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Disaster Preparedness Among Women With a Recent Live Birth in Hawaii – Results From the Pregnancy Risk Assessment Monitoring System (PRAMS), 2016

Published online by Cambridge University Press:  27 September 2021

Penelope Strid ,
Carlotta Ching Ting Fok ,
Marianne Zotti ,
Holly B. Shulman ,
Jane Awakuni ,
L. Duane House ,
Brian Morrow ,
Judy Kern ,
Matthew Shim  and
Sascha R. Ellington
Penelope Strid*
Affiliation:
Centers for Disease Control and Prevention, Division of Reproductive Health, Atlanta, GA, USA Oak Ridge Institute of Science and Education, Oak Ridge, TN, USA
Carlotta Ching Ting Fok
Affiliation:
Hawaii State Department of Health – Family Health Services Division, Honolulu, HI, USA
Marianne Zotti
Affiliation:
Centers for Disease Control and Prevention, Division of Reproductive Health, Atlanta, GA, USA Zotti Consulting, Bella Vista, AR, USA
Holly B. Shulman
Affiliation:
Centers for Disease Control and Prevention, Division of Reproductive Health, Atlanta, GA, USA
Jane Awakuni
Affiliation:
Hawaii State Department of Health – Family Health Services Division, Honolulu, HI, USA
L. Duane House
Affiliation:
Centers for Disease Control and Prevention, Division of Reproductive Health, Atlanta, GA, USA
Brian Morrow
Affiliation:
Centers for Disease Control and Prevention, Division of Reproductive Health, Atlanta, GA, USA
Judy Kern
Affiliation:
Hawaii State Department of Health – Office of Public Health Preparedness, Honolulu, HI, USA
Matthew Shim
Affiliation:
Hawaii State Department of Health – Family Health Services Division, Honolulu, HI, USA
Sascha R. Ellington
Affiliation:
Centers for Disease Control and Prevention, Division of Reproductive Health, Atlanta, GA, USA
*
Corresponding Author: Penelope Strid, Email: [email protected]
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Abstract

Objective:

The aim of this study was to examine emergency preparedness behaviors among women with a recent live birth in Hawaii.

Methods:

Using the 2016 Hawaii Pregnancy Risk Assessment Monitoring System, we estimated weighted prevalence of 8 preparedness behaviors.

Results:

Among 1010 respondents (weighted response rate, 56.3%), 79.3% reported at least 1 preparedness behavior, and 11.2% performed all 8 behaviors. The prevalence of women with a recent live birth in Hawaii reporting preparedness behaviors includes: 63.0% (95% CI: 58.7-67.1%) having enough supplies at home for at least 7 days, 41.3% (95% CI: 37.1-45.6%) having an evacuation plan for their child(ren), 38.7% (95% CI: 34.5-43.0%) having methods to keep in touch, 37.8% (95% CI: 33.7-42.1%) having an emergency meeting place, 36.6% (95% CI: 32.6-40.9%) having an evacuation plan to leave home, 34.9% (95% CI: 30.9-39.2%) having emergency supplies to take with them if they have to leave quickly, 31.8% (95% CI: 27.9-36.0%) having copies of important documents, and 31.6% (95% CI: 27.7-35.8%) having practiced what to do during a disaster.

Conclusions:

One in 10 women practiced all 8 behaviors, indicating more awareness efforts are needed among this population in Hawaii. The impact of preparedness interventions implemented in Hawaii can be tracked with this question over time.

Keywords

HawaiipostpartumPRAMSpreparedness
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 16 , Issue 5 , October 2022 , pp. 2005 - 2014
Creative Commons
This is a work of the US Government and is not subject to copyright protection within the United States.
Copyright
© Centers for Disease Control and Prevention, 2021. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health, Inc.

