Improving Disaster Resilience Among Older Adults: Insights from Public Health Departments and Aging-in-Place Efforts.

  title={Improving Disaster Resilience Among Older Adults: Insights from Public Health Departments and Aging-in-Place Efforts.},
  author={Regina A. Shih and Joie D. Acosta and Emily K. Chen and Eric G. Carbone and Lea Xenakis and David M. Adamson and Anita Chandra},
  journal={Rand health quarterly},
  volume={8 1},
This study uses interview data collected from public health departments and aging-in-place efforts-specifically, from coordinators of age-friendly communities and village executive directors-to explore how current aging-in-place efforts can be harnessed to strengthen the disaster resilience of older adults and which existing programs or new collaborations among public health departments and these organizations show promise for improving disaster resilience for older populations. Interviews with… 

Figures from this paper

Examining the role of ageing-in-place organisations in building older adults’ disaster resilience
It is suggested that ageing-in-place organisations may be best equipped to support older adults’ disaster resilience by serving as a trusted source of disaster-related information and providing input on the appropriateness of disaster plans and messages for the unique needs of older adults ageing- in-place.
Investigating Older Adults’ Attitudes towards Crisis Informatics Tools: Opportunities for Enhancing Community Resilience during Disasters
The world population is projected to rapidly age over the next 30 years. Given the increasing digital technology adoption amongst older adults, researchers have investigated how technology can
Understanding the Vulnerability, Resilience and Quality of Life of older adults during natural disasters
Globally, disasters constantly challenge the capacity of humans to adapt to its consequences and endure the impact. It comprises a range of impacts including loss of life and properties, risk of
“Helping fill that gap:” a qualitative study of aging in place after disaster through the lens of home-based care providers
The challenges aging adults face in the response and recovery period after a large-scale disaster including maintaining continuity of care, encouraging individual preparedness, and accessing complex governmental support are described.
System models for resilience in gerontology: application to the COVID-19 pandemic
The National Academies of Science conceptualization of resilience for natural disasters to frame resilience for aging adults enables development of a generalized theory of resilient for different individual and structural contexts and populations, including a specific application to the COVID-19 pandemic.
Barriers and facilitators to providing home-based care in a pandemic: policy and practice implications
Home-based care plays an essential role in maintaining the health of older adults in disaster contexts, including pandemics and innovative solutions are needed to reduce barriers and increase protective factors, in order to maintain continuity of care for this vulnerable population during disruptive events.
Predictors of Emergency Preparedness Among Older Adults in the United States
The results point to the need for tailored interventions to support emergency preparedness for older adults, particularly among those who live alone and use medical equipment requiring electricity.


Older people as assets in disaster preparedness, response and recovery: lessons from regional Australia
ABSTRACT This article reports on findings from a qualitative research study on natural disaster preparedness in ‘at risk’ population groups in regional Australia, and in particular on findings
[Preparedness for natural disasters among older US adults: a nationwide survery].
The preparedness score indicated that increasing age, physical disability, and lower educational attainment and income were independently and significantly associated with worse overall preparedness.
Building human resilience: the role of public health preparedness and response as an adaptation to climate change.
  • M. Keim
  • Environmental Science
    American journal of preventive medicine
  • 2008
Disaster Preparedness and the Chronic Disease Needs of Vulnerable Older Adults
Several tools and strategies already exist to help prepare public health and emergency preparedness professionals and professionals who provide services for the aging to protect and assist older adults during a disaster.
Using ecological frameworks to advance a field of research, practice, and policy on aging-in-place initiatives.
This article uses insights from ecological frameworks-specifically Urie Bronfenbrenner's bioecological systems theory and M. Powell Lawton's general ecological model of aging-to conceptualize a range of programs as aging-in-place initiatives and for describing their similarities and differences.
An Agenda to Advance Integrative Resilience Research and Practice: Key Themes From a Resilience Roundtable.
This study provides a path forward, primarily built on proceedings from a Resilience Roundtable, held in June 2016, and supplemented with relevant literature review.
A prospective study of the impact of floods on the mental and physical health of older adults
The use of maladaptive coping, such as venting and distraction, was associated with greater deterioration in mental health after floods, whilst emotion-focused coping such as acceptance, positive reframing, and humour, was protective against such deterioration.
Mental health and recovery in the Gulf Coast after Hurricanes Katrina and Rita.
Although more than 1.5 million residents fled the storm, hundreds of thousands remained behind, many of whom died or were injured during or in the immediate aftermath of the storm.
Using Medicare data to identify individuals who are electricity dependent to improve disaster preparedness and response.
A first-in-the-nation emergency preparedness drill was piloted in which Medicare claims data was used to identify individuals with electricity-dependent durable medical equipment during a disaster and securely disclosed it to a local health department, and it was found that claims data were 93% accurate in identifying individuals using a home oxygen concentrator or ventilator.
Mortality in Chicago attributed to the July 1995 heat wave.
The methods used here provide insight into the great impact of the Chicago heat wave on selected populations, but the lack of methodological standards makes comparisons across geographical areas problematic.