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Health Care Student Perceptions of Societal Vulnerability to Disasters in the Context of Population Aging

Published online by Cambridge University Press:  25 July 2018

Peter Lucas*
Affiliation:
University of Tasmania, Australia
Michael Annear
Affiliation:
International Christian University, Tokyo, Japan
Wayne Harris
Affiliation:
University of Tasmania, Australia
Helen Eyles
Affiliation:
University of Tasmania, Australia
Auston Rotheram
Affiliation:
University of Tasmania, Australia
*
Correspondence and reprint requests to Dr Peter Lucas, 17 Liverpool Street, Hobart, TAS, 7000, Australia (e-mail: [email protected]).

Abstract

Objective

This paper reports on undergraduate health care students’ perception of societal vulnerability to disasters in the context of population aging. Forecast increases in extreme weather events are likely to have a particularly devastating effect on older members of the community.

Methods

Undergraduate paramedicine and nursing students were surveyed using the Perceptions of Ageing and Disaster Vulnerability Scale (PADVS) to determine their views on the risks posed to older members of the community by disasters. Data analysis included a comparison of subscales relating to isolation, health system readiness, declining function, and community inclusiveness.

Results

Students reported a moderate level of concern about disaster vulnerability. Students who had previously completed another university degree reported significantly higher levels of concern than those without a prior degree. Australian students reported lower concern about societal vulnerability compared to a previously reported cohort of Japanese students.

Conclusion

Our study suggests current education of future health care students does not promote adequate levels of awareness of the health-related challenges posed by disasters, particularly among older members of the community. Without addressing this gap in education, the risk of negative outcomes for both unprepared first responders and older members of the community is significant. (Disaster Med Public Health Prep. 2019;13:449-455)

Type
Original Research
Copyright
Copyright © 2018 Society for Disaster Medicine and Public Health, Inc. 

