Karaye Ibraheem M, Taylor Nicholas, Perez-Patron Maria, Thompson Courtney, Horney Jennifer A
Department of Health Professions, Hofstra University, Hempstead, NY, USA.
Department of Epidemiology and Biostatistics, Texas A&M University, College Station, TX, USA.
Disaster Med Public Health Prep. 2022 Jun;16(3):1064-1072. doi: 10.1017/dmp.2021.24. Epub 2021 Apr 13.
Hurricane evacuation is one of the strategies employed by emergency management and other agencies to reduce morbidity and mortality associated with hurricanes. However, factors associated with residents' evacuation decision-making have been inconsistent. In this study, we conducted a statistical meta-analysis to identify factors associated with hurricane evacuation as well as moderators of the evacuation decision.
A systematic literature search identified 36 studies published between 1999 and 2018. Pooled estimates were calculated using random-effects models, and heterogeneity across studies was checked using both Q and I statistics. Meta-regression methods were used to identify moderators. Publication bias was assessed using both visual (funnel plots) and statistical methods.
Mobile home residence, perception of risk, female sex, and Hispanic ethnicity were statistically associated with hurricane evacuation, while geographic region modified the relationship between Hispanic race and evacuation.
Agencies responsible for preparedness may utilize these findings to identify specific population sub-groups for hurricane evacuation communication and other interventions. Future studies should consider statistical interactions and explore opportunities for research translation to emergency officials.
飓风疏散是应急管理部门和其他机构为降低与飓风相关的发病率和死亡率而采用的策略之一。然而，与居民疏散决策相关的因素并不一致。在本研究中，我们进行了一项统计荟萃分析，以确定与飓风疏散相关的因素以及疏散决策的调节因素。
通过系统的文献检索，确定了1999年至2018年间发表的36项研究。使用随机效应模型计算合并估计值，并使用Q统计量和I统计量检查研究之间的异质性。采用元回归方法确定调节因素。使用可视化方法（漏斗图）和统计方法评估发表偏倚。
居住在活动房屋、对风险的感知、女性性别和西班牙裔种族与飓风疏散在统计学上相关，而地理区域改变了西班牙裔种族与疏散之间的关系。
负责应急准备的机构可利用这些研究结果，确定特定的人群亚组，以便进行飓风疏散宣传和其他干预措施。未来的研究应考虑统计交互作用，并探索将研究成果转化给应急官员的机会。