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References

FEMA Emergency Management Institute. Glossary. n.d. https://training.fema.gov/programs/emischool/el361toolkit/glossary.htm. Accessed March 2, 2020.Google Scholar
Federal Emergency Management Agency. Disasters. 2020. https://www.fema.gov/disasters. Accessed March 2, 2020.Google Scholar
Yahmed, SB, Koob, P. Health sector approach to vulnerability reduction and emergency preparedness. World Health Stat Q. 1996;49(3-4):172-178.Google ScholarPubMed
World Health Organization. Risk reduction and emergency preparedness: WHO six-year strategy for the health sector and community capacity development. Geneva: World Health Organization; 2007.Google Scholar
Morrow, BH. Identifying and mapping community vulnerability. Disasters. 1999;23(1):1-18.Google ScholarPubMed
Nour, NN. Maternal health considerations during disaster relief. Rev Obstet Gynecol. 2011;4(1):22-27.Google ScholarPubMed
Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019. Pub. L. No. 116-22, § 303, 133 Stat. 935 (2019).Google Scholar
Callaghan, WM, Rasmussen, SA, Jamieson, DJ, et al. Health concerns of women and infants in times of natural disasters: lessons learned from Hurricane Katrina. Matern Child Health J. 2007;11(4):307-311.Google ScholarPubMed
Ewing, B, Buchholtz, S, Rotanz, R. Assisting pregnant women to prepare for disaster. Am J Matern Child Nurs. 2008;33(2):98-103.Google ScholarPubMed
Larrance, R, Anastario, M, Lawry, L. Health status among internally displaced persons in Louisiana and Mississippi travel trailer parks. Ann Emerg Med. 2007;49(5):590-601.Google ScholarPubMed
Harville, EW, Xiong, X, Buekens, P. Hurricane Katrina and perinatal health. Birth. 2009;36(4):325-331.CrossRefGoogle ScholarPubMed
Fergusson, DM, Horwood, LJ, Boden, JM, Mulder, RT. Impact of a major disaster on the mental health of a well-studied cohort. JAMA Psychiatry. 2014;71(9):1025-1031.Google Scholar
Neria, Y, Shultz, JM. Mental health effects of Hurricane Sandy: characteristics, potential aftermath, and response. JAMA. 2012;308(24):2571-2572.CrossRefGoogle ScholarPubMed
Xiong, X, Harville, EW, Mattison, DR, et al. Hurricane Katrina experience and the risk of post-traumatic stress disorder and depression among pregnant women. Am J Disaster Med. 2010;5(3):181-187.Google ScholarPubMed
Mendez-Figueroa, H, Tolcher, M, Abdollah Shamshirsaz, A, et al. 16: Impact of severe stress after a major natural disaster on perinatal outcomes. Am J Obstet Gynecol. 2019;220(1):S13-S14.CrossRefGoogle Scholar
Ehrlich, M, Harville, E, Xiong, X, et al. Loss of resources and hurricane experience as predictors of postpartum depression among women in southern Louisiana. J Womens Health. 2010;19(5):877-884.Google ScholarPubMed
Giarratano, GP, Barcelona, V, Savage, J, Harville, E. Mental health and worries of pregnant women living through disaster recovery. Health Care Women Int. 2019;40(3):259-277.CrossRefGoogle ScholarPubMed
Zahran, S, Peek, L, Snodgrass, JG, et al. Economics of disaster risk, social vulnerability, and mental health resilience. Risk Anal. 2011;31(7):1107-1119.CrossRefGoogle ScholarPubMed
Antipova, A, Curtis, A. The post-disaster negative health legacy: pregnancy outcomes in Louisiana after Hurricane Andrew. Disasters. 2015;39(4):665-686.CrossRefGoogle ScholarPubMed
Hilmert, CJ, Kvasnicka-Gates, L, Teoh, AN, et al. Major flood related strains and pregnancy outcomes. Health Psychol. 2016;35(11):1189-1196.CrossRefGoogle ScholarPubMed
Saulnier, DD, Brolin, K. A systematic review of the health effects of prenatal exposure to disaster. Int J Public Health. 2015;60(7):781-787.Google ScholarPubMed
Simeonova, E. Out of sight, out of mind? Natural disasters and pregnancy outcomes in the USA. CESifo Econ Stud. 2011;57(3):403-431.Google Scholar
Harville, E, Xiong, X, Buekens, P. Disasters and perinatal health: a systematic review. Obstet Gynecol Surv. 2010;65(11):713-728.CrossRefGoogle ScholarPubMed
Federal Emergency Management Agency. Are you ready? An in-depth guide to citizen preparedness. 2020. https://www.ready.gov/sites/default/files/2020-08/are-you-ready-guide.pdf. Accessed August 1, 2021.Google Scholar
Zilversmit, L, Sappenfield, O, Zotti, M, McGehee, MA. Preparedness planning for emergencies among postpartum women in Arkansas during 2009. Womens Health Issues. 2014;24(1):e83-e88.CrossRefGoogle ScholarPubMed
American Public Health Association. Emergency preparedness for pregnant women and families with infants. n.d. http://www.getreadyforflu.org/new_pg_MODPregnantMomsInfants.htm. Accessed May 1, 2020.Google Scholar
Centers for Disease Control and Prevention, Division of Reproductive Health. Disaster safety for expecting and new parents. 2019. https://www.cdc.gov/reproductivehealth/features/disaster-planning-parents/index.html. Accessed May 1, 2020.Google Scholar
