Family Effects of Disaster in an HIV-Affected Community

受艾滋病毒影响的社区中灾难对家庭的影响

• 批准号: 6549333
• 负责人: Beatrice J. Krauss
• 金额: $ 7.1万
• 依托单位: HUNTER COLLEGE
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-06-20 至 2003-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6549333
• 关键词: HIV infections; anxiety; behavioral /social science research tag; children; clinical research; communication; community; coping; depression; disasters; family structure /dynamics; health behavior; high risk behavior /lifestyle; human subject; information dissemination; interview; longitudinal human study; mental health; mental health epidemiology; parent offspring interaction; posttraumatic stress disorder; psychological adaptation; sex behavior; substance abuse related behavior; violence

DESCRIPTION (provided by applicant): While illness has been identified as a risk factor for negative psychological outcomes attendant on disaster, and family support has been identified as a stress buffer since the very earliest researches on war, little is known about the converse - the effect of disaster and its psychological aftermath on civilian health behavior, and the family's role in moderating that effect. Sixty demographically matched families from a high-HIV seroprevalence neighborhood highly affected by the World Trade disaster can be recruited from the rosters of two projects. Families will differ in parent-child communication training and whether a parent is HIV+ or no immediate household family member has HIV. The current research will 1) use elicitation techniques to define the HIV- and disaster-related concerns of HIV-infected and HIV-affected parents and children retrospectively for the two months post disaster and at six months post-disaster; 2) assess the moderating effects of family communication style, of the level of exposure to disaster, and of pre-existing community concerns (e.g., exposure to community violence, HIV-related worry or bereavement) to anxiety, depression, and PTSD for parents and youth, and reported sexual and drug risk behaviors six months post-disaster for 60 youth; 3) compare the appraisal, coping, HIV and mental health behavior of 60 LES parent-child pairs in three demographically-matched groups retrospectively for the two months post-disaster, and at six months post-disaster; and 4) disseminate research summary findings to local youth and HIV service providers, school guidance counselors and social workers, city council representatives, and parents and children through timely fact sheets and forums, conducting a brief evaluation of this dissemination. Respondents will be interviewed on one occasion approximately six months post-disaster, giving concurrent and retrospective information about their reactions to disaster. Qualitative and quantitative analysis will be performed, content and contingency analysis in the former case, and regression and ANOVA/ANCOVA in the latter. Research will be guided by Tomkin's theories on the amplification of negative emotion.

描述（申请人提供）：虽然疾病已被确定为 负面心理成果的危险因素在灾难上以及 自从最早的时候，家庭支持已被确定为压力缓冲 关于战争的研究，对匡威 - 灾难的影响知之甚少 及其对平民健康行为的心理后果以及家庭的 在调节这种效果的角色中的作用。来自一个人口统计学匹配的家庭 高HIV血清阳性社区受世界贸易的影响很大 灾难可以从两个项目的名册中招募。家庭会 亲子传播培训以及父母是艾滋病毒+或 没有直接家庭成员患有艾滋病毒。当前的研究将1）使用 引发技术来定义与HIV和灾难有关的关注 艾滋病毒感染和受艾滋病毒影响的父母和孩子回顾了两者 灾难发生几个月，迪沙斯特六个月； 2）评估调节 家庭沟通风格的影响，暴露于灾难的水平， 以及现有的社区问题（例如，接触社区暴力， 与父母的焦虑，抑郁和PTSD的与HIV有关的忧虑或丧亲） 和青年，并在污水策划后六个月报道性和毒品风险行为 对于60名青年； 3）比较评估，应对，艾滋病毒和心理健康行为 在三个人口统计学匹配的三个组中的60个LES亲子对 迪沙斯特两个月后的回顾性，六个月 灾后; 4）向当地青年和 艾滋病毒服务提供者，学校指导顾问和社会工作者，城市 理事会代表以及父母和孩子通过及时的事实说明 和论坛，对这种传播进行简要评估。受访者 迪沙斯特大约六个月后，将有一次接受采访 提供有关其反应的并发和回顾性信息 灾难。将进行定性和定量分析，内容和 在前一种情况下的应急分析，以及回归和ANOVA/ANCOVA 后者。研究将以汤金金（Tomkin）的理论为指导 负面情绪。