ArticlePLOS mental health2024
Examining recurrent hurricane exposure and psychiatric morbidity in Medicaid-insured pregnant populations.
Article in PLOS mental health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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.
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.
Who cites it
2 citing papers in PubMed.
- Pediatric Health at the Crossroads of Climate Change, Food Insecurity, and Malnutrition.Advances in nutrition (Bethesda, Md.) · 2026Review
- Rebuilding Maternal Health Access in Western North Carolina: Addressing Critical Gaps Amplified by Hurricane Helene.North Carolina medical journal · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The wide-ranging mental health consequences of a major hurricane have been widely documented, but important gaps remain in understanding the mental health burden of recurrent exposure to multiple hurricanes. The objective of this study was to examine the mental health burden in at-risk pregnant populations recurrently exposed to major hurricanes Matthew (2016), Florence (2018), Michael (2018), and Dorian (2019). Daily emergency department (ED) admissions were obtained on pregnant Medicaid beneficiaries for incident maternal disorders of pregnancy (MDP), perinatal mood and anxiety disorders (PMAD), severe mental illness (SMI), and substance use (SUD). County-level hurricane exposure was derived from a novel meteorologic-based Hurricane Insurance Protection- Wind Index (HIP-WI) metric. A difference-in-difference analysis assessed county-level changes in ED-related visits for psychiatric morbidity in pregnant populations following single hurricane events and a marginal Generalized Estimating Equation model assessed the cumulative impact of recurrent county-level hurricane exposure. A total of 258,157 (59.0%) pregnant cases were exposed to no storms, 113,157 (25.8%) were exposed to one storm, and 66,407 (15.2%) were exposed to two or more storms. Results showed higher risks for MDP after Matthew (RR: 1.83, 95%CI: 1.53, 2.18) and after Florence (RR: 1.09, 95%CI: 0.99, 1.19); higher risk of SMI (RR: 1.46, 95%CI: 1.11, 1.91) and PMAD (RR: 1.52, 95%CI: 1.32, 1.74) after Matthew. Compared to no storm exposure, exposure to two or more storms was associated with a higher risk of MDP (RR: 1.58, 95% CI [1.47,1.63]); PMAD (RR: 1.51, 95% CI [1.44, 1.59]); and SMI (RR: 1.34, 95% CI [1.23, 1.47]). Access to maternity care services, urbanity, and economic and residential segregation were important effect modifiers. Our population-based ecological study demonstrated that cumulative hurricane exposure confers an increased risk for psychological morbidity in pregnant Medicaid beneficiaries, particularly for mood and anxiety disorders, incident mental disorders, and severe mental illness for a Southern state outside of the U.S. Gulf Coast.
Identifiers
What OpenQuestion holds
Registered trials
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.