{"doi":"10.1017/dmp.2025.10234","title":"Social Vulnerability and Perinatal Risk: Demographic Determinants of the Impact of a Natural Disaster on Pregnant Women","abstract":"OBJECTIVE: 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. METHODS: 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. RESULTS: 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 < 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 < 0.01). CONCLUSIONS: Disadvantaged pregnant populations face greater disruption during disasters, while those with fewer vulnerabilities may experience more prolonged anxiety.","journal":"Disaster Medicine and Public Health Preparedness","year":2025,"id":579932,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":0,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9571,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":434406,"name":"Amy Lucas","orcid":"0000-0002-2227-0832","position":1,"is_corresponding":false},{"id":1490791,"name":"Stephen M. Cherry","orcid":null,"position":2,"is_corresponding":false},{"id":29032,"name":"Kjersti M. Aagaard","orcid":"0000-0002-2960-0371","position":3,"is_corresponding":false},{"id":302638,"name":"Melissa Suter","orcid":"0000-0001-9130-3311","position":4,"is_corresponding":false},{"id":1042151,"name":"Cynthia Shope","orcid":null,"position":0,"is_corresponding":true}],"reference_count":7,"raw_metadata":null,"created_at":"2026-07-19T02:58:34.718602Z","pmid":"41185572","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}