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很广泛，但可以预见的是，对行为健康的长期影响可能不会在社区中均匀分布。面临药物滥用风险的个人可能受到的影响尤其严重，并且仍然特别脆弱。我们与该地区的主要学术机构（杜兰大学和路易斯安那州立大学）合作，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。本研究的设计和方法借鉴了人类学民族志——“民族流行病学”的理论和方法，我们已成功地将这种方法应用于许多先前针对未接受治疗的人群和环境的公共卫生研究。该研究位于新奥尔良，将从社区评估流程 (CAP) 开始，该流程将用于描述卡特里娜飓风过后新奥尔良街头毒品使用的地理、时间和社会分布，特别是与海洛因使用有关的情况，可卡因和快克可卡因。在初步形成性评估之后，我们将招募适量的活跃街头吸毒者样本，并对他们进行为期一年的跟踪，每月进行访谈，总体目标是评估卡特里娜飓风后与药物滥用和艾滋病毒风险相关的适应情况。评估工具将包括持续的人种学观察以及详细的人种学访谈，其中包括一系列旨在阐明情景决策的面向事件的模块。研究结果将直接传播给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的研究能力，将这些研究方法应用于未接受治疗的人群和环境。