Sue Anne Bell1,2, Dianne Singer2, Erica Solway2, Mattias Kirch2, Jeffrey Kullgren2,3,4,5, Preeti Malani2,4. 1. School of Nursing, University of Michigan, Ann ArborMichigan. 2. Institute for Healthcare Policy and Innovation, Ann ArborMichigan. 3. Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann ArborMichigan. 4. Department of Internal Medicine, University of Michigan Medical School, Ann ArborMichigan. 5. Department of Health Management and Policy, University of Michigan School of Public Health, Ann ArborMichigan.
Abstract
OBJECTIVES: Emergency preparedness becomes more important with increased age, as older adults are at heightened risk for harm from disasters. In this study, predictors of preparedness actions and confidence in preparedness among older adults in the United States were assessed. METHODS: This nationally representative survey polled community-dwelling older adults ages 50-80 y (n = 2256) about emergency preparedness and confidence in addressing different types of emergencies. Logistic regression was used to identify predictors of reported emergency preparedness actions and confidence in addressing emergencies. RESULTS: Participants' mean age was 62.4 y (SD = 8); 52% were female, and 71% were non-Hispanic white. Living alone was associated with lower odds of having a 7-d supply of food and water (adjusted odds ratio [aOR] = 0.74; 95% confidence interval [CI]: 0.56-0.96), a stocked emergency kit (aOR = 0.64; 95% CI: 0.47-0.86), and having had conversations with family or friends about evacuation plans (aOR = 0.59; 95% CI: 0.44-0.78). Use of equipment requiring electricity was associated with less confidence in addressing a power outage lasting more than 24 h (aOR = 0.66; 95% CI: 0.47-0.94), as was use of mobility aids (OR = 0.65; 95% CI: 0.45-0.93). CONCLUSIONS: These results point to the need for tailored interventions to support emergency preparedness for older adults, particularly among those who live alone and use medical equipment requiring electricity.
OBJECTIVES: Emergency preparedness becomes more important with increased age, as older adults are at heightened risk for harm from disasters. In this study, predictors of preparedness actions and confidence in preparedness among older adults in the United States were assessed. METHODS: This nationally representative survey polled community-dwelling older adults ages 50-80 y (n = 2256) about emergency preparedness and confidence in addressing different types of emergencies. Logistic regression was used to identify predictors of reported emergency preparedness actions and confidence in addressing emergencies. RESULTS: Participants' mean age was 62.4 y (SD = 8); 52% were female, and 71% were non-Hispanic white. Living alone was associated with lower odds of having a 7-d supply of food and water (adjusted odds ratio [aOR] = 0.74; 95% confidence interval [CI]: 0.56-0.96), a stocked emergency kit (aOR = 0.64; 95% CI: 0.47-0.86), and having had conversations with family or friends about evacuation plans (aOR = 0.59; 95% CI: 0.44-0.78). Use of equipment requiring electricity was associated with less confidence in addressing a power outage lasting more than 24 h (aOR = 0.66; 95% CI: 0.47-0.94), as was use of mobility aids (OR = 0.65; 95% CI: 0.45-0.93). CONCLUSIONS: These results point to the need for tailored interventions to support emergency preparedness for older adults, particularly among those who live alone and use medical equipment requiring electricity.
Entities:
Keywords:
disaster planning; emergency preparedness; empowerment of older persons; older adults; social isolation
Authors: Regina A Shih; Joie D Acosta; Emily K Chen; Eric G Carbone; Lea Xenakis; David M Adamson; Anita Chandra Journal: Rand Health Q Date: 2018-08-02
Authors: Sidrah Malik; David C Lee; Kelly M Doran; Corita R Grudzen; Justin Worthing; Ian Portelli; Lewis R Goldfrank; Silas W Smith Journal: Disaster Med Public Health Prep Date: 2017-08-02 Impact factor: 1.385
Authors: Jeffrey T Kullgren; Preeti Malani; Matthias Kirch; Dianne Singer; Sarah Clark; Brian J Zikmund-Fisher; Eve A Kerr Journal: J Gen Intern Med Date: 2019-10-25 Impact factor: 5.128