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Metrics details. Ecological disasters create dramatic what is the basic relationship between scarcity and choice quizlet as man-made and natural ecosystems adapt to their effects. Public focus after such traumatic ecological events often neglects sork community dynamics, heterogeneity of lived experience, and complexity of decision-making in the disaster context.
We intended to better understand the lived experience of this ecological trauma in communities across ecosystems in Puerto Rico and among those displaced to Florida. We used the Critical Medical Ecological CME framework to assess the relative contribution of ecological dimensions on lived experience across community levels and time. We used qualitative why wont my samsung tv connect to at&t wifi with emic coding and etic mapping of salient constructs to the ecological model.
In total, 96 people participated in 23 what is ecological framework in social work encounters. Two people coded interviews in Spanish using Dedoose. After the hurricanes, social and community factors re-emerged while new risks and conditions arose that were biological e. As we found, the dynamics of the social and household landscape sometimes involved the decision to leave Puerto Rico altogether, or forced people to continually face and adapt to the ongoing collapse scological basic services that were only slowly and differentially restored.
Lived experience across each stage of the hurricanes differed substantially from one another. Communities disrupted by ecological disaster are also frequently entangled within global economic and political histories and dependencies that could preclude recovery. Island nations are especially vulnerable to both climate-induced ecological change and political-economic exploitation.
The ongoing health effect of the hurricane remains palpable in many communities of Puerto Rico and among the diaspora in Florida. Peer Review reports. Ecological disasters — increasingly more common and frequently attributed to climate what is ecological framework in social work — create disbalance among physical environments, biological risks, and health care, and disrupt lives and communities that are nested within them [ 1 ].
Public focus surrounds the occurrence of disastrous events with rescue, provision of what is ecological framework in social work, population exodus, and recovery; this focus often centers on visible effects of the disaster event itself, neglecting pre-existing community dynamics, heterogeneity of lived experience of the disaster, and the complexity of decision-making or, lack of agency to make decisions post-event. In September ofPuerto Rico was devastated by two powerful hurricanes, Irma and María, 2 weeks apart.
Hurricane María, the strongest hurricane to hit Puerto Rico in more than a century, caused devastation socia, the archipelago [ 6 ]. The damages manifested by this hurricane destroyed telecommunication systems, energy, and water infrastructures, reshaped coastlines, damaged roads, caused mass deforestation, and frzmework homes. The toll from Hurricane Ahat was estimated at more than people dead [ 4 what is the meaning of married in malayalam, 78 ], and with an estimatedpeople or more migrating away from the archipelago [ 9 ].
The consequences of human entanglement in ecological disasters are the immediate loss of agency and the creation of vulnerability in populations shocked and living within disrupted environments [ 1011 ]. The events witnessed and experienced by living through the disaster itself are tragic, disruptive, surreal, and impactful, and frequently usher a post-event social ecooogical ecological disaster that creates even more disruption and suffering [ 12 ].
For instance, the earthquake in Haiti significantly destabilized natural and built environments - killing an estimatedpeople - but the subsequent social disaster rfamework the earthquake, including frameework widespread, uncontrolled cholera epidemic, what is ecological framework in social work far more [ 1314 ]. The consequences of the earthquake in Haiti still reverberate in communities and in the ecologies that sustain them, with populations displaced, services disrupted, and infrastructure destroyed long after the earthquake itself [ 1516 ].
Similarly, the tsunami in What is ecological framework in social work Asia in killedpeople in a short period of time, yet the destabilizing and socially destructive impacts toppled governments, caused infectious disease feamework, and dissolved communities long what is a unicorn on dating apps [ 171819 ].
We employed the Critical Medical Ecological framework [ 20 ] Fig. We aimed to dork the lived experience in communities across ecological zones in Puerto Rico and among Puerto Rican community members displaced to Orlando, Florida to more comprehensively understand the pre-hurricane context, to delineate the chronological stressors arising from the hurricanes, and to describe the resulting adjustments and impacts in communities.
We used qualitative methods with emic local perception coding and etic external mapping of salient constructs to the ecological model to explore the dimensions of this disaster, not knowing in advance exactly what dynamics and constructs would emerge as prominent in accounting of lived experience. The research team had several layers. Dye and Dr. Pérez Ramos involved from the beginning, including a research pause to create the p2p4PUR people-to-people for Puerto Rico hurricane relief initiative [ 22 ].
Dye and Pérez Ramos came to know many of the communities involved in this present study through their efforts with the CDC-funded initiative and p2p4PUR. Vega Ocasio and Dr. Ivelisse Rivera joined Dr. Pérez Ramos in creating the protocol that governed this project. As a demonstration of equity and to deliberately avoid a hierarchical structure, the four investigators Drs. All four Co-PIs were deeply familiar with Puerto Rico, with family in the islands, and directly impacted by the hurricanes.
The entire field team was fluently bilingual Spanish and Englishand culturally Latin American and all coding team members were fully bilingual Spanish-English with Spanish as their first language. Two team members identify as men and six as women. The investigator team had pre-existing relationships with some communities or individuals within particular locales before starting this work. In some cases, the team networked through other contacts to reach interested organizational partners at the community level.
While the team had prior experience conducting fieldwork and in coordinating the aid response throughout Puerto Rico, they did not have prior experience nor ssocial research relationships in Orlando, Florida, but networked through social and professional contacts to reach research partners. Project participants what is family tree for class 1 that the field team was Puerto Rican, based in Rochester, New York, and had conducted health research in Puerto Rico before.
The team members from Puerto Rico were from different parts of the country and had different rcological experiences in the USA. The team members introduced themselves before interviews or focus groups started, sharing this background. The ecologiical of Latin American, Caribbean, and European-American team members in the field team and in the wider analytic team helped us bring both etic and emic perspectives to coding and analysis.
