Healthy start: description of a safety net for perinatal support during disaster recovery.
Healthy start: description of a safety net for perinatal support during disaster recovery.
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DOI：
10.1007/s10995-014-1579-8
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发表时间：
2015-04
影响因子：
2.3
通讯作者：
Parent, Charlotte M.
中科院分区：
文献类型：
--
作者：
Giarratano, Gloria;Harville, Emily W.;de Mendoza, Veronica Barcelona;Savage, Jane;Parent, Charlotte M.
公共资助的计划和安全网组织在灾后恢复过程中发挥着关键作用，以照顾弱势群体，包括资源匮乏的孕妇。本研究的目的是比较参加新奥尔良健康启动计划的产前妇女与在卡特里娜飓风灾难的长期恢复期间仅使用传统产前护理 (PNC) 的妇女的健康状况。 2010 年至 2012 年期间，这项描述性横断面研究从产前诊所和课程招募了 402 名产前妇女（24-40 周）。所有女性均参加了 PNC，其中 282 名女性仅经历了传统 PNC，而 120 名女性则在她们通常的 PNC 中添加了“健康开始”参与。采取措施来确定过去的飓风经历、飓风恢复、对产前护理的看法、心理健康和出生结果。与传统 PNC 中的女性（抑郁症 29%；创伤后应激障碍 6.1%）相比，参加健康起点新奥尔良的女性在社会上“面临更大的风险”（更年轻、收入更低、不与伴侣同住、非裔美国人），经历过更多的飓风创伤，并且抑郁症 (40%) 和创伤后应激障碍 (PTSD) 的发病率更高 (15%)。使用 Healthy Start 的女性比仅使用传统 PNC 的女性报告了更多的心理健康咨询和产前教育。两组的出生结果相似。灾后资源较少、心理健康问题较多的“健康起点”参与者代表了需要额外支持的弱势群体。这项研究强调了社区和政府项目制定灾害应对计划的必要性，以满足弱势群体在长期恢复过程中的需求。
Publicly funded programs and safety net organizations have key roles during post disaster recovery to care for vulnerable populations, including pregnant women with low resources. The objective of this study was to compare the health of prenatal women who accessed the New Orleans Healthy Start program to those women who only used traditional prenatal care (PNC) during long-term recovery from the Hurricane Katrina disaster. During 2010-2012, this descriptive, cross-sectional study recruited 402 prenatal women (24-40 weeks) from prenatal clinics and classes. All women were enrolled in PNC, with 282 experiencing only traditional PNC, while 120 women added Healthy Start participation to their usual PNC. Measures were obtained to determine, past hurricane experience, hurricane recovery, perceptions of prenatal care, mental health, and birth outcomes. Women accessing Healthy Start-New Orleans were more socially “at risk” (younger, lower income, not living with a partner, African American), lived through more hurricane trauma, and had a higher incidence of depression (40%) and PTSD (15%) than women in traditional PNC (29% depression; 6.1 % PTSD). Women using Healthy Start reported more mental health counseling and prenatal education than did women in only traditional PNC. Birth outcomes were similar in the two groups. The Healthy Start participants with less resources and more mental health difficulties after disaster, represented a more vulnerable population in need of additional support. This study underscores the necessity for community and governmental programs to develop disaster response plans that address needs of vulnerable populations during prolonged recovery.
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影响因子：
5
作者：
COHEN, S;KAMARCK, T;MERMELSTEIN, R
通讯作者：
MERMELSTEIN, R
影响因子：
3.3
作者：
Class QA;Lichtenstein P;Långström N;D'Onofrio BM
通讯作者：
D'Onofrio BM
影响因子：
6.6
作者：
Matthey, S
通讯作者：
Matthey, S
影响因子：
7.5
作者：
Adams, Richard E.;Guey, Lin T.;Bromet, Evelyn J.
通讯作者：
Bromet, Evelyn J.
影响因子：
2.1
作者：
Issel, LM;Anderson, RA;Kane, DJ
通讯作者：
Kane, DJ