Hostname: page-component-76fb5796d-r6qrq Total loading time: 0 Render date: 2024-04-26T15:06:47.197Z Has data issue: false hasContentIssue false

Varzaghan Earthquake Affected Mothers’ and Their Newborns’ Health More Severely, in Socioeconomically Vulnerable Area

Published online by Cambridge University Press:  08 October 2018

Mehdi Esfandyari
Affiliation:
Student Research Center, School of Nutrition and Food Sciences, Tabriz University of Medical Sciences, Tabriz, Iran
Elnaz Vaghef-Mehrabany
Affiliation:
Student Research Center, School of Nutrition and Food Sciences, Tabriz University of Medical Sciences, Tabriz, Iran
Mehrangiz Ebrahimi-Mameghani*
Affiliation:
Social Determinant of Health Research Center, Department of Nutrition in Community, School of Nutrition and Food Sciences, Tabriz University of Medical Sciences, Tabriz, Iran
*
Correspondence and reprint requests to Dr Mehrangiz Ebrahimi-Mamaghani, Social Determinant of Health Research Center, Department of Community Nutrition, School of Nutrition and Food Sciences, Tabriz University of Medical Sciences, Attar Neyshabouri Av., Golgasht St., Tabriz, Iran (e-mail: ebrahimimamagani@tbzmed.ac.ir).

Abstract

Objective

We aimed to compare the pregnancy status of the pregnant women and birth status of their newborns, socioeconomic status, and access to health services, between high- and low-damage areas in Heris, affected by the Varzaghan Earthquake, 2012.

Methods

The study was conducted on pregnant women at any trimester of pregnancy (with complete medical profiles in local health centers) in August 2012 (time of the earthquake) who lived in Heris and delivered up to March 2013. Data were obtained on pregnancy- and infant-related variables, housing, socioeconomic status, and access to health services, including food supplies, before and after the earthquake.

Results

Family income and mothers’ education were lower in highly damaged areas. Among these women, underweight at first trimester of pregnancy was higher, and weight gain during the last trimester was lower, compared with low-damage regions. Preterm delivery was higher in low-damage areas. Birth indices of the infants were not significantly different between the 2 areas; however, in highly damaged areas, moderate malnutrition was more prevalent among children under 1 year (weight-for-age) and under 2 years (height-for-age).

Conclusions

Socioeconomic status of mothers was lower in highly damaged areas and might have played a role in their own and newborns’ health status. (Disaster Med Public Health Preparedness. 2019;13: 511-518)

Type
Original Research
Copyright
Copyright © 2018 Society for Disaster Medicine and Public Health, Inc. 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

