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Impact of Hurricane Exposure on Reproductive Health Outcomes, Florida, 2004

Published online by Cambridge University Press:  17 January 2017

Shannon C. Grabich ,
Whitney R. Robinson ,
Charles E. Konrad  and
Jennifer A. Horney
Shannon C. Grabich*
Affiliation:
Department of Epidemiology, UNC Chapel Hill, Chapel Hill, North Carolina
Whitney R. Robinson
Affiliation:
Department of Epidemiology, UNC Chapel Hill, Chapel Hill, North Carolina
Charles E. Konrad
Affiliation:
Department of Geography, UNC Chapel Hill, Chapel Hill, North Carolina
Jennifer A. Horney
Affiliation:
Department of Epidemiology, UNC Chapel Hill, Chapel Hill, North Carolina Department of Epidemiology and Biostatistics, Texas A&M Health Science Center, College Station, Texas
*
Correspondence and reprint requests to Shannon Colleen Grabich, PhD, UNC Chapel Hill, Department of Epidemiology, 409 Loblolly Dr, Durham, NC 27712 (e-mail: [email protected]).
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Abstract

Objective

Prenatal hurricane exposure may be an increasingly important contributor to poor reproductive health outcomes. In the current literature, mixed associations have been suggested between hurricane exposure and reproductive health outcomes. This may be due, in part, to residual confounding. We assessed the association between hurricane exposure and reproductive health outcomes by using a difference-in-difference analysis technique to control for confounding in a cohort of Florida pregnancies.

Methods

We implemented a difference-in-difference analysis to evaluate hurricane weather and reproductive health outcomes including low birth weight, fetal death, and birth rate. The study population for analysis included all Florida pregnancies conceived before or during the 2003 and 2004 hurricane season. Reproductive health data were extracted from vital statistics records from the Florida Department of Health. In 2004, 4 hurricanes (Charley, Frances, Ivan, and Jeanne) made landfall in rapid succession; whereas in 2003, no hurricanes made landfall in Florida.

Results

Overall models using the difference-in-difference analysis showed no association between exposure to hurricane weather and reproductive health.

Conclusions

The inconsistency of the literature on hurricane exposure and reproductive health may be in part due to biases inherent in pre-post or regression-based county-level comparisons. We found no associations between hurricane exposure and reproductive health. (Disaster Med Public Health Preparedness. 2017;11:407–411)

Keywords

disastersepidemiologic methodshurricanepublic healthvital statistics
Type
Brief Reports
Information
Disaster Medicine and Public Health Preparedness , Volume 11 , Issue 4 , August 2017 , pp. 407 - 411
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2017 

