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Disaster Preparedness Among Older Japanese Adults With Long-Term Care Needs and Their Family Caregivers

  • Tomoko Wakui (a1) (a2), Emily M. Agree (a3), Tami Saito (a4) and Ichiro Kai (a5)

Abstract

Objective

In the 2011 Great East Japan Earthquake, as in Hurricanes Katrina and Rita in the United States, older individuals were at the greatest risk of mortality. Much concern has been raised about developing plans to reduce these risks, but little information has been provided about preparedness, and the key role played by caregivers has been largely unexplored. The aims of this study were thus to examine the preparedness of family caregivers of older adults with long-term care needs and to identify the characteristics of older adults and their caregivers that are associated with poor preparedness and greater concern about disasters.

Methods

Shortly after the Great East Japan Earthquake, the second wave of the Fukui Longitudinal Caregiver Study was administered to the family caregivers of older Japanese individuals with long-term care needs. The sample included 952 caregivers from 17 municipalities in Fukui prefecture. Logistic regression analyses were used to identify the factors associated with self-assessed preparedness, evacuation planning, and caregivers’ concerns about preparedness.

Results

The majority (75%) of the caregivers had no concrete plans for evacuation in an emergency, and those caring for persons with dementia were 36% less likely to have any plan. In multivariate models, caregivers who were more experienced and wealthier and who reported more family and community support were more likely to feel well prepared. Caregivers with poor health or limited financial resources or who were responsible for older persons with mobility difficulties reported higher levels of anxiety about their disaster preparedness.

Conclusions

This study indicates that most caregivers are ill prepared to respond in emergencies and that caregiver resources, community support, and the needs of older care recipients influence both preparedness and concern about disasters. Education for caregivers and the development of community support programs could provide important sources of assistance to this vulnerable group. (Disaster Med Public Health Preparedness. 2017;11:31–38)

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Copyright

Corresponding author

Correspondence and reprint requests to Tomoko Wakui, PhD, Tokyo Metropolitan Institute of Gerontology (TMIG), Human Care Research Team, Sakae-cho, 35-2, Itabashi-ku, Tokyo, Japan (e-mail: t-wakui@umin.ac.jp).

