Remotely sensed measures of Hurricane Michael damage and adverse perinatal outcomes and access to prenatal care services in the Florida panhandle

Pan, Ke; Gonsoroski, Elaina; Uejio, Christopher K.; Beitsch, Leslie; Sherchan, Samendra P.; Lichtveld, Maureen Y.; Harville, Emily W.

doi:10.1186/s12940-022-00924-1

Environmental Health

Table 4 Associations between the extent of damage after Michael and perinatal outcomes and access to prenatal services (Outcome-specific cutoffs)

From: Remotely sensed measures of Hurricane Michael damage and adverse perinatal outcomes and access to prenatal care services in the Florida panhandle

			Before = 0		Before excluded
			Unadjusted model	Adjusted model^a	Unadjusted model	Adjusted model^a
Low birth weight (LBW)	N		680/8353	680/8353	356/3960	356/3960
	RR (95%CI)	Level2 (0 ~ 0.14):Level1 (0)	0.217 (0.031, 1.518)	0.253 (0.036, 1.784)	0.1881 (0.027, 1.318)	0.213 (0.030, 1.508)
	RR (95%CI)	Level3 (> = 0.14):Level1 (0)	1.076 (0.894, 1.297)	1.046 (0.689, 1.260)	0.923 (0.757, 1.148)	0.920 (0.748, 1.131)
Preterm birth (PTB)	N		932/7788	932/7788	434/3764	434/3764
	RR (95%CI)	Level2 (0 ~ 0.33):Level1 (0)	1.093 (0.876, 1.363)	1.094 (0.878, 1.366)	1.135 (0.894, 1.440)	1.142 (0.900, 1.448)
	RR (95%CI)	Level3 (> = 0.33):Level1 (0)	0.824 (0.663, 1.023)	0.805 (0.648, 0.999)	0.856 (0.677, 1.082)	0.847 (0.670, 1.070)
Small for gestational age (SGA)	N		947/7788	947/7788	497/3764	497/3764
	RR (95%CI)	Level 2 (0 ~ 0.33):Level1 (0)	0.935 (0.735, 1.188)	0.947 (0.746, 1.201)	0.831 (0.645, 1.069)	0.860 (0.670, 1.103)
	RR (95%CI)	Level3 (> = 0.33):Level1 (0)	1.112 (0.922, 1.340)	1.057 (0.879, 1.272)	0.988 (0.808, 1.209)	0.959 (0.784, 1.172)
Caesarean section	N		1869/8207	1869/8207	895/3901	895/3901
	RR (95%CI)	Level2 (0 ~ 0.33):Level1 (0)	0.843 (0.712, 0.998)	0.880 (0.748, 1.035)	0.830 (0.694, 0.992)	0.879 (0.704, 1.043)
	RR (95%CI)	Level3 (> = 0.33):Level1 (0)	1.092 (0.936, 1.237)	1.024 (0.911, 1.151)	1.075 (0.938, 1.233)	1.025 (0.901, 1.167)
No breastfeeding	N		2249/7018	2249/7018	1093/3352	1093/3352
	RR (95%CI)	Level2 (0 ~ 0.33):Level1 (0)	0.968 (0.846, 1.108)	0.979 (0.850, 1.108)	0.941 (0.816, 1.087)	0.941 (0.818, 1.082)
	RR (95%CI)	Level3 (> = 0.33):Level1 (0)	1.019 (0.911, 1.140)	1.022 (0.915, 1.141)	0.991 (0.878, 1.120)	0.987 (0.876, 1.113)
Gestational month of 1st PNC	N		7324	7324	3531	3531
	Difference (95%CI)	Level2 (0 ~ 0.18):Level1 (0)	-0.165 (-0.391, 0.060)	-0.133 (-0.361, 0.095)	-0.242 (-0.475, -0.009)	-0.207 (-0.442, 0.028)
	Difference (95%CI)	Level3 (> = 0.18):Level1 (0)	0.151 (0.037, 0.265)	0.126 (0.012, 0.239)	0.074 (-0.055, 0.202)	0.043 (-0.086, 0.171)

^aLBW adjusting for: mother's education, age, ethnicity, smoking during pregnancy, and whether in WIC program; PTB and SGA: mother’s age, education, ethnicity, pre-pregnancy BMI, smoking during pregnancy, and whether in WIC program; C-section and breastfeeding adjusting for mother's education, age, ethnicity, smoking during pregnancy, whether in WIC program, and Kotelchuck Index

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ISSN: 1476-069X

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