{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T06:47:32Z","timestamp":1791787652441,"version":"4.3.4"},"reference-count":43,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T00:00:00Z","timestamp":1774915200000},"content-version":"unspecified","delay-in-days":89,"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":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1935789326103437_sec1\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Natural disasters may worsen cancer outcomes through treatment delays, screening interruptions, or fragmented health care delivery. We investigated whether climate-related natural disasters were associated with changes in county-level prostate-specific antigen (PSA) screening.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789326103437_sec2\" sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We modeled county-level screening estimates from the Behavioral Risk Factor Surveillance System (BRFSS) from 2004 to 2012 using Census-derived demographic weights. The\n                      <jats:italic>Federal Emergency Management Agency<\/jats:italic>\n                      (FEMA)\u2019s Disaster Declarations Summaries database was used to include counties that experienced a single climate-related natural disaster. The year of disaster was considered the index date, with 2-year pre- and post-disaster periods used to model counterfactual screening prevalence with vs without a natural disaster. Primary outcome was county-level PSA screening prevalence. We applied log-linear regression to estimate prevalence ratios for the association between natural disaster and two-year county-level PSA screening.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789326103437_sec3\" sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In 37 states, 365 counties experienced a single natural disaster, including a total population of 7,584,059 men aged 40-79. Compared to baseline county-level screening prevalence, PSA screening in the 2-year post-disaster period was 8% lower (rate ratio [RR]:0.92, 95% CI: 0.90-0.94,\n                      <jats:italic>P<\/jats:italic>\n                      &lt;0.001]).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789326103437_sec4\" sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>We observed significantly lower county-level PSA screening prevalence following a climate-related natural disaster. These results underscore the potential impacts of climate-related natural disasters on cancer screening services.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/dmp.2026.10343","type":"journal-article","created":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T07:56:25Z","timestamp":1774943785000},"source":"Crossref","is-referenced-by-count":2,"title":["Association of Natural Disasters on Trends of County-Level Prostate-Specific Antigen (PSA) Screening"],"prefix":"10.1017","volume":"20","author":[{"given":"Andrea","family":"Piccolini","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/020dggs04","id-type":"ROR","asserted-by":"publisher"}],"name":"Humanitas University"},{"name":"IRCCS Humanitas Research Hospital"},{"id":[{"id":"https:\/\/ror.org\/04b6nzv94","id-type":"ROR","asserted-by":"publisher"}],"name":"Brigham and Women\u2019s 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