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Disaster Evacuation for Home-Based Patients with Special Healthcare Needs: A Cross-Sectional Study

Author

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  • Yukari Matsumoto

    (School of Nursing, Faculty of Medicine, Fukuoka University, Fukuoka 814-0133, Japan)

  • Hisao Nakai

    (School of Nursing, Kanazawa Medical University, Kahoku 920-0265, Japan)

  • Yumi Koga

    (School of Nursing, Faculty of Medicine, Fukuoka University, Fukuoka 814-0133, Japan)

  • Tamayo Hasegawa

    (School of Nursing, Faculty of Medicine, Fukuoka University, Fukuoka 814-0133, Japan)

  • Yumiko Miyagi

    (School of Nursing, Faculty of Medicine, Fukuoka University, Fukuoka 814-0133, Japan)

Abstract

Recent super-typhoons and torrential rains triggered by global warming have had disproportionately large effects on medically vulnerable people in Japan. This study aimed to identify factors associated with intention to evacuate to the nearest public shelter among family caregivers of pediatric patients receiving home medical care. The study included family caregivers of these patients from the Department of Pediatrics, Fukuoka University Hospital, Japan, including family caregivers of young adults with special healthcare needs. An original questionnaire was prepared drawing on previous studies and used for an interview survey. Overall, 57 individuals provided valid data and were included in the analysis. Factors associated with evacuation intention were non-use of a home ventilator (odds ratio [OR] 3.99, 95% confidence interval [CI]: 1.13–14.03) and not having made arrangements to use a non-public shelter (OR 7.29 95% CI: 1.62–32.88). This means that those who use mechanical ventilation or have secured alternative places to go if they need to evacuate their homes may not use the nearest public shelter in a disaster. We recommend that policy makers consider the use of mechanical ventilation and the availability of non-public shelters as predictors of evacuation behavior when considering disaster preparedness for these patients.

Suggested Citation

  • Yukari Matsumoto & Hisao Nakai & Yumi Koga & Tamayo Hasegawa & Yumiko Miyagi, 2022. "Disaster Evacuation for Home-Based Patients with Special Healthcare Needs: A Cross-Sectional Study," IJERPH, MDPI, vol. 19(22), pages 1-12, November.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:22:p:15356-:d:978855
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    References listed on IDEAS

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    1. Jeffrey K. Lazo & Ann Bostrom & Rebecca E. Morss & Julie L. Demuth & Heather Lazrus, 2015. "Factors Affecting Hurricane Evacuation Intentions," Risk Analysis, John Wiley & Sons, vol. 35(10), pages 1837-1857, October.
    2. Runkle, J.D. & Brock-Martin, A. & Karmaus, W. & Svendsen, E.R., 2012. "Secondary surge capacity: A framework for understanding long-term access to primary care for medically vulnerable populations in disaster recovery," American Journal of Public Health, American Public Health Association, vol. 102(12), pages 24-32.
    3. Craig Trumbo & Michelle A. Meyer & Holly Marlatt & Lori Peek & Bridget Morrissey, 2014. "An Assessment of Change in Risk Perception and Optimistic Bias for Hurricanes Among Gulf Coast Residents," Risk Analysis, John Wiley & Sons, vol. 34(6), pages 1013-1024, June.
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    Cited by:

    1. Chisato Yamazaki & Hisao Nakai, 2023. "Understanding Mothers’ Worries about the Effects of Disaster Evacuation on Their Children: A Cross-Sectional Study," IJERPH, MDPI, vol. 20(3), pages 1-11, January.

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