References

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1. Committee on Disaster Preparedness for Vulnerable Population. Evacuation support guideline for disaster preparedness of vulnerable population [in Japanese]. Cabinet office, Government of Japan. http://www.bousai.go.jp/taisaku/youengo/060328/pdf/hinanguide.pdf. Accessed April 4, 2014.
2. Cabinet Office Japan. Annual Report on the Aging Society [white paper]. http://www8.cao.go.jp/kourei/whitepaper/w-2012/zenbun/24pdf_index.html. Accessed January 8, 2013.
3. Aldrich, N, Benson, WF. Disaster preparedness and the chronic disease needs of vulnerable older adults. Prev Chronic Dis. 2008;5(1):A27.
4. Brunkard, J, Namulanda, G, Ratard, R. Hurricane Katrina deaths, Louisiana, 2005. Disaster Med Public Health Prep. 2008;2(4):215-223. http://dx.doi.org/10.1097/DMP.0b013e31818aaf55.
5. McGuire, LC, Ford, ES, Okoro, CA. Natural disasters and older US adults with disabilities: implications for evacuation. Disasters. 2007;31(1):49-56. http://dx.doi.org/10.1111/j.1467-7717.2007.00339.x.
6. Jenkins, P, Laska, S, Williamson, G. Connecting future evacuation to current recovery: saving the lives of older people in the next catastrophe. Generations. 2007;31(4):49-52.
7. Elmore, DL, Brown, LM. Emergency preparedness and response: health and social policy implications for older adults. Generations. 2007;31(4):66-74.
8. Tomio, J, Sato, H, Mizumura, H. Impact of natural disasters on the functional and health status of patients with rheumatoid arthritis. Mod Rheumatol. 2011;21(4):381-390. http://dx.doi.org/10.3109/s10165-011-0414-y.
9. Tomio, J, Sato, H, Mizumura, H. Interruption of medication among outpatients with chronic conditions after a flood. Prehosp Disaster Med. 2010;25(1):42-50.
10. Rooney, C, White, GW. Narrative analysis of a disaster preparedness and emergency response survey from persons with mobility impairments. J Disabil Policy Stud. 2007;17(4):206-215. http://dx.doi.org/10.1177/10442073070170040301.
11. Levac, J, Toal-Sullivan, D, O’Sullivan, TL. Household emergency preparedness: a literature review. J Community Health. 2012;37(3):725-733. http://dx.doi.org/10.1007/s10900-011-9488-x.
12. Smith, DL, Notaro, SJ. Personal emergency preparedness for people with disabilities from the 2006-2007 Behavioral Risk Factor Surveillance System. Disabil Health J. 2009;2(2):86-94. http://dx.doi.org/10.1016/j.dhjo.2009.01.001.
13. Bethel, JW, Foreman, AN, Burke, SC. Disaster preparedness among medically vulnerable populations. Am J Prev Med. 2011;40(2):139-143. http://dx.doi.org/10.1016/j.amepre.2010.10.020.
14. Adelman, DS, Legg, TJ. Caring for older adults with dementia when disaster strikes. J Gerontol Nurs. 2010;36(8):13-17. http://dx.doi.org/10.3928/00989134-20100701-01.
15. O’Sullivan, TL. Support for families coping with stroke or dementia: special considerations for emergency management. Radiat Prot Dosimetry. 2009;134(3-4):197-201. http://dx.doi.org/10.1093/rpd/ncp076.
16. Hyer, K, Brown, LM. Disaster preparedness, response, and recovery. In Prohaska TR, Anderson LA, Binstock RH, eds. Public Health for an Aging Society. Baltimore, MD: Johns Hopkins University Press; 2012:299-323.
17. Laditka, SB, Laditka, JN, Cornman, CB, Davis, CB, Richter, JV. Resilience and challenges among staff of gulf coast nursing homes sheltering frail evacuees following Hurricane Katrina, 2005: implications for planning and training. Prehosp Disaster Med. 2009;24(1):54-62.
18. Kirkpatrick, DV, Bryan, M. Hurricane emergency planning by home health providers serving the poor. J Health Care Poor Underserved. 2007;18(2):299-314. http://dx.doi.org/10.1353/hpu.2007.0037.
19. Claver, M, Dobalian, A, Fickel, JJ, et al. Comprehensive care for vulnerable elderly veterans during disasters. Arch Gerontol Geriatr. 2013;56(1):205-213. http://dx.doi.org/10.1016/j.archger.2012.07.010.
20. Laditka, SB, Laditka, JN, Xirasagar, S, et al. Providing shelter to nursing home evacuees in disasters: lessons from Hurricane Katrina. Am J Public Health. 2008;98(7):1288-1293. http://dx.doi.org/10.2105/AJPH.2006.107748.
21. Laditka, SB, Laditka, JN, Shenk, D. Responses of the long-term care system to recent natural disasters. In: Settersten RA, Angel JL, eds. Handbooks of Sociology of Aging. New York, NY: Springer; 2011:399-414. http://dx.doi.org/10.1007/978-1-4419-7374-0_25.
