Environmental stressors like high temperatures and pollution, often compounded by socioeconomic factors, have been linked to adverse maternal and birth outcomes. Despite this well-established link, limited studies have examined the spatial relationship between these factors to prioritize community interventions and future research needs. This study examines the spatial trends linking environmental parameters, socioeconomic fac...

Objective Climate change is increasingly recognized as a significant public health threat, particularly for vulnerable populations such as pregnant women. This study examines the association between heatwave and coldwave exposure and the risk of severe maternal morbidity (SMM) at delivery in North Carolina from 2011 to 2019. Methods We incorporate a matched analysis design using patient delivery data to identify disparities ac...

Increasing evidence suggests that temperatures adversely impact mental and behavioral disorders (MBD). This study explores the effects of temperatures on mental health outcomes using over 5.9 million MBD-related emergency department (ED) visits across three geographical regions of North Carolina (i.e., Mountains, Piedmont, and Coast) from 2016 to 2019. A distributed lag non-linear model (DLNM) with a generalized linear model a...