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Maternal Hurricane Exposure and Fetal Distress Risk

机译:孕产妇飓风暴露和胎儿窘迫风险

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摘要

Logistic regression and spatial analytic techniques are used to model fetal distress risk as a function of maternal exposure to Hurricane Andrew. First, monthly time series compare the proportion of infants born distressed in hurricane affected and unaffected areas. Second, resident births are analyzed in Miami-Dade and Broward counties, before, during, and after Hurricane Andrew. Third, resident births are analyzed in all Florida locales with 100,000 or more persons, comparing exposed and unexposed gravid females. Fourth, resident births are analyzed along Hurricane Andrew's path from southern Florida to northeast Mississippi. Results show that fetal distress risk increases significantly with maternal exposure to Hurricane Andrew in second and third trimesters, adjusting for known risk factors. Distress risk also correlates with the destructive path of Hurricane Andrew, with higher incidences of fetal distress found in areas of highest exposure intensity. Hurricane exposed African-American mothers were more likely to birth distressed infants. The policy implications of in utero costs of natural disaster exposure are discussed.
机译:逻辑回归和空间分析技术被用来模拟胎儿窘迫风险作为孕产妇暴露于安德鲁飓风的函数。首先,每月的时间序列比较受飓风影响和不受影响的地区苦难的婴儿所占的比例。其次,在迈阿密-戴德县和布劳沃德县,在安德鲁飓风之前,之中和之后分析居民出生情况。第三,对佛罗里达州所有100,000名或以上人口的居民出生进行分析,比较暴露和未暴露的妊娠女性。第四,沿着安德鲁飓风从佛罗里达州南部到密西西比州东北的路径分析居民出生情况。结果表明,在已知的危险因素进行调整后,随着孕产妇在孕中期和中期暴露于安德鲁飓风,胎儿窘迫风险显着增加。遇险风险还与安德鲁飓风的破坏路径有关,在最高暴露强度地区发现的遇险事件发生率较高。遭受飓风袭击的非裔美国人母亲更容易生出难产的婴儿。讨论了自然灾害暴露于子宫内的政策含义。

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  • 来源
    《Risk analysis》 |2010年第10期|p.1590-1601|共12页
  • 作者单位

    Center for Disaster and Risk Analysis, School of Global Environmental Sustainability, Colorado State University, B-235 Clark Building, Fort Collins, CO 80523-1784, USA;

    rnDepartment of Anthropology, Colorado State University, Fort Collins, CO, USA;

    rnCenter for Disaster and Risk Analysis, Department of Sociology, Colorado State University, Fort Collins, CO, USA;

    rnDepartment of Economics, Colorado State University, Fort Collins, CO, USA;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

    fetal distress; hurricane andrew; maternal exposure; natural experiment;

    机译:胎儿窘迫安德鲁飓风孕产妇接触;自然实验;

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