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应急供应包与医疗自给自足:从伊恩飓风吸取的教训

Emergency Supply Kits and Medical Self-Sufficiency: Lessons from Hurricane Ian.

作者信息

Rumph Jelonia Tasha, Kieszak Stephanie, Winquist Andrea, Hanchey Arianna, DiGrande Laura, Schnall Amy Helene

机构信息

Epidemic Intelligence Service, US Centers for Disease Control and Prevention, Atlanta, GA, USA.

Division of Environmental Health Science and Practice, National Center for Environmental Health, US Centers for Disease Control and Prevention, Atlanta, GA, USA.

出版信息

Disaster Med Public Health Prep. 2025 Aug 15;19:e240. doi: 10.1017/dmp.2025.10096.

Abstract

OBJECTIVES

Emergency supply kits (ESKs) may support disaster-related self-sufficiency and may be important for people with chronic health conditions (CHCs). However, evidence of ESK's effectiveness in supporting self-sufficiency is lacking. This study examined associations between households possessing ESKs and 1) household members leaving home for medicine and 2) individuals with CHCs seeking medical care.

METHODS

Data were collected through a survey distributed to southwest Florida after Hurricane Ian's impact ( = 1342). Associations were assessed using logistic regression models.

RESULTS

ESK possession was more common among households with members with CHCs (63%) than households without such members (56%). Overall, regression models revealed no clear association between ESK possession and leaving home for medicine (adjusted Odds Ratio (aOR)=1.27; CI = 0.81-2.02). Analyses restricted to households with individuals with CHCs revealed no clear associations between ESK possession and leaving the home for medicine (aOR= 1.35; CI = 0.81-2.25) or seeking medical care (aOR = 1.07; CI = 0.68-1.68).

CONCLUSIONS

This study did not provide evidence that ESKs promote medical self-sufficiency. However, it did not characterize the medication in households' ESKs or the type, duration, and severity of CHCs, and could have had uncontrolled confounding. Characterization of such factors would be important in future studies of ESKs and self-sufficiency among people with CHCs.

摘要

目的

应急供应包(ESK)可能有助于实现与灾害相关的自给自足,对患有慢性健康状况(CHC)的人可能很重要。然而,缺乏ESK在支持自给自足方面有效性的证据。本研究调查了拥有ESK的家庭与1)家庭成员离家取药和2)患有CHC的个体寻求医疗护理之间的关联。

方法

通过在飓风伊恩袭击后向佛罗里达州西南部发放的一项调查收集数据(n = 1342)。使用逻辑回归模型评估关联。

结果

有CHC成员的家庭(63%)比没有此类成员的家庭(56%)更普遍拥有ESK。总体而言,回归模型显示拥有ESK与离家取药之间没有明确关联(调整后的优势比(aOR)= 1.27;置信区间 = 0.81 - 2.02)。仅限于有CHC个体的家庭的分析显示,拥有ESK与离家取药(aOR = 1.35;置信区间 = 0.81 - 2.25)或寻求医疗护理(aOR = 1.07;置信区间 = 0.68 - 1.68)之间没有明确关联。

结论

本研究没有提供ESK促进医疗自给自足的证据。然而,它没有描述家庭ESK中的药物,也没有描述CHC的类型、持续时间和严重程度,并且可能存在未控制的混杂因素。在未来关于ESK和CHC患者自给自足的研究中,表征这些因素将很重要。

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