Bethel Jeffrey W, Burke Sloane C, Britt Amber F
College of Public Health and Human Sciences; Oregon State University; Corvallis, OR USA.
Health Sciences Department; California State University, Northridge; Northridge, CA USA.
Disaster Health. 2013 Nov 8;1(2):110-116. doi: 10.4161/dish.27085. eCollection 2013 Apr-Dec.
Objective The objective of this study was to examine the association between race/ethnicity (including language subgroups among Hispanics) and disaster preparedness among Behavioral Risk Factor Surveillance System (BRFSS) survey respondents. Methods BRFSS data were obtained for eight states which implemented the optional general preparedness module from 2006 through 2010. Three dependent variables were analyzed including presence of four preparedness items (i.e., food, water, flashlight, and radio), emergency evacuation plan, and 3-d supply of medication. Primary independent variable included race/ethnicity accounting for language of survey. Data were analyzed in 2011 and accounted for BRFSS sampling design. Results Black (OR = 0.66, 95% CI = 0.56, 0.79), English-speaking Hispanic (OR = 0.48, 95% CI = 0.34, 0.69) and Spanish-speaking Hispanic respondents (OR = 0.20, 95% CI = 0.13, 0.29) were less likely than non-Hispanic white respondents to live in a household in which all members requiring medication had a 3-d supply. Results varied regarding presence of four preparedness items and an emergency evacuation plan. Conclusions Racial/ethnic minority groups were less likely to have medication supplies but only Spanish-speaking Hispanics were less likely to have an emergency evacuation plan than white respondents. Public health officials can use these findings to support targeting racial/ethnic minorities to increase the presence of preparedness items important to mitigate the effects of disasters, with particular emphasis on medication supplies and Spanish-speaking Hispanics.
目的 本研究的目的是调查行为危险因素监测系统（BRFSS）调查对象的种族/族裔（包括西班牙裔中的语言亚组）与灾难准备情况之间的关联。方法 获取了2006年至2010年实施了可选的总体准备模块的八个州的BRFSS数据。分析了三个因变量，包括四项准备物品（即食物、水、手电筒和收音机）的存在情况、紧急疏散计划以及三天的药品供应量。主要自变量包括考虑了调查语言的种族/族裔。2011年对数据进行了分析，并考虑了BRFSS抽样设计。结果 黑人（比值比[OR]=0.66，95%置信区间[CI]=0.56，0.79）、说英语的西班牙裔（OR=0.48，95%CI=0.34，0.69）和说西班牙语的西班牙裔受访者（OR=0.20，95%CI=0.13，0.29）比非西班牙裔白人受访者更不可能生活在所有需要服药的家庭成员都有三天供应量的家庭中。关于四项准备物品的存在情况和紧急疏散计划，结果有所不同。结论 种族/族裔少数群体拥有药品供应的可能性较小，但只有说西班牙语的西班牙裔拥有紧急疏散计划的可能性比白人受访者小。公共卫生官员可以利用这些发现，支持将种族/族裔少数群体作为目标，以增加对减轻灾难影响至关重要的准备物品的储备，尤其要强调药品供应和说西班牙语的西班牙裔群体。