Maher, MJ. Emergency preparedness in obstetrics: meeting unexpected key challenges. J Perinat Neonat Nurs. 2019;33(3):238-245.CrossRefGoogle ScholarPubMed
National Institutes of Health. Pregnant women in disasters and emergencies: health information guide. 2019. https://disasterinfo.nlm.nih.gov/pregnant-women. Accessed May 1, 2020.Google Scholar
Horney, J, Zotti, ME, Williams, A, Hsia, J. Cluster sampling with referral to improve the efficiency of estimating unmet needs among pregnant and postpartum women after disasters. Womens Health Issues. 2012;22(3):e253-e257.CrossRefGoogle ScholarPubMed
Centers for Disease Control and Prevention, Division of Reproductive Health. Frequently asked questions about PRAMS. About PRAMS. 2019. https://www.cdc.gov/prams/about/prams-faq.htm. Accessed February 24, 2020.Google Scholar
Centers for Disease Control and Prevention. PRAMS phase 8 topic reference document. 2016. https://www.cdc.gov/prams/pdf/questionnaire/Phase-8-Topics-Reference_508tagged.pdf. Accessed March 1, 2020.Google Scholar
Centers for Disease Control and Prevention, Divsion of Population Health. BRFSS questionnaires. 2019. https://www.cdc.gov/brfss/questionnaires/. Accessed March 2, 2020.Google Scholar
Federal Emergency Management Agency. Personal preparedness in America: findings from the 2009 Citizen Corps National Survey. 2009. https://s3-us-gov-west-1.amazonaws.com/dam-production/uploads/20130726-1859-25045-2081/2009_citizen_corps_national_survey_findings___full_report.pdf. Accessed March 2, 2020.Google Scholar
Shulman, HB, D’Angelo, DV, Harrison, L, et al. The Pregnancy Risk Assessment Monitoring System (PRAMS): overview of design and methodology. Am J Public Health. 2018;108(10):1305-1313.CrossRefGoogle ScholarPubMed
Sorensen, C, Wood, B, Prince, E. Race & ethnicity data: developing a common language for public health surveillance in Hawaii. Calif J Health Promot. 2003;1:91-104.CrossRefGoogle Scholar
Department of Health and Human Services. Annual update of the HHS poverty guidelines. Fed Regist. 2016;81(15):4036-4037.Google Scholar
Hawaii FHSD. Hawaii PRAMS 2009-2015 trend report. 2019. https://health.hawaii.gov/fhsd/files/2019/07/PRAMS-Trend-Report-ALL-FINAL6-2019-LR.pdf. Accessed January 29, 2020.Google Scholar
Kaiser, HF. An index of factorial simplicity. Psychometrika. 1974;39(1):31-36.CrossRefGoogle Scholar
DeBastiani, SD, Strine, TW, Vagi, SJ, et al. Preparedness perceptions, sociodemographic characteristics, and level of household preparedness for public health emergencies: Behavioral Risk Factor Surveillance System, 2006-2010. Health Secur. 2015;13(5):317-326.CrossRefGoogle ScholarPubMed
Baker, J. Household preparedness for the aftermath of hurricanes in Florida. Appl Geogr. 2011;31:46-52.CrossRefGoogle Scholar
Murphy, ST, Cody, M, Frank, LB, et al. Predictors of emergency preparedness and compliance. Disaster Med Public Health Prep. 2009;3(2):1-10.Google Scholar
Diekman, ST, Kearney, SP, O’Neil, ME, Mack, KA. Qualitative study of homeowners’ emergency preparedness: experiences, perceptions, and practices. Prehosp Disaster Med. 2007;22(6):494-501.CrossRefGoogle Scholar
Bethel, JW, Burke, SC, Britt, AF. Disparity in disaster preparedness between racial/ethnic groups. Disaster Health. 2013;1(2):110-116.Google ScholarPubMed
Office of Minority Health. Profile: native Hawaiians/Pacific Islanders. 2020. https://www.minorityhealth.hhs.gov/omh/browse.aspx?lvl=3&lvlid=65. Accessed February 29, 2020.Google Scholar
Kruger, J, Chen, B, Heitfeld, S, et al. Attitudes, motivators, and barriers to emergency preparedness using the 2016 Styles Survey. Health Promot Pract. 2020;21 (3):448-456.CrossRefGoogle ScholarPubMed
USDA Food and Nutrition Service. WIC frequently asked questions (FAQs). https://www.fn.usda.gov/wic/frequently-asked-questions-about-wic. Accessed February 29, 2020.Google Scholar
Edwards, PJ, Roberts, I, Clarke, MJ, et al. Methods to increase response to postal and electronic questionnaires. Cochrane Database Syst Rev. 2009;(3):MR000008. https://doi.org//10.1002/14651858.MR000008.pub4 CrossRefGoogle Scholar
Yammarino, FJ, Skinner, SJ, Childers, TL. Understanding mail survey response behavior: a meta-analysis. Public Opin Q. 1991;55(4):613-639.Google Scholar
Kim, K, Pant, P, Yamashita, E. Managing uncertainty: lessons from volcanic lava disruption of transportation infrastructure in Puna, Hawaii. J Emerg Manag. 2018;16(1):29-40.Google ScholarPubMed
Levac, J, Toal-Sullivan, D, O‘Sullivan TL. Household emergency preparedness: a literature review. J Community Health. 2012;37(3):725-733.Google ScholarPubMed
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