Lam Rex Pui Kin, Leung Ling Pong, Balsari Satchit, Hsiao Kai-Hsun, Newnham Elizabeth, Patrick Kaylie, Pham Phuong, Leaning Jennifer
Emergency Medicine Unit, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region, China.
François-Xavier Bagnoud Center for Health and Human Rights, Harvard TH Chan School of Public Health, Harvard University, MA, USA.
Int J Disaster Risk Reduct. 2017 Aug;23:62-69. doi: 10.1016/j.ijdrr.2017.04.008. Epub 2017 Apr 21.
To assess the state of community disaster preparedness of Hong Kong residents and to identify factors associated with adequate preparedness behaviors.
A cross-sectional survey using random Global Positioning System (GPS) spatial sampling conducted from the 8 August 2015 to 6 September 2015.
Hong Kong residents aged 18 years or more.
A 19-item questionnaire was developed to assess respondents' preparedness information acquisition, communication plan, evacuation strategies, first-aid and disaster knowledge, financial resilience, and preparedness behaviors. In total, 1023 residents were interviewed at 516 GPS locations. Multiple logistic regression was used to identify factors associated with preparedness behaviors, defined as having an evacuation kit in our study.
Television remains the key information source, both before and during disaster, with young respondents also favoring social media and the internet and elder residents preferring television and radio. Many respondents did not have adequate first-aid knowledge and few showed correct responses to a typhoon warning signal. Only 39.4% had an evacuation kit. In logistic regression, correct responses to first aid questions and a typhoon warning signal were significantly associated with kit preparation (OR 2.023, 95% CI 1.233-3.318, p=0.005). Residents with elderly household member(s) were significantly less likely to do so (OR 0.554, 95% CI 0.333-0.922, p=0.023).
Community resilience-building programs should tailor information provision to different age groups with a focus on the family caregivers of elderly residents. There is a need to promulgate first-aid training and disaster education in the community.
评估香港居民的社区灾难准备状况，并确定与充分准备行为相关的因素。
于2015年8月8日至2015年9月6日采用随机全球定位系统（GPS）空间抽样进行的横断面调查。
18岁及以上的香港居民。
编制了一份包含19个条目的问卷，以评估受访者的准备信息获取、沟通计划、疏散策略、急救和灾难知识、财务抗逆能力以及准备行为。总共在516个GPS定位点对1023名居民进行了访谈。采用多因素逻辑回归分析来确定与准备行为相关的因素，在本研究中准备行为定义为拥有一个应急包。
电视仍然是灾难发生前和发生期间的主要信息来源，年轻受访者也青睐社交媒体和互联网，而老年居民则更喜欢电视和广播。许多受访者没有足够的急救知识，很少有人对台风预警信号做出正确反应。只有39.4%的人有应急包。在逻辑回归分析中，对急救问题和台风预警信号的正确回答与准备应急包显著相关（比值比2.023，95%置信区间1.233 - 3.318，p = 0.005）。有老年家庭成员的居民这样做的可能性显著降低（比值比0.554，95%置信区间0.333 - 0.922，p = 0.023）。
社区抗逆力建设项目应针对不同年龄组量身定制信息提供，重点关注老年居民的家庭照顾者。有必要在社区推广急救培训和灾难教育。
