Research Project (RP) 2 - Gulf Coast and Family Health (GCAFH)

研究项目 (RP) 2 - 墨西哥湾沿岸和家庭健康 (GCAFH)

• 批准号: 9143600
• 负责人: DAVID M ABRAMSON
• 金额: $ 21.21万
• 依托单位: TULANE UNIVERSITY OF LOUISIANA
• 依托单位国家: 美国
• 资助国家: 美国
• 起止时间: 至
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/9143600
• 关键词: Acute; Address; Adult; Affect; Anxiety; Child; Child health care; Cohort Studies; Communities; Companions; Complex; Data; Data Collection; Data Sources; Development; Disasters; Economics; Event; Exhibits; Exposure to; Family; Family health status; Focus Groups; Health Policy; Household; Housing; Hurricane; Individual; Interview; Literature; Louisiana; Measurement; Measures; Mental Depression; Mississippi; Modeling; Neighborhoods; Outcome; Outcome Measure; Personal Growth; Personal Satisfaction; Persons; Policies; Policy Maker; Population; Population Intervention; Positioning Attribute; Post-Traumatic Stress Disorders; Process; Psyche structure; Psychophysiologic Disorders; Public Health; Readiness; Recording of previous events; Recovery; Research; Research Personnel; Research Project Grants; Resources; Respondent; Risk; Role; Sampling; Science; Sentinel; Series; Social Impacts; Structure; Study Subject; Surveys; Testing; Time; Vulnerable Populations; Work; Youth; base; cohort; gulf coast; hazard; health disparity; predictive modeling; programs; psychologic; response; social; socioeconomics; young adult

Project Summary Within the realm of disaster recovery, US policy has principally focused on the recovery of place rather than the recovery of person. Although the research community has examined the impact of disasters on individuals, the focus has often been on psychopathological effects, such as post-traumatic stress disorder, depression and anxiety, or psychosomatic disorders. Little work has been done to examine the long- term arc of recovery in disaster victims, why and how such recovery varies among various sub-populations, and the interventions that might accelerate that process. This study capitalizes on a large contemporary disaster cohort, the Gulf Coast Child and Family Health study, and the partnership with other major Katrina cohorts and studies being conducted as part of the Katrina@10 Program. This work will extend and refine a socio-ecological model of disaster recovery. Based upon in-person structured interviews and on qualitative focus groups, the research will examine the social, psychological, and ecological factors associated with individual recovery. Accordingly, the specific aims of the project include: (1) developing a better understanding of long-term recovery, as both an outcome and as a process; (2) developing a better understanding of the factors that predict long-term recovery, from multiple perspectives (individual, household, and neighborhood-level); (3) exploring the ways that recovery differs between youth exposed to disasters and adults exposed to disasters; (4) and refining and testing a model that could predict disaster recovery, based on publicly available secondary data and limited socio-demographic information. This research is important for a number of reasons. First, it addresses a significant need to develop outcome measures specific to long-term recovery. Second, it advances an empirical basis for socio-ecological models of post-disaster consequences, which has largely been lacking in the research literature. Third, a socio-ecological framework can inform disaster recovery policy, potentially accelerating re-settlement and return to productive capacity. Fourth, the model has broader relevance to disparities research, particularly as it relates to precursor factors associated with social vulnerability.

项目概要 在灾难恢复领域，美国政策主要侧重于灾难恢复 地点的恢复而不是人的恢复。尽管研究界已经 研究灾害对个人的影响时，重点通常集中在 心理病理影响，例如创伤后应激障碍、抑郁症和 焦虑症或心身疾病。几乎没有做任何工作来检查长期 灾害受害者恢复的术语弧，这种恢复的原因和方式在不同国家之间存在差异 各种亚人群，以及可能加速这一进程的干预措施。 这项研究利用了一个大型当代灾难群体，即墨西哥湾沿岸儿童和 家庭健康研究，以及与其他主要卡特里娜飓风队列和研究的合作 作为 Katrina@10 计划的一部分进行。这项工作将扩展和完善 灾难恢复的社会生态模型。基于面对面的结构化访谈 对于定性焦点小组，该研究将考察社会、心理和 与个体恢复相关的生态因素。 因此，该项目的具体目标包括：（1）开发更好的 了解长期恢复，既作为结果，又作为过程； (2) 更好地了解预测长期复苏的因素， 多重视角（个人、家庭和社区层面）； (3)探索 遭受灾害的青少年和遭受灾害的成年人之间的恢复方式有所不同 灾难； (4) 完善和测试可以预测灾难恢复的模型， 基于公开的二手数据和有限的社会人口统计信息。 这项研究很重要，原因有很多。首先，它解决了一个重大需求 制定针对长期恢复的具体成果措施。其次，它推进了 灾后后果社会生态模型的经验基础 研究文献中很大程度上缺乏。第三，社会生态框架可以 为灾难恢复政策提供信息，有可能加速重新安置和返回 生产能力。第四，该模型与差异研究具有更广泛的相关性， 特别是因为它涉及与社会脆弱性相关的前体因素。