Patterns of substance use among Hurricane Katrina evacuees in Houston, Texas

Patterns of substance use among Hurricane Katrina evacuees in Houston, Texas
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DOI:
10.1111/j.1467-7717.2009.01136.x
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发表时间:
2010-04-01
期刊:
影响因子:
3.2
通讯作者:
Hill, Larry E.
Hill, Larry E.
中科院分区:
管理学3区
文献类型:
--
作者:
Cepeda, Alice;Valdez, Avelardo;Hill, Larry E.

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本文着重于2005年8月卡特里娜飓风期间从路易斯安那州新奥尔良市撤离的低收入非洲裔美国吸毒者中物质使用模式的变化。它研究了卡特里娜飓风后酒精和烟草(AT)使用和非法药物(ID)使用的增加和减少之间的关系,以及灾前和灾内因素。从结构化访谈的数据,目前居住在休斯敦的200卡特里娜飓风撤离人员收集8-14个月后的灾难。多变量分析显示,AT使用的增加与教育呈正相关。女性和年轻的撤离者更有可能增加AT的使用。身份证使用的增加与资源损失和卡特里娜飓风前离开城市呈正相关。AT和ID使用的减少与灾害相关的暴露有关。本文讨论了灾害对弱势少数群体物质使用者的具体后果,以及制定针对这一群体的公共卫生灾害政策的重要性。
This paper focuses on changing patterns of substance use among low income, African American drug users evacuated from New Orleans, Louisiana, during Hurricane Katrina of August 2005. It examines the relationship between increases and decreases in alcohol and tobacco (AT) use and illicit drug (ID) use after Katrina and pre-disaster and within-disaster factors. Data from structured interviews with 200 Katrina evacuees currently living in Houston were collected 8-14 months after the disaster. Multivariate analysis revealed that rises in AT use were positively associated with education. Females and younger evacuees were more likely to have increased AT use. ID use increase was positively associated with resource loss and leaving the city before Katrina. Decreases in AT and ID use were found to be associated with disaster-related exposure. The paper discusses the specific consequences of disasters on disadvantaged minority substance users and the importance of developing public health disaster policies that target this population.