Ashida Sato, Robinson Erin L, Gay Jane, Slagel Lauren E, Ramirez Marizen R
1The University of Iowa College of Public Health,Department of Community & Behavioral Health,Iowa City,Iowa.
3The University of Missouri School of Social Work,Columbia,Missouri.
Disaster Med Public Health Prep. 2017 Feb;11(1):110-119. doi: 10.1017/dmp.2016.197. Epub 2017 Jan 12.
Personal disaster and emergency support networks of rural older adults are described before and after participation in a disaster preparedness intervention, PrepWise.
At 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.
Member 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.
Enhancements 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).
描述农村老年人在参与备灾干预项目PrepWise前后的个人灾难与应急支持网络。
在基线期，美国中西部农村社区的27名老年人共确定了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。构建多层次逻辑回归模型，以确定基线期网络成员的特征以及与支持提供者相关的社会互动，以及PrepWise干预后新增加的支持来源。
在基线期被确定为应急支持来源的成员及互动特征如下：家庭成员、居住在附近、每周或更频繁联系、参与者与之分享担忧、信任并与之交换情感支持的人。接受PrepWise干预后，参与者平均在其网络中确定了3个新的应急支持来源。随访时增加的支持来源往往是非家庭成员且是参与者信任的人。
干预后个人应急支持网络得到了增强。了解网络成员的特征和社会互动可能有助于确定更多的应急支持来源。开展更大规模的研究以调查强化支持网络对灾难相关行为和结果的影响将大有裨益。（《灾难医学与公共卫生防范》。2017年；11:110 - 119）
