Hurricane Charley Exposure and Hazard of Preterm Delivery, Florida 2004
Hurricane Charley Exposure and Hazard of Preterm Delivery, Florida 2004
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DOI：
10.1007/s10995-016-2069-y
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发表时间：
2016-12-01
影响因子：
2.3
通讯作者：
Horney, Jennifer A.
中科院分区：
文献类型：
--
作者：
Grabich, Shannon C.;Robinson, Whitney R.;Horney, Jennifer A.
目的飓风是一种强热带风暴系统，具有强烈的风力，对人体健康有多种影响。很少有研究调查飓风暴露是否与早产有关。我们的目的是估计产妇飓风暴露和早产的危险之间的关联。方法我们使用2004-2005年佛罗里达人口统计记录中342,942例单胎分娩的数据，以捕获2004年飓风季节期间有分娩风险的妊娠。根据母亲居住县的最大风速分配母亲对飓风查利的暴露。我们估计总体早产的危险（≥ 74 mph）与21%（95%CI 6，38%）的增加相关。与非西班牙裔白色母亲相比，西班牙裔母亲的相关性更大。飓风暴露似乎与总体早产风险无关。遭受多场飓风的危害似乎并不比遭受一场飓风的危害更大。结论飓风暴露可增加极早产的危险性。随着美国沿海人口和飓风严重程度的增加，飓风和早产之间的关联应进一步研究。
Objective Hurricanes are powerful tropical storm systems with high winds which influence many health effects. Few studies have examined whether hurricane exposure is associated with preterm delivery. We aimed to estimate associations between maternal hurricane exposure and hazard of preterm delivery. Methods We used data on 342,942 singleton births from Florida Vital Statistics Records 2004-2005 to capture pregnancies at risk of delivery during the 2004 hurricane season. Maternal exposure to Hurricane Charley was assigned based on maximum wind speed in maternal county of residence. We estimated hazards of overall preterm delivery (= 74 mph was associated with a 21 % (95 % CI 6, 38 %) increase. Associations appeared greater for Hispanic mothers compared to non-Hispanic white mothers. Hurricane exposure did not appear to be associated with hazard of overall preterm delivery. Exposure to multiple hurricanes did not appear more harmful than exposure to a single hurricane. Conclusions Hurricane exposure may increase hazard of extremely preterm delivery. As US coastal populations and hurricane severity increase, the associations between hurricane and preterm delivery should be further studied.