{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T14:23:18Z","timestamp":1785421398752,"version":"3.56.0"},"reference-count":8,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2025,11,4]],"date-time":"2025-11-04T00:00:00Z","timestamp":1762214400000},"content-version":"unspecified","delay-in-days":307,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Disaster med. public health prep."],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1935789325102346_sec14\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Despite growing research on disaster-related health impacts, pregnant individuals remain understudied. This study explores the sociodemographic characteristics of pregnant women affected by Hurricane Harvey.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789325102346_sec15\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional analysis of 4,951 pregnant individuals (511 directly impacted) was conducted to identify predictors of disrupted healthcare, financial loss, and mental health outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789325102346_sec16\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Social and structural vulnerabilities significantly influenced disaster impact. Pregnant individuals who were foreign-born racial\/ethnic minorities (16.7% non-Latinx Black, 10.2% Latinx vs. 8.3% non-Latinx White), low-income (13.0% vs. 8.0%), less educated (12.5% vs. 7.6%), reliant on public healthcare (81% vs. 33.5%), or with limited maternity care access (11.4% vs. 54.8%) were disproportionately affected (all p &lt; 0.001). Conversely, post-disaster anxiety was more common among U.S.-born (14.8% vs. 8.0%), college-educated (19.0% vs. 9.8%), and higher-income individuals (21.2% vs. 7.9%) (all p &lt; 0.01).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789325102346_sec17\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Disadvantaged pregnant populations face greater disruption during disasters, while those with fewer vulnerabilities may experience more prolonged anxiety.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/dmp.2025.10234","type":"journal-article","created":{"date-parts":[[2025,11,4]],"date-time":"2025-11-04T08:01:26Z","timestamp":1762243286000},"source":"Crossref","is-referenced-by-count":0,"title":["Social Vulnerability and Perinatal Risk: Demographic Determinants of the Impact of a Natural Disaster on Pregnant Women"],"prefix":"10.1017","volume":"19","author":[{"given":"Cynthia D.","family":"Shope","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02pttbw34","id-type":"ROR","asserted-by":"publisher"}],"name":"Baylor College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy E.","family":"Lucas","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01t817z14","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Houston Clear Lake"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen M.","family":"Cherry","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01t817z14","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Houston Clear Lake"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kjersti M.","family":"Aagaard","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02pttbw34","id-type":"ROR","asserted-by":"publisher"}],"name":"Baylor College of Medicine"},{"id":[{"id":"https:\/\/ror.org\/02pttbw34","id-type":"ROR","asserted-by":"publisher"}],"name":"Baylor College of Medicine"},{"id":[{"id":"https:\/\/ror.org\/0237c2m81","id-type":"ROR","asserted-by":"publisher"}],"name":"HCA Healthcare and HCA Research Institute"},{"id":[{"id":"https:\/\/ror.org\/00dvg7y05","id-type":"ROR","asserted-by":"publisher"}],"name":"Boston Children\u2019s Hospital, Harvard Medical School"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa A.","family":"Suter","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02pttbw34","id-type":"ROR","asserted-by":"publisher"}],"name":"Baylor College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2025,11,4]]},"reference":[{"key":"S1935789325102346_r3","first-page":"e37031","article-title":"Mental health disorders due to disaster exposure: a systematic review and meta-analysis","volume":"15","author":"Keya","year":"2023","journal-title":"Cureus. Apr"},{"key":"S1935789325102346_r2","doi-asserted-by":"publisher","DOI":"10.1289\/EHP12158"},{"key":"S1935789325102346_r5","doi-asserted-by":"publisher","DOI":"10.1073\/pnas.2401331121"},{"key":"S1935789325102346_r4","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-031-28986-6"},{"key":"S1935789325102346_r6","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2024.0251"},{"key":"S1935789325102346_r7","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000003522"},{"key":"S1935789325102346_r8","doi-asserted-by":"publisher","DOI":"10.1038\/jp.2016.130"},{"key":"S1935789325102346_r1","doi-asserted-by":"publisher","DOI":"10.1007\/s10584-020-02692-8"}],"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\/S1935789325102346","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,4]],"date-time":"2025-11-04T08:01:27Z","timestamp":1762243287000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1935789325102346\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":8,"alternative-id":["S1935789325102346"],"URL":"https:\/\/doi.org\/10.1017\/dmp.2025.10234","relation":{},"ISSN":["1935-7893","1938-744X"],"issn-type":[{"value":"1935-7893","type":"print"},{"value":"1938-744X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025]]},"article-number":"e309"}}