Personal Disaster and Emergency Support Networks of Older Adults in a Rural Community: Changes After Participation in a Preparedness Program.
Personal Disaster and Emergency Support Networks of Older Adults in a Rural Community: Changes After Participation in a Preparedness Program.
复制标题
农村社区老年人的个人灾难和紧急支持网络：参与防备计划后的变化。
DOI：
10.1017/dmp.2016.197
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发表时间：
2017
影响因子：
2.7
通讯作者：
Ramirez,MarizenR
中科院分区：
文献类型：
--
作者：
Ashida,Sato;Robinson,ErinL;Gay,Jane;Slagel,LaurenE;Ramirez,MarizenR
目的描述农村老年人在参与备灾干预前后的个人灾难和紧急支持网络。方法以基线为基准，27名老年人在中西部农村社区识别了194名灾难支持网络成员。干预后，这些参与者确定了232名支持网络成员。建立多水平Logistic回归模型，以识别基线时与支持提供者相关的网络成员和社会互动特征，以及PrepWise干预后新增的支持来源。结果与基线被识别为紧急支持来源相关的成员和互动特征如下：家庭、居住在附近、每周或更频繁接触、是参与者共同关心、信任和交换情感支持的人。在接受PrepWise后，参与者平均在他们的网络中确定了3个新的紧急支持来源。在后续行动中增加的支持来源倾向于非家庭成员和受信者。结论干预后，个人紧急支持网络的增强。了解网络成员和社会互动的特征可能有助于确定其他紧急支持来源。调查加强的支持网络对灾害相关行为和结果的影响的更大规模的研究将是有益的。(灾难医学公共卫生准备。2017；11：110-119)
ObjectivePersonal disaster and emergency support networks of rural older adults are described before and after participation in a disaster preparedness intervention, PrepWise.MethodsAt baseline, a total of 194 disaster support network members were identified by 27 older adults in a rural Midwest community. After the intervention, these participants identified 232 support network members. Multilevel logistic regression models were constructed to identify characteristics of the network members and social interactions associated with support providers at baseline as well as newly added support sources after the PrepWise intervention.ResultsMember and interaction characteristics associated with being identified as emergency support sources at baseline were as follows: family, lived in close proximity, weekly or more frequent contact, and being someone whom participants shared concerns with, trusted, and exchanged emotional support with. After receiving PrepWise, participants on average identified 3 new sources of emergency support within their networks. Support sources added at follow-up tended to be nonfamily members and those participants trusted.ConclusionsEnhancements in personal emergency support networks occurred after the intervention. Understanding characteristics of the network members and social interactions may assist in identifying additional emergency support sources. Larger studies investigating the impacts of enhanced support networks on disaster-related behaviors and outcomes will be beneficial. (Disaster Med Public Health Preparedness. 2017;11:110–119)