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在其目的地国家发生灾难后如何应对随后的流离失所和其他破坏的冲击知之甚少。在卡特里娜飓风来袭前几周收集的全面健康数据，是为主要居住在洪水泛滥的新奥尔良下九区的越南移民样本收集的，作为调查移民在此类灾难后情况的基线指标，具有非同寻常的潜力。这项研究的总体目标是通过在纵向研究设计中采用广泛的身心健康措施，评估自然灾害对最近移民人口健康的中期(4-5年)影响。这将通过收集第一代工作年龄越南裔美国新奥尔良人的原始队列的下一轮健康数据来实现，这些人在卡特里娜飓风之前的2005年5月至7月期间(T0)接受调查，作为NIH专注于越南移民的健康和福祉的单独小额赠款的一部分。在灾后一年(T1)和两年(T2)对这一队列进行的两次全面健康重新评估已经完成。这里提议的下一轮研究将在灾后5年内进行，即2010年秋季(T5)。这些纵向健康调查数据还补充了广泛的定性深度访谈(n=48)和关键信息者访谈(n=20)。公共卫生相关性：VanLandingham，Mark Jennings公共卫生意义：该项目提供了唯一机会，使用基于人口的事前和事后数据来跟踪卡特里娜飓风后新奥尔良最大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过后的未来心理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.