurricanesMental healthPregnancySmoking

Identifiers

PMID36781693
PMCPMC12767601
OpenAlexW4320481596

What OpenQuestion holds

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Registered trials

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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.