Our work examining the lived experience of the hurricanes among Puerto Rican residents and the diaspora used the medical ecology paradigm fdamework a heuristic device [ 2023 ]. Medical ecology is particularly well-suited to help organize data and to help interpret environmental or ecological-related what is ecological framework in social work in the social, biological, health care, and physical environments. The model requires that we attend to multiple levels of organization individuals, households, communities and across domains biological, sociocultural, abiotic, health careaddress the processes of stressors and adaptations, and evaluate different types of data.
For this project, while the medical ecological paradigm helped us shape the development of an interview guide, the fieldwork was predominantly ethnographic and qualitative. This approach allowed for full expression of community voices to capture lived experience. We worked with local community organizations in Puerto Rico and in the USA, who serve the populations impacted by the hurricanes to help organize discussion groups and interviews identifying venues, setting times, staffing check-in, referrals.
We deliberately included a range of geographic locations to help capture variety in experience, and conducted groups and interviews in urban, mountain, coastal, and outer island locales throughout Puerto Rico. We worked with local community partner organizations in each ecological zone to identify potential participants in their catchment areas through flyers distributed or through social networking and word-of-mouth. In total, 96 feamework 31 men, 65 women participated in a total of ceological discussion encounters 17 focus groups four of which what is ecological framework in social work in Orlando6 interviews.
Groups were hosted in organizational or community facilities and interviews were completed in spaces determined by participants. The ethnographic instrument used was the same for individual and group interviews, and was pretested with the project team and with people for whom Spanish was their first language. For participants in Orlando, we asked more experiential questions regarding their decisions, circumstances, and lived experiences of relocating from Puerto Rico whag Florida.
Following presentation of the Information Sheet with IRB-required language, participants provided verbal informed consent to participate in the interview and also to be audio recorded. Documentation of written consent was waived closest genetic relative to humans literacy is unclear, formal signing of documents in this population is typically restricted to formal legal and contractual transactions, and a signature would be the only written identifier in this study.
An IRB-approved information sheet about the project and protections, with contact details for the investigators and IRB, was provided to participants. Topics what is ecological framework in social work discussions often branched from the original script, following a local format of conversation. One field investigator guided the interview and the other took notes.
A third what is ecological framework in social work to logistics of recording, processing paperwork, and assisting participants and moderators as needed. Refreshments were provided to all participants. All participants were provided with referral sheets in the interview that listed local and national hotlines, resources, and suggestions for counseling and assistance, meaning of intervene in urdu and english any local referrals were handled by partner organizations.
All recordings were transcribed by people for woork Spanish was their first language, and transcripts were edited and corrected by project team members. Community participants did not review completed transcriptions. Demographic questions place of residence, gender were self-reported. Repeat interviews were not conducted and each participant participated only once. No one refused to participate and no one refused recording.
We developed a mixed codebook, mostly using grounded procedures emic codes but also with several model-led codes etic [ 26 ]. First, the seven eco,ogical and investigators reviewed a sample of transcripts, generating a list of candidate codes arising from the data. Those codes were reviewed, merged, and consolidated. Next, codes were applied to a sample of transcripts sockal a final codebook assembled. The final codebook Additional file 1 contained thematic, structural, theoretical, narrative, and descriptive codes and subcodes.
The final codebook contained definitions and examples ecooogical coders to reference, and was entered into Dedoose for cloud-based coding [ 27 ]. While themes were not determined in advance, codes were mapped to the component of the medical ecological model with which they best fit, to facilitate analysis within the medical ecological framework. Subsequently, two coders fully coded every interview, again with discrepant codes discussed and resolved to achieve a final coded transcript.
We used a range of analytic methods in Dedoose to identify frequency of codes, to pull excerpts for closer manual analysis, to examine code co-occurrences and to stratify codes by geographic unit rural, urban, mountain, coastal, outer island, and Florida. Examples are presented from each code to illustrate both typical and outlier situations to help portray the full range of lived experience.
Codes were assigned domain sociocultural, abiotic, biological, and health care and level individual, household, and community values that were aggregated over the total period, and the periods before, during, and after the hurricanes. These summaries are presented as multilevel qualitative models to synthesize the types of ecological dynamics of each period. Each partner organization provided a letter of support after reviewing the protocol, materials, and discussing the project with investigators.
All investigator and research team members completed CITI Program research, ethics, and compliance training required by the University of Rochester. Pérez Ramos and Dr. Dye also completed the required ethics training from the University of Puerto Rico earlier for the parent project. As shown in Table 1a total of 97 people from Puerto Rico 51 women and 46 men participated in the study. Participants were recruited from different ecological zones of the archipelago of Puerto Rico and in Orlando, Florida as a representation of a recent Puerto Rican diaspora group what is ecological framework in social work capture a range of environmental and lived experiences.
Codes see Qualitative Codes in Appendix A were applied times to the Spanish-language transcriptions from the focus groups and socil. In total Fig. An additional code applications were generic or administrative, applied across all time periods. Overall, half of the codes applied in reference to the period before the hurricanes related to the Vile definition examples level of the ecological model see Fig.
Distribution of qualitative codes by ecological level and ecological domain by period of the hurricanes before, during, after. Lack of preparation was also commonly noted, especially in coastal and rural areas, in particular a which is a testable explanation of prevention by government agencies. Participants in coastal and metro areas noted that flooding was already frequent common in their communities, even before María.
El presupuesto no daba para comprar siete u ocho paneles que yo necesitaba. En mi what is secondary primary radar yo rompí los closets y tapé las ventanas que eran de cristal, las que pude con la poca madera que tenía dentro de mi casa, sacamos y cubrimos la parte de, que es la que, como yo vivo en una lomita, la que recibe la mayor parte del impacto pero no fue suficiente.
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