Department of Sociology, Center for Drug and Social Policy Research, University of Houston, TX, USA.
Disasters. 2010 Apr;34(2):426-46. doi: 10.1111/j.1467-7717.2009.01136.x. Epub 2009 Oct 26.
This paper focuses on changing patterns of substance use among low income, African American drug users evacuated from New Orleans, Louisiana, during Hurricane Katrina of August 2005. It examines the relationship between increases and decreases in alcohol and tobacco (AT) use and illicit drug (ID) use after Katrina and pre-disaster and within-disaster factors. Data from structured interviews with 200 Katrina evacuees currently living in Houston were collected 8-14 months after the disaster. Multivariate analysis revealed that rises in AT use were positively associated with education. Females and younger evacuees were more likely to have increased AT use. ID use increase was positively associated with resource loss and leaving the city before Katrina. Decreases in AT and ID use were found to be associated with disaster-related exposure. The paper discusses the specific consequences of disasters on disadvantaged minority substance users and the importance of developing public health disaster policies that target this population.
本文关注的是 2005 年 8 月卡特里娜飓风期间从路易斯安那州新奥尔良撤离的低收入非裔美国吸毒者的物质使用模式变化。研究考察了卡特里娜飓风后以及灾难前和灾难期间内，酒精和烟草（AT）使用以及非法药物（ID）使用的增加和减少与以下因素之间的关系：数据来自对 200 名目前居住在休斯顿的卡特里娜飓风撤离者进行的结构化访谈，收集时间是灾难发生后 8-14 个月。多变量分析显示，AT 使用的增加与教育程度呈正相关。女性和年轻的撤离者更有可能增加 AT 使用。ID 使用的增加与资源损失和在卡特里娜飓风前离开城市有关。AT 和 ID 使用的减少与与灾难相关的暴露有关。本文讨论了灾难对弱势少数族裔物质使用者的具体影响，以及制定针对这一人群的公共卫生灾难政策的重要性。
