Chan Emily Y Y, Kim Jean H, Lin Cherry, Cheung Eliza Y L, Lee Polly P Y
Collaborative Centre for Oxford University and CUHK for Disaster and Medical Humanitarian Response, Room 308, The Jockey Club School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China,
J Immigr Minor Health. 2014 Jun;16(3):466-72. doi: 10.1007/s10903-012-9761-9.
Disaster preparedness is an important preventive strategy for protecting health and mitigating adverse health effects of unforeseen disasters. A multi-site based ethnic minority project (2009-2015) is set up to examine health and disaster preparedness related issues in remote, rural, disaster prone communities in China. The primary objective of this reported study is to examine if previous disaster experience significantly increases household disaster preparedness levels in remote villages in China. A cross-sectional, household survey was conducted in January 2011 in Gansu Province, in a predominately Hui minority-based village. Factors related to disaster preparedness were explored using quantitative methods. Two focus groups were also conducted to provide additional contextual explanations to the quantitative findings of this study. The village household response rate was 62.4 % (n = 133). Although previous disaster exposure was significantly associated with perception of living in a high disaster risk area (OR = 6.16), only 10.7 % households possessed a disaster emergency kit. Of note, for households with members who had non-communicable diseases, 9.6 % had prepared extra medications to sustain clinical management of their chronic conditions. This is the first study that examined disaster preparedness in an ethnic minority population in remote communities in rural China. Our results indicate the need of disaster mitigation education to promote preparedness in remote, resource-poor communities.
灾难准备是保护健康和减轻不可预见灾难对健康的不利影响的一项重要预防策略。一个多地点的少数民族项目（2009 - 2015年）已设立，以研究中国偏远、农村、易受灾社区中与健康和灾难准备相关的问题。本报告研究的主要目的是检验以往的灾难经历是否会显著提高中国偏远村庄家庭的灾难准备水平。2011年1月在甘肃省一个以回族为主的村庄进行了一项横断面家庭调查。使用定量方法探讨了与灾难准备相关的因素。还进行了两个焦点小组讨论，以对本研究的定量结果提供额外的背景解释。该村家庭回应率为62.4%（n = 133）。尽管以往遭受灾难与认为生活在高风险灾难地区显著相关（比值比 = 6.16），但只有10.7%的家庭拥有灾难应急包。值得注意的是，对于有非传染性疾病患者的家庭，9.6%的家庭准备了额外药物以维持慢性病的临床治疗。这是第一项研究中国农村偏远社区少数民族人群灾难准备情况的研究。我们的结果表明需要开展减灾教育，以促进偏远、资源匮乏社区的准备工作。
