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

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 在审查灾害对个人的影响时，重点往往是 精神病理学影响，如创伤后应激障碍、抑郁症和 焦虑或心身疾病。几乎没有人做过什么工作来研究长期的- 灾害受害者恢复的长期弧，为什么和如何恢复不同 不同的亚群体，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的当代灾难队列，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伙伴关系 作为Katrina@10计划的一部分。这项工作将扩展和完善一个 灾难恢复的社会生态模式。基于面对面的结构化访谈 在定性焦点小组方面，研究将探讨社会、心理和 与个体恢复相关的生态因子。 因此，该项目的具体目标包括：（1）制定一个更好的 理解长期复苏，既作为一种结果，也作为一个过程;（2） 更好地了解预测长期复苏的因素， 多角度（个人，家庭和邻里水平）;（3）探索 面对灾难的年轻人和面对灾难的成年人之间的恢复方式不同， 灾难;（4）完善和测试可以预测灾难恢复的模型， 根据公开的次级数据和有限的社会人口信息。 这项研究之所以重要，有几个原因。首先，它解决了一个重大需求 制定针对长期复苏的成果衡量标准。其次，它提出了一个 灾后后果社会生态模型的经验基础， 这在研究文献中很大程度上是缺乏的。第三，社会生态框架可以 为灾后恢复政策提供信息，可能会加快重新安置和恢复 生产能力。第四，该模型对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有关的前兆因素。

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.