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Does Preparedness Matter? The Influence of Household Preparedness on Disaster Outcomes During Superstorm Sandy

  • Lauren A. Clay (a1) (a2), James B. Goetschius (a3), Mia A. Papas (a4), Joseph Trainor (a2), Nuno Martins (a2) and James M. Kendra (a2)...

Abstract

Objectives:

This study empirically examines preparedness with a kit, medication, and a disaster plan on disaster outcomes including perceived recovery, property damage, and use of medical or mental health services.

Methods:

Using a cross-sectional, retrospective study design, 1114 households in New York City were interviewed 21-34 months following Super Storm Sandy. Bivariate associations were examined and logistic regression models fit to predict the odds of disaster outcomes given the level of preparedness.

Results:

Respondents with an evacuation plan were more likely to report not being recovered (odds ratio [OR] = 2.4; 95% confidence interval [CI]: 1.5-3.8), property damage (OR =1.4; 95% CI: 1.1-1.9), and use of medical services (OR = 2.3; 95% CI: 1.1-4.5). Respondents reporting a supply of prescription medication were more likely to report using mental health (OR = 3.5; 95% CI: 1.2-9.8) and medical services (OR = 2.3; 95% CI: 1.1-4.8)

Conclusions:

Having a kit, plan, and medication did not reduce risk of adverse outcomes in Superstorm Sandy in this sample. Disaster managers should consider the lack of evidence for preparedness when making public education and resource allocation decisions. Additional research is needed to identify preparedness measures that lead to better outcomes for more efficient and effective response and recovery.

Copyright

Corresponding author

Correspondence and reprint requests to Lauren Clay, D’Youville College, Health Services Administration, 320 Porter Avenue, Buffalo, NY 14201 (e-mail: clayl@dyc.edu).

