Disparity in disaster preparedness among rheumatoid arthritis patients with various general health, functional, and disability conditions
Disparity in disaster preparedness among rheumatoid arthritis patients with various general health, functional, and disability conditions
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具有各种一般健康、功能和残疾状况的类风湿性关节炎患者在备灾方面存在差异
DOI：
10.1007/s12199-011-0257-3
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发表时间：
2011
期刊：
影响因子：
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通讯作者：
Mizumura H.
中科院分区：
文献类型：
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作者：
Tomio J;Sato H;Mizumura H.
目的描述慢性病患者的备灾情况，并研究健康、功能和残疾状况的差异如何与备灾相关，重点研究具有不同功能和残疾水平的类风湿关节炎（RA）患者。方法2007年，1477名居住在2004年至2006年受自然灾害影响的城市的日本RA患者参与了问卷调查。三个医疗准备指标，即药品库存、药品携带和处方/治疗记录的携带，以及三个一般准备指标，即应急包、应急通信计划和应急后送计划，被用作因变量。应用多变量逻辑模型来检验与健康相关的脆弱性变量与准备变量之间的关联。结果在纳入分析的553名受试者中，只有一半的人采取了医疗准备措施，只有四分之一的人采取了一般准备措施。虽然身体残疾和较差的功能水平与医疗准备呈正相关，但那些认为健康状况较差的人携带药物和处方/治疗记录的可能性较小，而那些接受最高长期护理水平的人携带药物的可能性低于健康的同行。结论在调查的慢性RA患者中，备灾准备不足，其备灾状况随健康状况、功能状况和残疾状况的不同而不同。我们建议决策者应该仔细考虑他们为备灾设定的目标。
ObjectivesTo describe disaster preparedness among chronically ill patients and to examine how differences in health, functional, and disability conditions are associated with disaster preparedness, focusing on rheumatoid arthritis (RA) patients with various functional and disability levels.MethodsIn 2007, 1,477 members of a nationwide RA patient group in Japan who lived in municipalities affected by natural disasters between 2004 and 2006 were asked to participate in a questionnaire survey. Three medical preparedness indicators, namely, medication stockpiles, the carrying of medications, and the carrying of prescription/treatment records, and three general preparedness indicators, namely, having emergency packs, emergency communication plans, and emergency evacuation plans, were used as dependent variables. Multivariable logistic models were applied to examine the associations of health-related vulnerability variables with the preparedness variables.ResultsOf the 553 subjects included into the analysis, only one-half had taken medical preparedness measures and only one-quarter had taken general preparedness measures. Although physical disability and poorer functional level were associated positively with the medical preparedness, those with poorer perceived health were less likely to carry medications and prescription/treatment records, and those receiving the highest long-term care levels were less likely to carry medications than their healthier counterparts.ConclusionsAmong the population of chronically ill RA patients surveyed, disaster preparedness was insufficient, and their preparedness status varied with health, functional, and disability conditions. We suggest that policy-makers should give careful thought to the targets they set for disaster preparedness.