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Predictors of Emergency Preparedness Among Parents in Hawaii: A Cross-Sectional Survey

Published online by Cambridge University Press:  03 May 2024

Gary Glauberman Open the ORCID record for Gary Glauberman [Opens in a new window] ,
Holly B. Fontenot  and
Eunjung Lim
Gary Glauberman*
Affiliation:
School of Nursing, University of Hawaii at Manoa, Honolulu, HI, USA
Holly B. Fontenot
Affiliation:
School of Nursing, University of Hawaii at Manoa, Honolulu, HI, USA
Eunjung Lim
Affiliation:
Department of Quantitative Health Sciences, John A. Burns School of Medicine, University of Hawaii at Manoa, Honolulu, HI, USA
*
Corresponding author: Gary Glauberman; Email: glauberm@hawaii.edu
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Abstract

Objective:

To determine factors predicting emergency preparedness (EP) behaviors among Hawaii parents.

Methods:

A cross-sectional online survey of parents of children (age 0-12 y) living in Honolulu, Hawaii, in March 2023 examined associations with (1) having an EP kit (supplies for use during emergencies) and (2) having a family emergency plan (what to do, where to go, how to communicate during emergencies) with demographics/household characteristics and theoretical constructs of the Health Belief Model. A multivariable regression model obtained odds ratios and 95% confidence intervals.

Results:

Participants (N = 278) were mainly female (84%), college-educated (68%), and were similar in diverse racial/ethnic composure (White; 13.3%) to the overall Honolulu County. Logistic regression determined participants with lower perceived susceptibility to disasters, greater time barriers, and those who needed help to prepare for emergencies were less likely to have an EP kit. Among participants without an EP kit, a website able to create personalized instructions for household EP would be useful. Participants who needed help to prepare for emergencies were less likely to have a family emergency plan.

Conclusions:

Future interventions should focus on evidence-based strategies that improve self-efficacy associated with developing EP kits and family emergency plans.

Keywords

cross-sectional studiesemergency preparednesshealth belief modelfamilyparents
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 18 , 2024 , e109
Copyright
© The Author(s), 2024. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health, Inc

