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: 9341972
• 负责人: DAVID M ABRAMSON
• 金额: $ 32.5万
• 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/9341972
• 关键词: Acute; Address; Adult; Affect; Anxiety Disorders; 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; Intervention; Interview; Literature; Longitudinal cohort; Longitudinal cohort study; Louisiana; Measurement; Measures; Mental Depression; Mississippi; Modeling; Modernization; Neighborhoods; Outcome; Outcome Measure; Personal Growth; Persons; Policies; Policy Maker; Population; Positioning Attribute; Post-Traumatic Stress Disorders; Predictive Factor; 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; Structure; Study Subject; Surveys; Testing; Time; Vulnerable Populations; Work; Youth; base; cohort; gulf coast; hazard; health disparity; predictive modeling; programs; psychologic; resilience; 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.

项目摘要 在灾难恢复领域，美国的政策主要侧重于恢复 而不是人的恢复。尽管研究界已经 在考察灾难对个人的影响时，重点往往放在 精神病理影响，如创伤后应激障碍、抑郁和 焦虑，或心身障碍。几乎没有做过什么工作来检查长期的- 灾民恢复的长期弧线，为什么以及如何在不同的国家 不同的亚群，以及可能加速这一进程的干预措施。 这项研究利用了当代一大群灾难，墨西哥湾沿岸儿童和 家庭健康研究，以及与卡特里娜飓风其他主要队列和研究的伙伴关系 作为卡特里娜飓风十年计划的一部分进行。这项工作将扩展和提炼一种 灾害恢复的社会生态模式。基于面对面的结构化访谈 在定性焦点群体上，研究将检查社会、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 将长期复苏理解为结果和过程；(2) 更好地理解预测长期复苏的因素，从 多角度(个人、家庭和邻里层面)；(3)探索 暴露在灾难中的年轻人和暴露在灾难中的成年人之间的康复方式不同 灾难；(4)提炼和测试可以预测灾难恢复的模型， 基于可公开获得的二次数据和有限的社会人口信息。 这项研究之所以重要，原因有很多。首先，它解决了一个重要的需求 制定专门针对长期复苏的成果衡量标准。其次，它推进了一个 灾后后果社会生态模型的经验基础，它具有 在很大程度上是研究文献中缺乏的。第三，社会生态框架可以 通知灾难恢复政策，可能会加速重新结算并返回到 生产能力。第四，该模型与差异研究具有更广泛的相关性， 特别是当它涉及到与社会脆弱性有关的先兆因素时。