---
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  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
  _record_number: 18211
  _uuid: 9c789c49-b1dd-4ed8-ac02-5942fb6674de
  reftype: Journal Article
child_publication: /article/pmc-3501144
description: Hurricane Katrina experience and the risk of post-traumatic stress disorder and depression among pregnant women
display_name: Hurricane Katrina experience and the risk of post-traumatic stress disorder and depression among pregnant women
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publications:
  - /report/usgcrp-climate-human-health-assessment-2016/chapter/mental-health-and-well-being/finding/specific-groups-people-higher-risk
  - /report/usgcrp-climate-human-health-assessment-2016/chapter/mental-health-and-well-being
  - /report/usgcrp-climate-human-health-assessment-2016
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