THE SOCIAL AND CULTURAL DYNAMICS OF DISASTER RECOVERY

描述（申请人摘要）：1999 年 10 月，毁灭性的洪水留下 墨西哥九个州地区有 400 人死亡，20 万人无家可归。 墨西哥官员称此次事件是该国最严重的事件 即使不是本世纪的洪水灾害，也是十年来的洪水灾害。拟议的研究 这一事件的后果将有助于深入了解灾害的影响 这种情况发生在贫穷国家和发展中国家。尽管大多数灾难 发生在发展中国家，但相关研究却很少。 拟议的研究直接建立在自本次拨款以来进行的研究的基础上 最后一次竞争性更新。这些研究包括 (a) 民族志 墨西哥灾后恢复研究，(b) 飓风弗劳里纳试点研究 允许检查措施的结构有效性和可靠性， (c) 一项四城市流行病学研究，提供了规范性数据 症状和资源水平，包括重度抑郁症的患病率 （MDD）和创伤后应激障碍（PTSD）在墨西哥。提供的数据 流行病学调查将有助于解释所获得的数据 灾难发生后采取同样的措施。一个 与此同时提交的 RAPID 拨款用于资助采访 600 名来自 Villahermosa、Tobasco 和 Teziutlan、Puebla 4 的随机选择的成年人 事件发生后几个月。本提案将资助从以下机构收集数据： 事件后 8、12、16 和 20 个月的同一成年人。研究结果 纵向设计将允许检查严重性、时间安排和过程 对灾难的心理反应。这项研究将有足够的力量 检查灾后症状和资源的趋势是否存在差异 性别、经济阶层和精神病史。具体模型和假设 先进的技术可以解释为什么妇女、穷人和精神病患者遭受痛苦 灾难过后，更多的是灾难。荟萃分析方法将 用于将拟议的研究结果综合并整合到 不断增长的国际数据库。 该研究团队结合了创伤、拉丁文化和墨西哥方面的专业知识 社会。申请组织与机构之间的合作关系 墨西哥的研究人员已经成立。

DESCRIPTION (Applicant's Abstract): In October, 1999, devastating floods left 400 people dead and 200,000 people homeless across a nine state area of Mexico. Officials in Mexico have characterized this event as the country's worst flooding disaster of the decade, if not of the century. The proposed study on the consequences of this event will yield insights into the impact of disasters that occur in poor and developing countries. Although the majority of disasters occur in the developing world, very little of the research has. The proposed research builds directly upon studies conducted since this grant was last competitively renewed. These studies included (a) an ethnographic study of disaster recovery in Mexico, (b) a pilot study of Hurricane Flaulina that allowed the construct validity and reliability of measures to be examined, and (c) a four-city epidemiologic study that has provided data on normative levels of symptoms and resources, including the prevalence of major depression (MDD) and post-traumatic stress disorder (PTSD) in Mexico. The data provided by the epidemiologic survey will facilitate the interpretation of data yielded by the same measures when they are administered in the aftermath of disaster. A RAPID grant was submitted simultaneously with this one to fund interviews with 600 randomly selected adults from Villahermosa, Tobasco and Teziutlan, Puebla 4 months post-event. The present proposal would fund collection of data from the same adults at 8, 12, 16, and 20 months post-event. The study's resulting longitudinal design would allow examination of the severity, timing, and course of psychological reactions to the disaster. The study would have adequate power to examine whether trends in post-disaster symptoms and resources vary across gender, economic class, and psychiatric history. Specific models and hypotheses are advanced that may explain why women, the poor, and psychiatric cases suffer more adversity in the aftermath of disasters. Meta-analytic methods will be employed to synthesize and integrate the proposed study's findings into a growing international database. The research team combines expertise in trauma, Latino culture, and Mexican society. Collaborative relationships between the applicant organization and researchers in Mexico have been established.