22. Laditka, SB, Laditka, JN, Cornman, CB, et al. Disaster preparedness for vulnerable persons receiving in-home, long-term care in South Carolina. Prehosp Disaster Med. 2008;23(2):133-143.
23. , Keenan TA. Home and Community Preferences of the 45+ Population. AARP. http://assets.aarp.org/rgcenter/general/home-community-services-10.pdf. Accessed January 8, 2013.
24. Cabinet Office Japan. Annual Report on the Aging Society [white paper]. http://www8.cao.go.jp/kourei/whitepaper/w-2011/zenbun/23pdf_index.html. Accessed January 4, 2013.
25. Eisenman, DP, Cordasco, KM, Asch, S, et al. Disaster planning and risk communication with vulnerable communities: lessons from Hurricane Katrina. Am J Public Health. 2007;97(suppl 1):S109-S115. http://dx.doi.org/10.2105/AJPH.2005.084335.
26. Perry, RW. Evacuation decision-making in natural disasters. Mass Emergencies. 1979;4(1):25-38.
27. Heppenstall, CP, Wilkinson, TJ, Hanger, HC, et al. Impacts of the emergency mass evacuation of the elderly from residential care facilities after the 2011 Christchurch earthquake. Disaster Med Public Health Prep. 2013;7(4):419-423. http://dx.doi.org/10.1017/dmp.2013.47.
28. Administration on Aging, US Department of Health & Human Services. Resources for Individuals, Families and Caregivers. http://www.acl.gov/Get_Help/Preparedness/Index.aspx. Accessed July 5, 2016.
29. Personal Preparedness for Older Adults and Their Caregivers. Disaster planning tips for older adults and their families. CDC website. http://www.cdc.gov/aging/emergency/preparedness.htm. Last updated March 17, 2015. Accessed June 21, 2016.
30. Bihari, M, Ryan, R. Influence of social capital on community preparedness for wildfires. Landsc Urban Plan. 2012;106(3):253-261. http://dx.doi.org/10.1016/j.landurbplan.2012.03.011.
31. Health and Welfare Bureau for the Elderly. Prevalence of dementia among the elderly[in Japanese]. http://www.mhlw.go.jp/stf/houdou/2r9852000002iau1.html. Accessed April 2, 2013.
32. Fukui prefecture. Brief summary of land at Fukui prefecture [in Japanese]. http://www.pref.fukui.lg.jp/doc/kanri/tochiriyoutotochitaisaku_d/fil/003.pdf. Accessed May 10, 2015.
33. Ministry of Health Labour and Welfare. Report Survey on Status of Long-term Care Insurance Service [in Japanese]. http://www.mhlw.go.jp/topics/kaigo/osirase/jigyo/m11/1112.html. Accessed January 7, 2013.
34. Ministry of Internal Affairs and Communications. Population census. 2013.1.8 [in Japanese]. http://www.e-stat.go.jp/SG1/estat/List.do?bid=000001035006&cycode=0. Accessed January 8, 2013.
35. Fukui Prefecture. Fukui torrential rains in 2004 [in Japanese]. http://www.pref.fukui.lg.jp/doc/sabo/gouu.html. Accessed May 10, 2015.
36. Fukui Prefectural Environmental Radiation Research and Monitoring Center. Nuclear electricity generation in Fukui [in Japanese]. http://www.houshasen.tsuruga.fukui.jp/pages/plant2.html. Accessed May 10, 2015.
37. Katz, S, Downs, TD, Cash, HR, Grotz, RC. Progress in development of the index of ADL. Gerontologist. 1970;10(1):20-30. http://dx.doi.org/10.1093/geront/10.1_Part_1.20.
38. Baker, LR, Baker, MD. Disaster preparedness among families of children with special health care needs. Disaster Med Public Health Prep. 2010;4(3):240-245. http://dx.doi.org/10.1001/dmp.2010.28.
40. Personal Preparedness for Older Adults and Their Caregivers. Emergency preparedness for older adults. CDC Website. http://www.cdc.gov/aging/emergency/preparedness.htm. Accessed July 5, 2016.
41. American Public Health Association. APHA’s Get Ready campaign. http://action.apha.org/site/MessageViewer?dlv_id=34846&em_id=29926.0. Accessed September 19, 2012.
42. Klinenberg, E. Heat Wave: A Social Autopsy of Disaster in Chicago. Chicago: University of Chicago Press; 2002. http://dx.doi.org/10.7208/chicago/9780226026718.001.0001.
43. Elder, K, Xirasagar, S, Miller, N, et al. African Americans’ decisions not to evacuate New Orleans before Hurricane Katrina: a qualitative study. Am J Public Health. 2007;97(suppl 1):S124-S129. http://dx.doi.org/10.2105/AJPH.2006.100867.
44. Ministry of Health Labour and Welfare. Comprehensive Survey of Living Conditions [in Japanese]. http://www.mhlw.go.jp/toukei/saikin/hw/k-tyosa/k-tyosa10/index.html. Accessed January 8, 2013.

Keywords

Disaster Preparedness Among Older Japanese Adults With Long-Term Care Needs and Their Family Caregivers

  • Tomoko Wakui (a1) (a2), Emily M. Agree (a3), Tami Saito (a4) and Ichiro Kai (a5)

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