THE SOCIAL AND CULTURAL DYNAMICS OF DISASTER RECOVERY

描述（申请人的摘要）：1999年10月， 墨西哥九个州的地区有400人死亡，20万人无家可归。 墨西哥官员称这次事件是该国最严重的一次 如果不是世纪的话，也是十年来最严重的洪水灾害。拟议的研究 这一事件的后果将使人们对灾害的影响有更深入的了解 发生在贫穷和发展中国家。虽然大多数灾难 发生在发展中国家，很少有研究。 拟议的研究直接建立在自该赠款以来进行的研究基础上 最后一次竞争性更新。这些研究包括（a）一个民族志 墨西哥灾后恢复研究，（B）Flaulina飓风试点研究 这使得测量的结构有效性和可靠性得到检查， 和（c）四个城市的流行病学研究，提供了规范性数据， 症状和资源的水平，包括严重抑郁症的患病率 (MDD)和墨西哥的创伤后应激障碍提供的数据 流行病学调查将有助于解释以下方面产生的数据： 在灾难发生后采取同样的措施。一 RAPID赠款与此同时提交，以资助与 从维拉埃尔莫萨、托巴斯科和特齐乌特兰、普埃布拉随机选择600名成年人4 事件发生后数月。目前的建议将资助收集数据， 在事件后8、12、16和20个月时相同的成年人。这项研究的结果 纵向设计将允许检查的严重性，时间和过程 对灾难的心理反应。这项研究将有足够的权力 研究灾后症状和资源的趋势是否在不同地区有所不同， 性别经济阶层和精神病史具体模型和假设 可以解释为什么妇女、穷人和精神病患者 灾难过后的逆境。荟萃分析方法将 用于综合和整合拟议研究的结果， 不断增长的国际数据库。 该研究小组结合了创伤，拉丁美洲文化和墨西哥文化方面的专业知识。 社会申请组织与 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.