The immediate and lasting impact of Hurricane Sandy on pregnancy complications in eight affected counties of New York State.
The immediate and lasting impact of Hurricane Sandy on pregnancy complications in eight affected counties of New York State.
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DOI：
10.1016/j.scitotenv.2019.04.436
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发表时间：
2019-08
期刊：
影响因子：
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通讯作者：
Jianpeng Xiao;Miaoling Huang;Wangjian Zhang;A. Rosenblum;Wenjun Ma;Xiaojing Meng;Shao Lin
中科院分区：
文献类型：
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作者：
Jianpeng Xiao;Miaoling Huang;Wangjian Zhang;A. Rosenblum;Wenjun Ma;Xiaojing Meng;Shao Lin
背景飓风的频率和强度大大增加。然而，飓风暴露是否与妊娠并发症的风险增加有关是鲜为人知的。目的评估飓风桑迪（桑迪）对妊娠并发症的直接影响和持久影响MethodsUsing时间序列研究，我们估计的相对风险（RR）的急诊科（艾德）访问妊娠并发症在8个受影响的县在纽约州，基于2005-2014年的数据。通过比较桑迪期间与非桑迪期间的妊娠并发症的艾德访视，估计直接影响。对于持久的影响，桑迪，我们估计的RR通过对比艾德访问在接下来的12个月后，桑迪与其他years.ResultsWe发现，艾德访问整体妊娠并发症增加6.3%（95%置信区间（CI）：2.2%，10.5%）在桑迪月。先兆流产的艾德就诊增加（9.9%，95% CI：4.4%，15.7%），先兆分娩（10.1%，95% CI：1.9%，18.9%），早发分娩（115.9%，95% CI：6.9%，336.3%）、肾脏疾病（73.2%，95% CI：0.3%，199.4%）和糖尿病（42.3%，95% CI：15.0%，76.0%）。桑迪后7-8个月，高血压和肾脏疾病增加。桑迪过后，精神疾病的艾德就诊人数逐渐增加，在8个月后达到峰值，就诊人数增加了33.2%。
BackgroundThe frequency and intensity of hurricane have increased greatly. However, whether hurricane exposure is associated with an increased risk of pregnancy complications is less known.ObjectiveTo assess the immediate impact and lasting impact of Hurricane Sandy (Sandy) on pregnancy complications.MethodsUsing time-series study, we estimated the relative risks (RRs) of emergency department (ED) visits for pregnancy complications in eight affected counties in New York State, based on data of 2005–2014. The immediate impact was estimated by comparing the ED visits of pregnancy complications during the Sandy period to the non-Sandy periods. For the lasting impact of Sandy, we estimated the RRs by contrasting the ED visits in the following 12 months after Sandy with the same months of other years.ResultsWe found that ED visits for overall pregnancy complications increased 6.3% (95% confidence interval (CI): 2.2%, 10.5%) during the Sandy month. ED visits increased for threatened abortion (9.9%, 95% CI: 4.4%, 15.7%), threatened labor (10.1%, 95% CI: 1.9%, 18.9%), early onset of delivery (115.9%, 95% CI: 6.9%, 336.3%), renal disease (73.2%, 95% CI: 0.3%, 199.4%), and diabetes (42.3%, 95% CI: 15.0%, 76.0%). Gestational hypertension and renal disease were elevated 7–8 months after Sandy. The ED visits of mental illness increased gradually after Sandy and peaked eight months later with visits increasing 33.2%.ConclusionsThis study suggests that hurricanes may impact pregnancy health immediately and that some negative health may last for months thereafter.