Hurricanes and Indigenous Families: Understanding connections with discrimination, social support, and violence on PTSD
Hurricanes and Indigenous Families: Understanding connections with discrimination, social support, and violence on PTSD
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飓风和土著家庭：了解歧视、社会支持和暴力与创伤后应激障碍 (PTSD) 的关系
DOI：
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发表时间：
2019
影响因子：
--
通讯作者：
Shanondora Billiot
中科院分区：
文献类型：
--
作者：
C. McKinley;Jenn Miller Scarnato;J. Liddell;Hannah Knipp;Shanondora Billiot
这篇文章的目的是使用历史压迫、复原力和超越的文化根基框架(FHORT)来检查(A)飓风对墨西哥湾沿岸土著(即美洲原住民)家庭成员的经历和影响，以及(B)确定经历飓风和自然灾害、家庭和社区支持、不良童年经历(ACE)、歧视和亲密伴侣暴力(IPV)可能如何与两个东南部落的创伤后应激障碍(PTSD)有关。研究结果来自于融合了人种学定性数据和以文化为基础的定量跟踪调查的融合混合方法设计。对来自沿海土著社区的208名参与者的质量数据进行的专题分析揭示了几个紧急主题，即(A)联邦承认对受飓风影响的社区的影响；(B)迅速变化的景观、生活和社区；以及(C)飓风经历的家庭和个人影响。对两个东南部落的127名参与者进行的描述性和分级回归分析表明，许多参与者经常想到飓风和灾害造成的损失，超过三分之一的样本符合临床上有意义的创伤后应激障碍的标准。回归结果肯定了飓风经历、ACE、社区和家庭支持对创伤后应激障碍的独立影响；然而，IPV和歧视是预测创伤后应激障碍的最强因素。结果表明，飓风对东南部土著家庭产生了广泛的影响，这与这些群体已经经历的包括歧视在内的阴险的历史压迫是分不开的，并因此而加剧。
The purpose of this article is to use the culturally grounded Framework of Historical Oppression, Resilience, and Transcendence (FHORT) to examine (a) the experiences and impacts of hurricanes on Indigenous (i.e., Native American) family members in the Gulf Coast and (b) to identify how experiencing hurricanes and natural disasters, family and community support, adverse childhood experiences (ACE), discrimination and intimate partner violence (IPV) may be related to post-traumatic stress disorder (PTSD) among two Southeastern tribes. Results were drawn from a convergent mixed-methodology design, which incorporates ethnographic qualitative data and a culturally grounded quantitative follow-up survey. Thematic analysis of qualitative data with 208 participants from a coastal Indigenous community revealed several emergent themes, namely (a) the Impact of Federal Recognition on Hurricane Affected Communities; (b) Rapidly Changing Landscape, Lives, and Communities; and (C) Family and Personal Effects of Hurricane Experiences. Descriptive and hierarchical regression analysis of 127 participants across two Southeastern tribes indicate that many participants frequently thought of losses from hurricanes and disasters and that over one-third of the sample met the criteria for clinically significant PTSD. Regression results affirmed the independent effects of hurricane experiences, ACE, community and family support as they relate to PTSD; yet IPV and discrimination were the strongest predictors of PTSD. Results reveal the extensive repercussions of hurricanes on Indigenous families of the Southeast, which are inseparable from and exacerbated by the insidious historical oppression, including discrimination, already experienced by these groups.
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DOI：
10.1016/j.psi.2015.08.002
发表时间：
2016-04
期刊：
Intervencion psicosocial
影响因子：
--
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