1. Rabiee, A, Ardalan, A, Poorhoseini, SS. Assessment of coordination among lead agencies of natural disasters management in Iran. Hakim Health Sys Res. 2013;16:107-117 [Persian].Google Scholar
2. Asl Hashemi, A, Taghipour, H, Dianat, I. Evaluation of environmental health experts’ knowledge regarding health issues in natural disasters. J Res Rel. 2012;4:14-20 [Persian].Google Scholar
3. Norris, FH, Friedman, J, Watson, PJ. 6000 Disaster victims speak, part II: summary and implications of the disaster mental health research. Psychiatry. 2002;65:240-260.Google Scholar
4. Ren, J, Jiang, X, Yao, J, et al. Depression, social support, and coping styles among pregnant women after the Lushan earthquake in Ya’an, China. PLoS One. 2015; 10:e0135809. doi: 10.1371/journal.pone.0135809.Google Scholar
5. Kerber, K. Pregnant women and newborns at greatest risk in Nepal following earthquake. BMC website. https://blogs.biomedcentral.com/on-health/2015/05/15/pregnant-women-newborns-greatest-risk-nepal-following-earthquake. Published May 15, 2015. Accessed April 9, 2018.Google Scholar
6. Hawkins, G, Gullam, J, Belluscio, L. The effect of a major earthquake experienced during the first trimester of pregnancy on the risk of preterm birth. Aust N Z J Obstet Gynaecol. 2018. doi: 10.1111/ajo.12797.Google Scholar
7. Tan, CE, Li, HJ, Zhang, XG, et al. The impact of the Wenchuan earthquake on birth outcomes. Nizami Q, ed. PLoS One. 2009;4:e8200. doi: 10.1371/journal.pone.0008200.Google Scholar
8. Glynn, L, Wadhwa, M, Schetter, D, et al. When stress happens matters: effects of earthquake timing on stress responsively in pregnancy. Am J Obstet Gynecol. 2001;184:637-642.Google Scholar
9. Ehrlich, M, Harville, E, Xiong, XU, et al. Loss of resources and hurricane experience as predictors of postpartum depression among women in southern Louisiana. J Womens Health (Larchmt). 2010;5:877-884.Google Scholar
10. Liu, EM, Liu, JT, Tseng-Draft, T. The impact of natural disaster on the incidence of fetal losses and pregnancy outcomes. University of Houston website. http://www.uh.edu/~emliu/921/combined_manuscript.pdf. Published July 1, 2015. Accessed October 20, 2015.Google Scholar
11. Nandi, A, Mazumdar, S, Behrman, J. The effect of natural disaster on fertility, birth spacing and child sex ratio: evidence from a major earthquake in India. J Popul Econ. [Published online August 1, 2017]. doi: 10.1007/s00148-017-0659-7.Google Scholar
12. Ansari, M, Baradaran, M, Sadeghi, F, et al. Surveillance survey of children under 5 years in Ahar, Harris, Varzaghan in 2012 earthquake. National Congress of Pathology and Programming on 12 August Earthquake in East Azerbaijan website. https://www.civilica.com/Paper-HERIS01-HERIS01_048.html. Published December 31, 2012. Accessed October 20, 2017 [Persian].Google Scholar
13. Anwar, J, Mpofu, E, Matthews, LR, et al. Reproductive health and access to healthcare facilities: risk factors for depression and anxiety in women in an earthquake experience. BMC Public Health. 2011; 11:523-536.Google Scholar
14. Koosha, A, Fatholahpour, A, Koosha, H, et al. Assessment of malnutrition status and growth retardation in children 6 to 59 months in Varzaghan after the 2012 earthquake: Tabriz University of Medical Sciences. National Congress of Pathology and programming on 12 August earthquake in East Azerbaijan Province website. https://www.civilica.com/Paper-HERIS01-HERIS01_063.html. Published December 31, 2012. Accessed October 20, 2017 [Persian].Google Scholar
15. Yarparvar, A, Omidvar, N, Kolestan, B, et al. Nutritional status and some related factors in preschool children 6 to 59 months in areas affected by the earthquake in Bam city. Iranian J Nutr Sci Food Tech. 2006;1:33-43 [Persian].Google Scholar
16. Saloor, N, Salaree, A. Seismic hazard map of Iran. Tehran. International Institute of Earthquake Engineering and Seismology website. http://www.earth.northwestern.edu/~amir/files/Seismic_Hazard_in_Iran.pdf. Published 2011. Accessed October 20, 2017.Google Scholar
17. 21st Crescent, a review on the performance of the East Azerbaijan Red Crescent: earthquake in Ahar, Heris, Varzaghan, and Tabriz. Public relations of East Azarbaijan Red Crescent. 2013 [Persian].Google Scholar
18. Bahmanjanbeh, F, Kohan, SH, Yarmohammadian, MH, et al. Evaluation of reproductive health indicators in women affected by East Azarbaijan earthquake on August 2012. Iran J Nurs Midwifery Res. 2016;21:504-509.Google Scholar
19. Darghouth, S, Brody, L, Alegria, M. Does marriage matter? Marital status, family processes, and psychological distress among Latino men and women. Hisp J Behav Sci. 2015;37:482-502.Google Scholar
20. Hobel, CJ, Goldstein, A, Barrett, ES. Psychosocial stress and pregnancy outcome. Clin Obstet Gynecol. 2008;51:333-348.Google Scholar
21. Kamali, M, Moradi, M, Arjmand Hesabi, M. The investigation on how to give rehabilitating services to quake hit people in Guilan and Fars earthquakes. Soc Welfare. 2004;3:147-162 [Persian].Google Scholar
22. Ebrahimi-Mameghani, M, Ahmadi Bakhshmandi, P, Arefhosseini, SR, et al. Association between maternal anthropometric measures and incidence of low birth weight: a case-control study. Med J Tab Uni Med Sci Health Service. 2012;33:7-12 [Persian].Google Scholar
23. Eghbalian, F. Low birth weight causes survey in neonates. IJP. 2007;17:27-33.Google Scholar
24. Tootoonchi, P. Low birth weight among newborn infants at Tehran hospitals. IJP. 2007;17:186-191.Google Scholar
25. Delaram, M, Akbari, N. Weight gain in pregnancy and its correlation with birth weight of infants. Knowledge Health. 2008;3:39-43 [Persian].Google Scholar
26. Ocha I. Bam emergency food distribution proceeding well. IRINNEWS website. http://www.irinnews.org/report/22734/iran-iran-bam-emergency-food-distribution-proceeding-well. Published January 15, 2004. Accessed October 20, 2017.Google Scholar
27. Suzoki, K, Yamagata, Z, Kawado, M, et al. Effects of the Great East Japan earthquake on secondary sex ratio and perinatal outcomes. J Epidemiol. 2016;26:76-83.Google Scholar
28. Xiong, X, Harvill, EW, Buekens, P, et al. Exposure to Hurricane Katrina, post-traumatic stress disorder and birth outcomes. Am J Med Sci. 2008;336:111-115.Google Scholar
29. Ganjouei, TA, Mohammadi, M, Ahmadi-Mousavi, A, et al. Birth sex ratio and pregnancy outcomes after Bam earthquake. J Rafsanjan Uni Med Sci Health Service. 2009;9:89-96 [Persian].Google Scholar
30. Leppold, C, Nomura, S, Sawano, T, et al. Birth outcomes after the Fukushima Daiichi nuclear power plant disaster: a long-term retrospective study. Int J Environ Res Public Health. 2017;14:542-556.Google Scholar
31. Cox, JT, Carney, VH. Nutrition for reproductive health and lactation. In: Mahan LK, Raymond JL, eds. Krause’s Food and the Nutrition Care Process. St. Louis, MO: Elsevier. 2017:283, 290.Google Scholar
32. Farooqui, M, Quadri, SA, Suriya, SS, et al. Posttraumatic stress disorder: a serious post-earthquake complication. Trends Psychiatry Psychother. 2017;39:135-143.Google Scholar