Longer term effects of a natural disaster on health and socio-economic status

自然灾害对健康和社会经济状况的长期影响

• 批准号: 10250551
• 负责人: ELIZABETH A FRANKENBERG
• 金额: $ 49.83万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-03-23 至 2025-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10250551
• 关键词: Adolescence; Affect; Age; Area; Attention; Behavioral; Biological Markers; Categories; Censuses; Cessation of life; Characteristics; Child; Child Health; Child Welfare; Cicatrix; Cognition; Collection; Communities; Community Surveys; Data; Disasters; Documentation; Earthquakes; Education; Emotional; Event; Evolution; Exposure to; Family; Follow-Up Studies; Frequencies; Health; Health education; Height; Heterogeneity; Household; Imagery; Indian Ocean; Individual; Indonesia; Infusion procedures; Interview; Life; Life Cycle Stages; Link; Literature; Long-Term Effects; Longitudinal Studies; Machine Learning; Measurement; Measures; Natural Disasters; Natural experiment; Outcome; Outcome Measure; Parents; Pathway interactions; Personal Satisfaction; Phase; Policies; Population; Privatization; Public Domains; Recovery; Research; Resources; Respondent; Rest; Science; Scientific Inquiry; Shock; Siblings; Socioeconomic Status; Stress; Sumatra; Surveys; Survivors; Time; Tsunami; Variant; Water; acetone hydrazone; adverse childhood events; behavioral response; cognitive performance; cohort; data resource; design; emerging adult; environmental change; executive function; experience; follow-up; health economics; human capital; in utero; innovation; member; physical conditioning; population health; programs; psychosocial; reconstruction; resilience; sea level rise; success; tool; weather patterns; young adult

Abstract Exposures to extreme events are increasingly common in many parts of the globe as a function of changes in weather patterns combined with rising sea levels, but there is a paucity of data to support scientific research on the implications of such exposures for population health and well-being over the long-term. STAR, the Study of the Tsunami Aftermath and Recovery, is a unique exception. We have interviewed respondents from 10 months before the December 2004 Indian Ocean earthquake and tsunami for 10 years. This project will follow up the same respondents 15 years after the tsunami. The pre-tsunami baseline is a population-representative survey of 27,000 individuals who were living along the coast of Aceh and North Sumatra, Indonesia. The tsunami constitutes a large-scale, unanticipated natural disaster in an area that was not thought to be prone to tsunamis. Moreover, its impacts were spatially idiosyncratic across the study area. Whether a particular community was inundated by the waves depended on a combination of the wave direction, seabed and shoreline topography. Of 368 baseline communities, about a fifth were devastated, a third were somewhat damaged and the rest were not directly affected. These features of the natural experiment provide the basis for identifying causal impacts of this major natural disaster which killed 170,000 people in the study area. The baseline and six post-tsunami waves collected during the prior phase of this project provide detailed information about exposure to and experience of the disaster and the evolution of health and wellbeing, broadly defined, for baseline respondents who survived the tsunami plus new household members. In each follow-up, we have interviewed 95% of all baseline survivors. In this continuation we will re-interview all baseline survivors and their household members fifteen years after the tsunami. We will place these data in the public domain, adding to prior waves of STAR already in the public domain to create an unparalleled data resource for the scientific community. Focusing on those who were exposed to the tsunami as children (age <12y and in utero at the time), we will investigate the impacts of tsunami exposure on the evolution of health, education and cognitive performance, linking outcomes to changes in material and psycho-social resources at the family level as well as community level resources. The latter will be measured combining administrative data and information extracted from satellite imagery using machine learning. Longer-term impacts, fifteen years after the tsunami, will exploit innovative human capital measures including biomarkers, executive function and emotional reactivity. Loss of one or both parents is among the most extreme exposures. We will explore the causal effects of orphanhood by comparing children who lost parents in the tsunami with those in the same community who did not.

摘要 在地球仪的许多地方，由于气候变化， 气候模式与海平面上升相结合，但缺乏支持科学研究的数据。 这种接触对人口健康和福祉的长期影响。星星研究 海啸灾后重建是一个独特的例外。我们采访了来自10个国家的受访者， 2004年12月印度洋地震和海啸发生前的几个月，该项目将遵循 在海啸发生15年后，同样的受访者增加了。海啸前的基线具有人口代表性， 调查了居住在印度尼西亚亚齐和北苏门答腊海岸沿着的27，000人。的 海啸是一种大规模的、未预料到的自然灾害，发生在人们认为不容易发生海啸的地区。 海啸此外，其影响在整个研究区域具有空间特异性。是否特定 群落被海浪淹没取决于波浪方向、海床和 海岸线地形在368个基线社区中，大约五分之一被摧毁，三分之一被摧毁， 其余的都没有受到直接影响。自然实验的这些特征为 确定这场在研究地区造成17万人死亡的重大自然灾害的因果影响。 本项目前期收集的基线和六次海啸后波浪提供了详细的 有关灾难暴露和经历以及健康和福祉演变的信息， 广义而言，指海啸幸存者和新家庭成员的基线答卷人。在每个 随访中，我们采访了95%的基线幸存者。在这篇续文中，我们将重新采访所有 海啸后15年的基线幸存者及其家庭成员。我们将这些数据放在 公共领域，添加到先前的波星星已经在公共领域，以创建一个无与伦比的数据 科学界的资源。 关注那些在儿童时期（年龄<12岁，当时在子宫内）遭受海啸的人，我们将 调查海啸对健康、教育和认知能力演变的影响， 将结果与家庭和社区一级物质和心理社会资源的变化联系起来 水平资源。对后者的衡量将结合行政数据和 使用机器学习的卫星图像。海啸发生15年后， 创新的人力资本指标，包括生物标志物、执行功能和情绪反应。损失 父母中的一方或双方都是最极端的接触者。我们将探讨童年的因果影响 通过比较在海啸中失去父母的儿童和同一社区中没有失去父母的儿童。