Testing a refugee family dynamics model: A study with Sri Lankan Tamils

描述（由申请人提供）：难民家庭动态之间的关系-如沟通和反应不良，缺乏凝聚力，代际冲突-和身心健康是复杂的。几乎没有进行过旨在更好地了解家庭动态在促进或降低难民健康方面的作用的研究。移徙日常压力等因素对难民家庭动态和难民健康都有理论上的影响，但很少有研究使用适当的统计方法来捕捉这些复杂的关系，导致严重缺乏以家庭为基础的资源和干预措施来解决这些问题。这个国际研究科学家发展奖（IRSDA）的目的是研究难民家庭动态及其与移民日常压力，资源利用和家庭健康之间的联系斯里兰卡泰米尔难民在印度Gummidipoondi难民营。Gummidipoondi难民营的初步工作（乔治，2009年）表明，有家庭的难民可能比难民营中的其他难民有更多的负面健康结果。这项IRDSA K 01研究和培训方案的结果将为今后的工作提供信息，制定以家庭为基础的、文化上适当的干预措施，以促进斯里兰卡泰米尔难民的福祉。这一混合方法研究提案的具体目标是：（1）考察流动人口日常压力源、资源利用、家庭动态、和父母/青少年健康，以确定制定干预措施的关键领域~和2）确定对目标1中与家庭动态有关的调查结果的文化上适当的解释，以及制定斯里兰卡泰米尔难民干预措施的战略家庭这一方法是创新的，因为它将定量数据与难民社区的经验知识相结合，以确定制定干预措施的关键领域。这项拟议的研究是重要的，因为研究成果-一个精致的概念模型，了解难民家庭的动态，和研究设计，确定使用纵向和定性方法的干预策略-将导致辩证发展的tes设计和跨文化的研究结果。最终，这些知识有可能为难民家庭提供具体的卫生保健支助，从而对公共卫生产生积极影响

DESCRIPTION (provided by applicant): The relationship between refugee family dynamics - such as poor communication and responsiveness, lack of cohesion, and intergenerational conflict - and physical and psychological health is complex. Little research has been conducted with the aim of better understanding the role of family dynamics in promoting or degrading the health of refugees. Factors such as migration daily stressors have a theoretical impact on both refugee family dynamics and refugee health, yet few studies have used appropriate statistical methods to capture these complex relationships, resulting in a severe lack of family-based resources and interventions to address these issues. The objective of this International Research Scientist Development Award (IRSDA) is to study refugee family dynamics and their association with migration daily stressors, resource utilization and family health among Sri Lankan Tamil refugees in the Gummidipoondi refugee camp in India. Preliminary work (George, 2009) from the Gummidipoondi refugee camp suggests that refugees with families may have more negative health outcomes than other refugees in the camp. The results of this IRDSA K01 research study and training program will inform future work developing family-based, culturally appropriate interventions for the promotion of Sri Lankan Tamil refugee well-being. The specific aims of this mixed method research proposal are: 1) To examine the longitudinal associations among migration daily stressors, resource utilization, family dynamics, and parent/adolescent health in order to identify critical areas for intervention development~ and 2) To identify culturally appropriate interpretations of findings related to family dynamics from Aim 1 and strategies for developing interventions for Sri Lankan Tamil refugee families. This approach is innovative because of the integration of quantitative data with the refugee community's experiential knowledge to identify critical areas for intervention development. This proposed research is significant because the study outcomes - a refined conceptual model for understanding refugee family dynamics, and a research design that identifies intervention strategies using longitudinal and qualitative methods - will lead to dialectical development of tes designs and findings across cultures. Ultimately, such knowledge has the potential to inform specific health care support for refugee families that will have a positive impact on public health