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References

1. Adamo, SB, de Sherbinin, A. The impact of climate change on the spatial distribution of populations and migration. In: Population Distribution, Urbanization, Internal Migration and Development: An International Perspective. http://www.un.org/esa/population/publications/PopDistribUrbanization/PopulationDistributionUrbanization.pdf. Published 2011. Accessed December 22, 2016.Google Scholar
2. Harville, EW, Xiong, X, Smith, BW, et al. Combined effects of Hurricane Katrina and Hurricane Gustav on the mental health of mothers of small children. J Psychiatr Ment Health Nurs. 2011;18(4):288-296. http://dx.doi.org/10.1111/j.1365-2850.2010.01658.x.Google Scholar
3. Xiong, X, Harville, EW, Mattison, DR, et al. Hurricane Katrina experience and the risk of post-traumatic stress disorder and depression among pregnant women. Am J Disaster Med. 2010;5:181-187. http://dx.doi.org/10.5055/ajdm.2010.0020.Google Scholar
4. Hamilton, BE, Sutton, PD, Mathews, TJ, et al. The effect of Hurricane Katrina: births in the U.S. Gulf Coast region, before and after the storm. National Vital Stat Rep. 2009;58(2):1-28, 32. https://www.cdc.gov/nchs/data/nvsr/nvsr58/nvsr58_02.pdf.Google Scholar
5. Savage, J, Giarratano, G, Bustamante-Forest, R, et al. Post-Katrina perinatal mood and the use of alternative therapies. Journal of Holistic Nursing. 2010;28:123-132; quiz 133-125.CrossRefGoogle ScholarPubMed
6. Harville, EW, Tran, T, Xiong, X, et al. Population changes, racial/ethnic disparities, and birth outcomes in Louisiana after Hurricane Katrina. Disaster Med Public Health Prep. 2010;4(suppl 1):S39-S45. http://dx.doi.org/10.1001/dmp.2010.15.CrossRefGoogle ScholarPubMed
7. Zotti, ME, Williams, AM, Robertson, M, et al. Post-disaster reproductive health outcomes. Matern Child Health J. 2013;17(5):783-796. doi: 10.1007/s10995-012-1068-x.CrossRefGoogle ScholarPubMed
8. Badakhsh, R, Harville, E, Banerjee, B. The childbearing experience during a natural disaster. J Obstet Gynecol Neonatal Nurs. 2010;39(4):489-497. doi: 10.1111/j.1552-6909.2010.01160.x.Google Scholar
9. Cohan, CL, Cole, SW. Life course transitions and natural disaster: marriage, birth, and divorce following Hurricane Hugo. J Fam Psychol. 2002;16(1):14-25.CrossRefGoogle ScholarPubMed
10. Harville, E, Xiong, X, Buekens, P. Disasters and perinatal health: a systematic review. Obstet Gynecol Surv. 2010;65(11):713-728. http://dx.doi.org/10.1097/OGX.0b013e31820eddbe.CrossRefGoogle ScholarPubMed
11. Grabich, SC, Robinson, WR, Engel, SM, et al. County-level hurricane exposure and birth rates: application of difference-in-differences analysis for confounding control. Emerg Themes Epidemiol.. 2015;12(1):19. http://dx.doi.org/10.1186/s12982-015-0042-7.Google Scholar
12. Grabich, S, Horney, J, Konrad, C, et al. Measuring the storm: methods of quantifying hurricane exposure with pregnancy outcomes. Nat Hazards Rev. 2015;17(1):06015002.Google Scholar
13. Kowaleski, J. State Definitions and Reporting Requirements for Live Births, Fetal Deaths, and Induced Terminations of Pregnancy (1997 Revision). Hyattsville, MD: National Center for Health Statistics; 1997.Google Scholar
14. Wier, ML, Pearl, M, Kharrazi, M. Gestational age estimation on United States livebirth certificates: a historical overview. Paediatr Perinat Epidemiol. 2007;21(suppl 2):4-12. http://dx.doi.org/10.1111/j.1365-3016.2007.00856.x.CrossRefGoogle ScholarPubMed
15. Allison, PD. Fixed Effects Regression Models. Los Angeles, CA: Sage; 2009. http://dx.doi.org/10.4135/9781412993869.Google Scholar
16. Schneeweiss, S, Stürmer, T, Maclure, M. Case–crossover and case–time–control designs as alternatives in pharmacoepidemiologic research. Pharmacoepidemiol Drug Saf. 1997;6(S3):S51-S59. http://dx.doi.org/10.1002/(SICI)1099-1557(199710)6:3+<S51::AID-PDS301>3.3.CO;2-J.3.0.CO;2-S>CrossRefGoogle ScholarPubMed
17. Suissa, S. The case-time-control design. Epidemiology . 1995;6(3):248-253. http://dx.doi.org/10.1097/00001648-199505000-00010.Google Scholar
18. Currie, J, Rossin-Slater, M. Weathering the storm: hurricanes and birth outcomes. J Health Econ. 2013;32(3):487-503. http://dx.doi.org/10.1016/j.jhealeco.2013.01.004.CrossRefGoogle ScholarPubMed
19. Janerich, DT, Stark, AD, Greenwald, P, et al. Increased leukemia, lymphoma, and spontaneous abortion in Western New York following a flood disaster. Public Health Rep. 1981;96(4):350-356.Google Scholar
20. Zahran, S, Breunig, IM, Link, BG, et al. Maternal exposure to hurricane destruction and fetal mortality. J Epidemiol Community Health. 2014;68:760-766. http://dx.doi.org/10.1136/jech-2014-203807.Google Scholar