Health Impacts of Hurricane Katrina on Vietnamese-American New Orleanians

描述（由申请人提供）：我们对难民和其他类型的移民如何应对目的地国家发生灾难后随之而来的流离失所和其他破坏所带来的冲击知之甚少。在卡特里娜飓风袭击前几周收集的越南移民样本的全面健康数据，这些数据主要是居住在新奥尔良严重洪灾的下九区，具有非凡的潜力，可以作为调查移民在此类灾难后如何生活的基线措施。该研究的总体目标是通过纵向研究设计中采用广泛的身心健康措施，评估自然灾害对新移民人口健康的中期（4-5年）影响。这项工作将通过收集2005年5月至7月期间（卡特里娜飓风之前）对第一代工作年龄的越南裔美国新奥尔良人进行调查的原始队列的下一轮健康数据来完成，作为NIH单独小额赠款的一部分，重点关注越南移民的健康和福祉。在灾后1年（T1）和2年（T2）对该队列进行的两次全面健康重新评估已经完成。这里提出的下一轮研究将在灾难发生5年后的2010年秋季进行（T5）。这些纵向健康调查数据补充了广泛的定性深入（n=48）和关键信息提供者（n=20）访谈。公共卫生意义：该项目提供了唯一的机会，利用卡特里娜飓风前后基于人口的数据，跟踪新奥尔良最大的移民人口的健康状况。这些信息对于评估这些人口在卡特里娜飓风后的未来精神和身体健康需求至关重要。

DESCRIPTION (provided by applicant): We know little about how refugees and other types of immigrants respond to the shock of subsequent displacement and other disruptions following a disaster in their destination country. Comprehensive health data collected just weeks before Hurricane Katrina struck for a Vietnamese immigrant sample living predominantly in the heavily-flooded lower ninth ward of New Orleans possess extraordinary potential as baseline measures for investigating how immigrants fare after such disasters. The overall objective of the study is to assess the medium term (4-5 years) effects of a natural disaster upon the health of a recent immigrant population by employing a wide range of physical and mental health measures in a longitudinal research design. This will be accomplished by collecting a subsequent round of health data for the original cohort of first-generation working age Vietnamese-American New Orleanians who were surveyed during the period May - July of 2005 (T0), just prior to Hurricane Katrina, as part of a separate NIH small grant focusing on the health and well-being of Vietnamese immigrants. Two comprehensive health re-assessments of this cohort taken at 1 year (T1) and 2-years (T2) post-disaster are already complete. The subsequent round for the research proposed here would occur 5 years post-disaster, during the fall of 2010 (T5). These longitudinal health survey data are supplemented with extensive qualitative in- depth (n=48) and key-informant (n=20) interviews. PUBLIC HEALTH RELEVANCE: VanLandingham, Mark Jennings Public health significance: This project provides the only opportunity for tracking the health of New Orleans' largest immigrant population post-Katrina using pre and post-event population-based data. This information is essential for assessing the future mental and physical health needs of this population as they move forward post-Katrina.