reference : Hurricane Katrina experience and the risk of post-traumatic stress disorder and depression among pregnant women

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Bibliographic fields
reftype Journal Article
Abstract OBJECTIVE: Little is known about the effects of disaster exposure and intensity on the development of mental disorders among pregnant women. The aim of this study was to examine the effect of exposure to Hurricane Katrina on mental health in pregnant women. DESIGN: Prospective cohort epidemiological study. SETTING: Tertiary hospitals in New Orleans and Baton Rouge, U.S.A. PARTICIPANTS: Women who were pregnant during Hurricane Katrina or became pregnant immediately after the hurricane. MAIN OUTCOME MEASURES: Post-traumatic stress disorder (PTSD) and depression. RESULTS: The frequency of PTSD was higher in women with high hurricane exposure (13.8 percent) than women without high hurricane exposure (1.3 percent), with an adjusted odds ratio (aOR) of 16.8 (95% confidence interval: 2.6-106.6) after adjustment for maternal race, age, education, smoking and alcohol use, family income, parity, and other confounders. The frequency of depression was higher in women with high hurricane exposure (32.3 percent) than women without high hurricane exposure (12.3 percent), with an aOR of 3.3 (1.6-7.1). Moreover, the risk of PTSD and depression increased with an increasing number of severe experiences of the hurricane. CONCLUSIONS: Pregnant women who had severe hurricane experiences were at a significantly increased risk for PTSD and depression. This information should be useful for screening pregnant women who are at higher risk of developing mental disorders after a disaster.
Author Xiong, X.; Harville, E. W.; Mattison, D. R.; Elkind-Hirsch, K.; Pridjian, G.; Buekens, P.
Date May-Jun
ISSN 1932-149X
Issue 3
Journal American Journal of Disaster Medicine
Keywords Adolescent; Adult; Chi-Square Distribution; *Cyclonic Storms; Depression/*epidemiology; Female; Humans; Logistic Models; Louisiana/epidemiology; Pregnancy; Pregnant Women/*psychology; Prospective Studies; Risk Factors; Stress Disorders, Post-Traumatic/*epidemiology
Language eng
Notes Xiong, Xu Harville, Emily W Mattison, Donald R Elkind-Hirsch, Karen Pridjian, Gabriella Buekens, Pierre 3U01HD040477-0552/HD/NICHD NIH HHS/United States U01 HD040477/HD/NICHD NIH HHS/United States Journal Article Research Support, N.I.H., Extramural United States Am J Disaster Med. 2010 May-Jun;5(3):181-7.
PMC 3501144
Pages 181-187
Title Hurricane Katrina experience and the risk of post-traumatic stress disorder and depression among pregnant women
URL http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3501144
Volume 5
Year 2010
Bibliographic identifiers
.reference_type 0
_record_number 18211
_uuid 9c789c49-b1dd-4ed8-ac02-5942fb6674de