References

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1. Tierney, KJ, Lindell, M, Perry, R. Facing the Unexpected: Disaster Preparedness and Response in the United States. Washington, DC: Joseph Henry Press; 2001.
2. Kohn, S, Eaton, JL, Feroz, S, et al. Personal disaster preparedness: an integrative review of the literature. Disaster Med Public Health Prep. 2012;6(03):217231.
3. FEMA. Build A kit. http://www.ready.gov/build-a-kit. Updated 2013. Accessed August 30, 2013.
4. American Red Cross (ARC). Plan & prepare. http://www.redcross.org/prepare. Updated n.d. Accessed August 30, 2013.
5. Basolo, V, Steinberg, LJ, Burby, RJ, et al. The effects of confidence in government and information on perceived and actual preparedness for disasters. Environ Behav. 2009;41(3):338364.
6. Redlener, IE, Abramson, DM, Stehling-Ariza, NA, et al. The American preparedness project: where the US public stands in 2007 on terrorism, security, and disaster preparedness. 2007. https://academiccommons.columbia.edu/doi/10.7916/D8S75R11. Accessed August 2, 2019.
7. Petkova, EP, Schlegelmilch, J, Sury, J, et al. The American preparedness project: where the US public stands in 2015. https://academiccommons.columbia.edu/doi/10.7916/D84Q7TZN. 2016. Accessed August 2, 2019.
8. Uscher-Pines, L, Chandra, A, Acosta, J, et al. Citizen preparedness for disasters: are current assumptions valid? Disaster Med Public Health Prep. 2012;6(02):170173.
9. 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):8694.
10. Clay, LA, Goetschius, JB, Papas, MA, et al. Influence of mental health on disaster preparedness: findings from the behavioral risk factor surveillance system, 2007-2009. J Homel Secur Emerg Manag. 2014;11(3). doi: https://doi.org/10.1515/jhsem-2014-0013
11. Ablah, E, Konda, K, Kelley, CL. Factors predicting individual emergency preparedness: a multi-state analysis of 2006 BRFSS data. Biosecur Bioterror. 2009;7(3):317330.
12. McCormick, LC, Pevear, J III, Rucks, AC, et al. The effects of the April 2011 tornado outbreak on personal preparedness in Jefferson County, Alabama. J Public Health Manag Pract. 2014;20(4):424431.
13. Auf der Heide E. Disaster Response Principles of Preparation and Coordination. Online edition. 1989. http://coe-dmha.org/Media/Disaster_Response_Principals.pdf.
14. Mileti, DS. Disasters by Design: A Reassessment of Natural Hazards in the United States. Washington, DC: Joseph Henry Press; 1999.
15. Sattler, DN, Kaiser, CF, Hittner, JB. Disaster preparedness: relationships among prior experience, personal characteristics, and distress. J Appl Soc Psychol. 2000;30(7):13961420.
16. Eisenman, DP, Zhou, Q, Ong, M, et al. Variations in disaster preparedness by mental health, perceived general health, and disability status. Disaster Med Public Health Prep. 2009;3(1):33.
17. Horney, J, Snider, C, Malone, S, et al. Factors associated with hurricane preparedness: results of a pre-hurricane assessment. J Disaster Res. 2008;3(2):1.
18. Kirschenbaum, A. Disaster preparedness: a conceptual and empirical reevaluation. Int J Mass Emergd Disasters. 2002;20(1):528.
19. Heagele, TN. Lack of evidence supporting the effectiveness of disaster supply kits. Am J Public Health. 2016;106(6):e1e4.
20. Blake, ES, Kimberlain, TB, Berg, RJ, et al. Tropical cyclone report Hurricane Sandy. (AL182012). https://www.nhc.noaa.gov/data/tcr/AL182012_Sandy.pdf. Accessed August 2, 2019.
21. Dixon, JC, Singleton, RA, Straits, BC. The Process of Social Research. New York: Oxford University Press; 2015.
22. AAPOR. Response rates: an overview. https://www.aapor.org/Education-Resources/For-Researchers/Poll-Survey-FAQ/Response-Rates-An-Overview.aspx. Updated n.d. Accessed August 2, 2019.
23. Marken, S. Still listening: the state of telephone surveys. Gallup Methodology Blog. 2018.
24. Czajka, JL, Beyler, A. Declining response rates in federal surveys: trends and implications (Background Paper). 2016. https://www.mathematica-mpr.com/our-publications-and-findings/publications/declining-response-rates-in-federal-surveys-trends-and-implications-background-paper. Accessed August 2, 2019.
25. Pew Research Center. What low response rates mean for telephone surveys. 2017. https://www.pewresearch.org/methods/2017/05/15/what-low-response-rates-mean-for-telephone-surveys/. Accessed August 2, 2019.
26. NYC Department of City Planning. DP05: ACS demographic and housing estimates 2014 American community survey 1-year estimates New York city and boroughs. 2015. https://www1.nyc.gov/assets/planning/download/pdf/data-maps/nyc-population/acs/demo_2014acs1yr_nyc.pdf. Accessed August 2, 2019.
27. Nejat, A, Brokopp Binder, S, Greer, A, et al. Demographics and the dynamics of recovery: a latent class analysis of disaster recovery priorities after the 2013 Moore, Oklahoma tornado. Int J Mass Emerg Disasters. 2018;36(1).
28. Links, JM, Schwartz, BS, Lin, S, et al. COPEWELL: a conceptual framework and system dynamics model for predicting community functioning and resilience after disasters. Disaster Med Public Health Prep. 2018;12:127137.
29. Aguirre, B, Dynes, R, Kendra, J, et al. Institutional resilience and disaster planning for new hazards: insights from hospitals. J Homel Security Emergency Manag. 2005;2(2). doi: 10.2202/1547-7355.1113
30. StataCorp. Stata statistical software: release 13. College Station, TX: StataCorp LP; 2013.
31. Cohen, J. A coefficient of agreement for nominal scales. Educ Psychol Meas. 1960;20(1):3746.
32. NY State Department of Health. Expanded BRFSS 2012-2013 percentage of adults who report poor mental health for 14 or more days in the last month. NY State BRFSS 2012-2013 reports that 10.1% of adults in NYC report poor mental health 14 days or more in the past month. Updated 2013.
33. Centers for Disease Control and Prevention (CDC). Deaths associated with Hurricane Sandy - October-November 2012. MMWR Morb Mortal Wkly Rep. 2013;62(20):393397.
34. The New York Times. Hurricane Sandy’s deadly toll. The New York Times. November 18 2012. http://www.nytimes.com/2012/11/18/nyregion/hurricane-sandys-deadly-toll.html. Accessed August 2, 2019.
35. Siff, A. Sandy survivor who lost husband, daughter: “I have to get up every day and try”. NBC New York. October 29 2014. https://www.nbcnewyork.com/news/local/Sandy-Survivor-Staten-Island-Mourns-Daughter-Husband-Died-Storm-Floods-280853042.html. Accessed August 2, 2019.
36. Weick, KE. The collapse of sensemaking in organizations: the Mann Gulch disaster. Adm Sci Q. 1993;38:628652.
37. Mitchell, JK. Human dimensions of environmental hazards: complexity, disparity, and the search for guidance. In: Kirby, A, ed. Nothing to Fear: Risks and Hazards in American Society. Tucson: University of Arizona Press; 1990:131175.
38. Mitchell, JK. The Long Road to Recovery: Community Responses to Industrial Disaster. United Nations University Press New York; 1996.
39. The Ad Council. Smokey’s history: about the campaign. https://smokeybear.com/en/smokeys-history/about-the-campaign. Updated Last updated, 2016. Accessed August 2, 2019.
40. Carson, R. Silent Spring. Boston, MA: Houghton Mifflin; 1962.
41. Wright, JD, Marsden, PV. Survey research and social science: history, current practice, and future prospects. In: Marsden, PV, Wright, JD, eds. Handbook of Survey Research. 2nd ed. Bingley, UK: Emerald Group; 2010:326.
42. Dillman, DA, Smyth, JD, Christian, LM. Internet, Phone, Mail, and Mixed-mode Surveys: The Tailored Design Method. 4th ed. Hoboken, NJ: John Wiley & Sons; 2014.
43. APHA. Get ready. http://www.getreadyforflu.org/getreadyday/index.htm. Updated Last updated, n.d.
44. Currie, D. Public health leaders using social media to convey emergencies: new tools a boon. Nations Health. 2009;39(6):110.

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