McKinley Catherine E, Scarnato Jenn Miller, Liddell Jessica, Knipp Hannah, Billiot Shanondora
Tulane University School of Social Work, New Orleans.
Tulane University School of Social Work.
J Family Strengths. 2019;19(1).
The purpose of this article is to use the culturally grounded Framework of Historical Oppression, Resilience, and Transcendence (FHORT) to examine (a) the experiences and impacts of hurricanes on Indigenous (i.e., Native American) family members in the Gulf Coast and (b) to identify how experiencing hurricanes and natural disasters, family and community support, adverse childhood experiences (ACE), discrimination and intimate partner violence (IPV) may be related to post-traumatic stress disorder (PTSD) among two Southeastern tribes. Results were drawn from a convergent mixed-methodology design, which incorporates ethnographic qualitative data and a culturally grounded quantitative follow-up survey. Thematic analysis of qualitative data with 208 participants from a coastal Indigenous community revealed several emergent themes, namely Descriptive and hierarchical regression analysis of 127 participants across two Southeastern tribes indicate that many participants frequently thought of losses from hurricanes and disasters and that over one-third of the sample met the criteria for clinically significant PTSD. Regression results affirmed the independent effects of hurricane experiences, ACE, community and family support as they relate to PTSD; yet IPV and discrimination were the strongest predictors of PTSD. Results reveal the extensive repercussions of hurricanes on Indigenous families of the Southeast, which are inseparable from and exacerbated by the insidious historical oppression, including discrimination, already experienced by these groups.
本文的目的是运用基于文化的历史压迫、复原力和超越框架（FHORT）来审视：（a）飓风对墨西哥湾沿岸原住民（即美国原住民）家庭成员的影响；（b）确定经历飓风和自然灾害、家庭及社区支持、童年不良经历（ACE）、歧视和亲密伴侣暴力（IPV）与两个东南部部落创伤后应激障碍（PTSD）之间的关系。研究结果来自于一种融合的混合方法设计，该设计纳入了人种志定性数据和基于文化的定量后续调查。对来自沿海原住民社区的208名参与者的定性数据进行主题分析，揭示了几个新出现的主题。对两个东南部部落的127名参与者进行的描述性和分层回归分析表明，许多参与者经常想到飓风和灾害造成的损失，超过三分之一的样本符合临床上显著的创伤后应激障碍标准。回归结果证实了飓风经历、童年不良经历、社区和家庭支持与创伤后应激障碍相关的独立影响；然而，亲密伴侣暴力和歧视是创伤后应激障碍最强的预测因素。结果揭示了飓风对东南部原住民家庭的广泛影响，这些影响与这些群体已经经历的包括歧视在内的阴险历史压迫密不可分，并因之而加剧。