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References

World Health Organization. Health emergencies. Published 2023. Accessed July 20, 2023. https://www.who.int/our-work/health-emergencies Google Scholar
Healthy People 2030. Emergency Preparedness. U.S. Department of Health and Human Services. Published 2022. Accessed February 10, 2021. https://health.gov/healthypeople/objectives-and-data/browse-objectives/emergency-preparedness Google Scholar
Hamann, CJ, Mello, E, Wu, H, et al. Disaster preparedness in rural families of children with special health care needs. Disaster Med Public Health Prep. 2016;10(2):225-232. doi: 10.1017/dmp.2015.159 Google Scholar
Ryan, MT, Rohrbeck, CA, Wirtz, PW. The importance of self-efficacy in parental emergency preparedness: a moderated mediation model. Disaster Med Public Health Prep. 2018;12(3):345-351. doi: 10.1017/dmp.2017.80 Google Scholar
Zamboni, LM, Martin, EG. Association of US households’ disaster preparedness with socioeconomic characteristics, composition, and region. JAMA Netw Open. 2020;3(4):e206881. doi: 10.1001/jamanetworkopen.2020.6881 Google Scholar
Kruger, J, Chen, B, Heitfeld, S, et al. Attitudes, motivators, and barriers to emergency preparedness using the 2016 styles survey. Health Promot Pract. 2020;21(3):448-456. doi: 10.1177/1524839918794940 Google Scholar
Levac, J, Toal-Sullivan, D, O‘Sullivan TL. Household emergency preparedness: a literature review. J Community Health. 2012;37(3):725-733. doi: 10.1007/s10900-011-9488-x Google Scholar
Federal Emergency Management Agency. 2022 national household survey on disaster preparedness (NHS). Published 2022. Accessed August 25, 2023. https://fema-community-files.s3.amazonaws.com/2022-National-Household-Survey.pdf Google Scholar
Centers for Disease Control and Prevention. Caring for children in a disaster. Published January 27, 2021. Accessed February 9, 2022. https://www.cdc.gov/childrenindisasters/index.html Google Scholar
Strid, P, Fok, CCT, Zotti, M, et al. Disaster preparedness among women with a recent live birth in Hawaii – results from the Pregnancy Risk Assessment Monitoring System (PRAMS), 2016. Disaster Med Public Health Prep. 2025;16(5):2005-2014. doi: 10.1017/dmp.2021.274 Google Scholar
US Department of Health and Human Services. Theory at a Glance: A Guide for Health Promotion Practice. 2nd ed. 2005. https://cancercontrol.cancer.gov/sites/default/files/2020-06/theory.pdf Google Scholar
Murphy, ST, Cody, M, Frank, LB, et al. Predictors of emergency preparedness and compliance. Disaster Med Public Health Prep. 2009. doi: 10.1097/DMP.0b013e3181a9c6c5Google Scholar
Lindell, MK, Hwang, SN. Households’ perceived personal risk and responses in a multihazard environment. Risk Anal. 2008;28(2):539-556. doi: 10.1111/j.1539-6924.2008.01032.x Google Scholar
Martin, IM, Bender, H, Raish, C. What motivates individuals to protect themselves from risks: the case of wildland fires. Risk Anal. 2007;27(4):887-900. doi: 10.1111/j.1539-6924.2007.00930.x Google Scholar
Becker, JS, Paton, D, Johnston, DM, et al. Salient beliefs about earthquake hazards and household preparedness. Risk Anal. 2013;33(9):1710-1727. doi: 10.1111/risa.12014 Google Scholar
PhenX Toolkit. Protocol - food insecurity. Published 2023. Accessed January 5, 2024. https://www.phenxtoolkit.org/protocols/view/270301?origin=search Google Scholar
Buenconsejo-Lum, LE, Qureshi, K, Palafox, NA, et al. A report on the impact of the COVID-19 pandemic on the health and social welfare in the state of Hawai’i. Hawaii J Health Soc Welf. 2021;80(9):12.Google Scholar
Glauberman, G, Wong, DK, Qureshi, K. Experience of parents of preschool children in Hawaii during the COVID-19 pandemic. Public Health Nurs. 2022;39(5):949-957. doi: 10.1111/phn.13076 Google Scholar
Heagele, TN, Nurse-Clarke, NJ. A nurse-led home disaster preparedness intervention for new parents. Neonatal Netw. 2022;41(1):5-10. doi: 10.1891/11-T-714 Google Scholar
Gollwitzer, PM, Brandstätter, V. Implementation intentions and effective goal pursuit. J Pers Soc Psychol. 1997;73(1):186-199.Google Scholar
Rivera, JD. The likelihood of having a household emergency plan: understanding factors in the US context. Nat Hazards (Dordr). 2020;104(2):1331-1343. doi: 10.1007/s11069-020-04217-z Google Scholar
Cong, Z, Chen, Z. How are Asian-Americans different from other races in disaster preparedness in the context of caregiving responsibilities and preparation information access? Nat Hazards (Dordr). 2022;112(3):2217-2236. doi: 10.1007/s11069-022-05262-6 Google Scholar
Bethel, JW, Burke, SC, Britt, AF. Disparity in disaster preparedness between racial/ethnic groups. Disaster Health. 2013;1(2):110-116. doi: 10.4161/dish.27085 Google Scholar
DeYoung, S, Peters, M. My community, my preparedness: the role of sense of place, community, and confidence in government in disaster readiness. Int J Mass Emerg Disasters. 2016;34(2):250-282.Google Scholar
Olympia, RP, Rivera, R, Heverley, S, et al. Natural disasters and mass-casualty events affecting children and families: a description of emergency preparedness and the role of the primary care physician. Clin Pediatr (Phila). 2010;49(7):686-698. doi: 10.1177/0009922810364657 Google Scholar
So, M, Franks, JL, Cree, RA, et al. An evaluation of the literacy demands of online natural disaster preparedness materials for families. Disaster Med Public Health Prep. 2020;14(4):449-458. doi: 10.1017/dmp.2019.62 Google Scholar
Johnston, DM, Paton, D, Crawford, G, et al. Measuring tsunami preparedness in coastal Washington, United States. Nat Hazards. 2005;35:173-184.Google Scholar
Xiang, T, Gerber, BJ, Zhang, F. Language access in emergency and disaster preparedness: an assessment of local government “whole community” efforts in the United States. Int J Disaster Risk Reduct. 2021;55:102072. doi: 10.1016/j.ijdrr.2021.102072 Google Scholar
Toor, KT, Burke, RV, Demeter, NE, et al. Improving disaster preparedness of families with a parenteral nutrition–dependent child. J Pediatr Gastroenterol Nutr. 2018;67(2):237-241.Google Scholar
McAtee, KJ, Bedenbaugh, R, Lakis, DC, et al. Emergency preparedness and disaster response: there’s an app for that 2.0. Prehosp Disaster Med. 2022;37(1):117-123. doi: 10.1017/S1049023X21001321 Google Scholar
Tan, ML, Prasanna, R, Stock, K, et al. Understanding end-users’ perspectives: towards developing usability guidelines for disaster apps. Prog Disaster Sci. 2020;7:100118. doi: 10.1016/j.pdisas.2020.100118 Google Scholar
Pandit, JA, Radin, JM, Quer, G, et al. Smartphone apps in the COVID-19 pandemic. Nat Biotechnol. 2022;40(7):1013-1022. doi: 10.1038/s41587-022-01350-x Google Scholar
Wu, N. Hawaii COVID-19 exposure notification app to shut down. Honolulu Star-Advertiser. Published May 9, 2023. Accessed January 5, 2024. https://www.staradvertiser.com/2023/05/09/breaking-news/hawaii-covid-19-exposure-notification-app-to-shut-down/ Google Scholar
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