{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T22:24:46Z","timestamp":1780439086547,"version":"3.54.1"},"reference-count":35,"publisher":"Cambridge University Press (CUP)","issue":"S1","license":[{"start":{"date-parts":[[2013,4,8]],"date-time":"2013-04-08T00:00:00Z","timestamp":1365379200000},"content-version":"unspecified","delay-in-days":950,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Disaster med. public health prep."],"published-print":{"date-parts":[[2010,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p><jats:bold>Objective:<\/jats:bold> To examine how the demographic and other population changes affected birth and obstetric outcomes in Louisiana, and the effect of the hurricane on racial disparities in these outcomes.<\/jats:p><jats:p><jats:bold>Methods:<\/jats:bold> Vital statistics data were used to compare the incidence of low birth weight (LBW) (&lt;2500 g), preterm birth (PTB) (37 weeks' gestation), cesarean section, and inadequate prenatal care (as measured by the Kotelchuck index), in the 2 years after Katrina compared to the 2 years before, for the state as a whole, region 1 (the area around New Orleans), and Orleans Parish (New Orleans). Logistic models were used to adjust for covariates.<\/jats:p><jats:p><jats:bold>Results:<\/jats:bold> After adjustment, rates of LBW rose for the state, but preterm birth did not. In region 1 and Orleans Parish, rates of LBW and PTB remained constant or fell. These patterns were all strongest in African American women. Rates of cesarean section and inadequate prenatal care rose. Racial disparities in birth outcomes remained constant or were reduced.<\/jats:p><jats:p><jats:bold>Conclusions:<\/jats:bold> Although risk of LBW\/PTB remained higher in African Americans, the storm does not appear to have exacerbated health disparities, nor did population shifts explain the changes in birth and obstetric outcomes.<\/jats:p><jats:p>(<jats:italic>Disaster Med Public Health Preparedness<\/jats:italic>. 2010;4:S39-S45)<\/jats:p>","DOI":"10.1001\/dmp.2010.15","type":"journal-article","created":{"date-parts":[[2010,9,17]],"date-time":"2010-09-17T19:18:36Z","timestamp":1284751116000},"page":"S39-S45","source":"Crossref","is-referenced-by-count":38,"title":["Population Changes, Racial\/Ethnic Disparities, and Birth Outcomes in Louisiana After Hurricane Katrina"],"prefix":"10.1017","volume":"4","author":[{"given":"Emily W.","family":"Harville","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tri","family":"Tran","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xu","family":"Xiong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierre","family":"Buekens","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2013,4,8]]},"reference":[{"key":"S1935789300003062_ref031","doi-asserted-by":"publisher","DOI":"10.1097\/GRF.0b013e31816f2709"},{"key":"S1935789300003062_ref020","first-page":"1","article-title":"The effect of Hurricane Katrina: births in the U.S. Gulf Coast region, before and after the storm.","volume":"58","author":"Hamilton","year":"2009","journal-title":"Natl Vital Stat Rep."},{"key":"S1935789300003062_ref019","article-title":"Louisiana wins in bid for money for hospital.","author":"Sack","journal-title":"New York Times."},{"key":"S1935789300003062_ref024","unstructured":"US Census Bureau. Annual estimates of resident population change for the United States, States, and Puerto Rico and state rankings: April 1, 2000 to July 1, 2009. http:\/\/www.census.gov\/popest\/states\/files\/NST-EST2009-popchg2000-2009.csv. Accessed July 21, 2010."},{"key":"S1935789300003062_ref035","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-3016.2004.00580.x"},{"key":"S1935789300003062_ref006","doi-asserted-by":"publisher","DOI":"10.1111\/j.0730-7659.2006.00084.x"},{"key":"S1935789300003062_ref021","article-title":"A Method of Imputing Length of Gestation on Birth Certificates.","author":"Taffel","journal-title":"Vol 2. 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Accessed August 19, 2010."},{"key":"S1935789300003062_ref003","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2009.174854"},{"key":"S1935789300003062_ref004","doi-asserted-by":"publisher","DOI":"10.2337\/dc09-0670"},{"key":"S1935789300003062_ref007","first-page":"1","article-title":"Births: final data for 2005.","volume":"56","author":"Martin","year":"2007","journal-title":"Natl Vital Stat Rep."},{"key":"S1935789300003062_ref015","doi-asserted-by":"publisher","DOI":"10.1016\/0895-4356(92)90149-H"},{"key":"S1935789300003062_ref008","article-title":"Stress and preterm delivery: a conceptual framework.","author":"Hogue","journal-title":"Paediatr Perinat Epidemiol."},{"key":"S1935789300003062_ref009","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1999.tb08406.x"},{"key":"S1935789300003062_ref011","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.109.3.384"},{"key":"S1935789300003062_ref012","doi-asserted-by":"publisher","DOI":"10.1521\/psyc.65.3.240.20169"},{"key":"S1935789300003062_ref013","doi-asserted-by":"publisher","DOI":"10.1521\/psyc.65.3.207.20173"},{"key":"S1935789300003062_ref014","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.94.8.1358"},{"key":"S1935789300003062_ref017","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.129.2.270"},{"key":"S1935789300003062_ref018","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.84.3.473"},{"key":"S1935789300003062_ref022","article-title":"Adequacy of Prenatal Care Utilization Index.","author":"Kotelchuck","journal-title":"SAS Institute."},{"key":"S1935789300003062_ref023","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.84.9.1414"},{"key":"S1935789300003062_ref033","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-3016.2009.01087.x"},{"key":"S1935789300003062_ref026","doi-asserted-by":"publisher","DOI":"10.1097\/00001648-199607000-00006"},{"key":"S1935789300003062_ref027","article-title":"Health care for Katrina victims.","journal-title":"New York Times."},{"key":"S1935789300003062_ref029","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-9-252"},{"key":"S1935789300003062_ref030","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3999(95)00018-6"},{"key":"S1935789300003062_ref032","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2007.02.026"},{"key":"S1935789300003062_ref034","doi-asserted-by":"publisher","DOI":"10.1016\/j.annepidem.2007.01.035"},{"key":"S1935789300003062_ref010","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2005.01.072"}],"container-title":["Disaster Medicine and Public Health Preparedness"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1935789300003062","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,27]],"date-time":"2019-04-27T21:34:55Z","timestamp":1556400895000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1935789300003062\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,9]]},"references-count":35,"journal-issue":{"issue":"S1","published-print":{"date-parts":[[2010,9]]}},"alternative-id":["S1935789300003062"],"URL":"https:\/\/doi.org\/10.1001\/dmp.2010.15","relation":{},"ISSN":["1935-7893","1938-744X"],"issn-type":[{"value":"1935-7893","type":"print"},{"value":"1938-744X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,9]]}}}