Situational Adaptations to Katrina and HIV Risk

针对卡特里娜飓风和艾滋病毒风险的情境适应

基本信息

批准号：
7232438
负责人：
Michael C. Clatts
金额：
$ 15.96万
依托单位：
NATIONAL DEVELOPMENT AND RESEARCH INSTITUTES, INC.
依托单位国家：
美国
项目类别：
财政年份：
2006
资助国家：
美国
起止时间：
2006-05-10 至 2009-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7232438
关键词：
AIDS/HIV problem Affect Alcohol abuse Alcohol consumption Alcohol or Other Drugs use Area Behavioral Cities Cocaine Collaborations Communities Crack Cocaine Decision Making Disasters Drug abuse Drug usage Drug user Economics Emotional Environment Epidemiology Ethnography Event Fostering Frequencies Future Goals HIV Health Services Heroin Housing Hurricane Individual Injection of therapeutic agent Institutes Institution International Interview Joint Dislocation Louisiana Medical Methods Modeling Natural Disasters Nature New York Numbers Pharmaceutical Preparations Population Process Process Assessment Public Health Recovery Recruitment Activity Research Research Methodology Research Personnel Risk Risk Behaviors Role Sample Size Sanitation Series Services Street Drugs Training Universities Work Youth base behavioral health design drug distribution interest metropolitan programs response social theories tool

项目摘要

DESCRIPTION (provided by applicant): While the physical destruction wrought by hurricane Katrina may have been widespread, it may be anticipated that the long term impact on behavioral health may not be equally distributed in the community. Individuals at risk for drug abuse may have been especially affected and may remain especially vulnerable. In collaboration with both the major academic institutions in the area (Tulane University and Louisiana State University), we propose an R21 formative study with the overall goal of understanding the impact of this kind of natural disaster on situational adaptation among drug users. The design and methods of the proposed study are informed by theory and methods from Anthropological Ethnography---"Ethno-Epidemiology", an approach we have successfully applied in a number of prior public health studies in out-of-treatment populations and settings. Situated in New Orleans, the study will begin with a Community Assessment Process (CAP) which will be used to describe the geographic, temporal, and social distribution of street drug use in post-Katrina New Orleans, particularly in relation to use of heroin, cocaine, and crack-cocaine. Following this initial formative assessment, we will recruit a modest size sample of active street drug users and follow them for one year, conducting monthly interviews with the general goal of assessing post Katrina adaptations related to drug abuse and HIV risk. Assessment tools will include ongoing ethnographic observation as well as detailed ethnographic interviews which will include a series of event-oriented modules that are aimed at illuminating situational-decision making. Findings will be disseminated directly to local treatment and service professionals, and the technical capacity developed through the collaboration with local universities will enhance the local research capacity to apply these research methods to out-of-treatment populations and settings.

描述（由申请人提供）：虽然卡特里娜飓风造成的物理破坏可能是广泛的，但可以预料，长期对行为健康的影响可能不会同样分布在社区中。处于滥用毒品的风险的人可能受到特别影响，并且可能仍然特别脆弱。与该地区（图兰大学和路易斯安那州立大学）的两个主要学术机构合作，我们提出了一项R21形成性研究，总体目标是了解这种自然灾害对吸毒者情境适应的影响。拟议的研究的设计和方法是通过人类学人种学的理论和方法来告知的。-“民族 - 流行病学”，我们成功地应用于许多先前的公共卫生研究中，在室外人群和环境中。该研究位于新奥尔良，将从社区评估过程（CAP）开始，该过程将用于描述卡特里娜飓风后新奥尔良的街头药物使用的地理，时间和社交分布，尤其是与海洛因，可卡因和裂纹可可蛋白有关的使用。在此初步的形成性评估之后，我们将招募一个适度的活跃街头吸毒者样本，并关注他们一年，进行每月访谈，以评估卡特里娜飓风后的适应后与药物滥用和艾滋病毒风险有关的一般目标。评估工具将包括正在进行的人种学观察以及详细的人种学访谈，其中包括一系列面向事件的模块，旨在阐明情境决策。调查结果将直接传播到当地的治疗和服务专业人员，通过与当地大学合作开发的技术能力将增强当地研究能力，将这些研究方法应用于治疗的人群和环境。