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References

REFERENCES

1. World Health Organization. Global health and ageing. Geneva: WHO. 2011.Google Scholar
2. Australian Institute of Health and Welfare (AIHW). Population ageing. 2017. http://www.aihw.gov.au/ageing/older-australia-at-a-glance/demographics/age-and-gender/. Accessed July 1, 2017.Google Scholar
3. United Nations Department of Economic and Social Affairs. 2015; World population ageing. http://www.un.org/en/development/desa/population/publications/pdf/ageing/WPA2015_Report.pdf. Accessed June 7, 2017.Google Scholar
4. Australian Bureau of Statistics. 2013; Population projections, Australia 2012 to 2101, Cat. No. 3222.0. http://www.ausstats.abs.gov.au/ausstats/subscriber.nsf/0/13D196FB0DBECC3BCA257C2E00173FAD/$File/32220_2012 (base) to 2101.pdf. Accessed June 8, 2017.Google Scholar
5. Strandberg, TE, Pitkälä, KH, Tilvis, RS, et al. Geriatric syndromes – vascular disorders? Ann Med. 2013;45(3):265-273.Google Scholar
6. Arendts, G, Lowthian, J. Demography is destiny: an agenda for geriatric emergency medicine in Australasia. Emerg Med Australas. 2013;25:271-278.Google Scholar
7. Ferri, CP, Prince, M, Brayne, C, et al. Global prevalence of dementia: a Delphi consensus study. Lancet. 2006;366(9503):2112-2117.Google Scholar
8. Lowthian, J, Jolley, D, Curtis, A, et al. The challenges of population ageing: accelerating demand for emergency ambulance services by older patients, 1995-2015. Med J Aust. 2011;194(11):574.Google Scholar
9. Chilton, M. A brief analysis of trends in prehospital care services and a vision for the future. Australas J Paramed. 2004;2(1):Article 5.Google Scholar
10. Lowthian, J, Curtis, A, Stoelwinder, J, et al. Emergency demand and repeat attendances by older patients. Int Med J. 2013;43(5):554-560.Google Scholar
11. Lundgren, AS, Ljuslinder, K. The baby-boom is over and the ageing shock awaits: populist media imagery in news-press representations of population ageing. IJAL. 2012;6(2):39-71.Google Scholar
12. Martin, R, Williams, C, O’Neill, D. Retrospective analysis of attitudes to ageing in the Economist: apocalyptic demography for opinion formers. BMJ. 2009;339:b4914.Google Scholar
13. World Health Organization. Older persons in emergencies: an active ageing perspective. Geneva: WHO. 2008.Google Scholar
14. Annear, M, Keeling, S, Wilkinson, T. Participatory and evidence‐based recommendations for urban redevelopment following natural disasters: older adults as policy advisers. Australas J Ageing. 2014;33(1):43-49.Google Scholar
15. Howard, A, Blakemore, T, Bevis, M. Older people as assets in disaster preparedness, response and recovery: lessons from regional Australia. Ageing Soc. 2015:1-20.Google Scholar
16. Muramatsu, N, Akiyama, H. Japan: super-aging society preparing for the future. Gerontologist. 2011;51(4):425-432.Google Scholar
17. Brockie, L, Miller, E. Understanding older adults’ resilience during the Brisbane floods: social capital, life experience, and optimism. Dis Med Public Health Prep. 2017;11(1):72-79.Google Scholar
18. Tuohy, R, Stephens, C, Johnston, D. Older adults’ disaster preparedness in the context of the September 2010–December 2012 Canterbury earthquake sequence. Int J Disaster Risk Reduct. 2014;9:194-203.Google Scholar
19. Flanagan, BE, Gregory, EW, Hallisey, EJ, et al. A social vulnerability index for disaster management. J Homel Secur Emerg Manag. 2011;8(1):Article 3.Google Scholar
20. Giddens, A. The Politics of Climate Change: National Responses to the Challenge of Global Warming. London: Policy Network. 2008.Google Scholar
21. Kovats, RS, Hajat, S. Heat stress and public health: a critical review. Annu Rev Public Health. 2008;29:41-55.Google Scholar
22. Meehl, GA, Tebaldi, C. More intense, more frequent, and longer lasting heat waves in the 21st century. Science. 2004;305(5686):994-997.Google Scholar
23. Aldrich, N, Benson, WF. Disaster preparedness and the chronic disease needs of vulnerable older adults. Prev Chronic Dis. 2008;5(1):1-7.Google Scholar
24. Parkinson, D, Zara, C. The hidden disaster: domestic violence in the aftermath of natural disaster. Aust J Emerg Manage. 2013;28(2):28.Google Scholar
25. Hughes, L, Hanna, E, Fenwick, J. The silent killer: climate change and the health impacts of extreme heat. Canberra: The Climate Council of Australia. 2016.Google Scholar
26. Hajat, S, Kosatky, T. Heat-related mortality: a review and exploration of heterogeneity. J Epidemiol Community Health. 2010;64(9):753-760.Google Scholar
27. Annear, M, Wilkinson, T, Keeling, S. Psychological challenges among older adults following the Christchurch earthquakes. J Disaster Res. 2013;8(3):508-511.Google Scholar
28. Furukawa, K, Ootsuki, M, Nitta, A, et al. Aggravation of Alzheimer’s disease symptoms after the earthquake in Japan: a comparative analysis of subcategories. Geriatr Gerontol Int. 2013;13(4):1081-1082.Google Scholar
29. The White House. The federal response to Hurricane Katrina: lessons learned. Washington (DC). 2006. http://library.stmarytx.edu/acadlib/edocs/katrinawh.pdf. Accessed October 1, 2017.Google Scholar
30. Nitschke, M, Tucker, GR, Hansen, AL, et al. Impact of two recent extreme heat episodes on morbidity and mortality in Adelaide, South Australia: a case-series analysis. Environ Health. 2011;10(1):42.Google Scholar
31. Bissell, RA, Becker, BM, Burkle, FM Jr. Health care personnel in disaster response. Emerg Med Clin. 1996;14(2):267-288.Google Scholar
32. Chaffee, M. Willingness of health care personnel to work in a disaster: an integrative review of the literature. Disaster Med Public Health Prep. 2013;3(1):42-56.Google Scholar
33. Kahn, CA, Schultz, CH, Miller, KT, Anderson, CL. Does START triage work? An outcomes assessment after a disaster. Ann Emerg Med. 2009;54(3):424-430. e1.Google Scholar
34. Lerner, EB, Schwartz, RB, Coule, PL, et al. Mass casualty triage: an evaluation of the data and development of a proposed national guideline. Disaster Med Public Health Prep. 2013;2(S1):S25-S34.Google Scholar
35. Kilner, T. Triage decisions of prehospital emergency health care providers, using a multiple casualty scenario paper exercise. Emerg Med J. 2002;19(4):348-353.Google Scholar
36. Gamble, JL, Hurley, BJ, Schultz, PA, et al. Climate change and older Americans: state of the science. Environ Health Perspect. 2013;121(1):15.Google Scholar
37. Fernandez, LS, Byard, D, Lin, C-C, et al. Frail elderly as disaster victims: emergency management strategies. Prehosp Disaster Med. 2012;17(2):67-74.Google Scholar
38. Vandentorren, S, Bretin, P, Zeghnoun, A, et al. August 2003 heat wave in France: risk factors for death of elderly people living at home. Eur J Public Health. 2006;16(6):583-591.Google Scholar
39. Watts, N, Adger, WN, Agnolucci, P, et al. Health and climate change: policy responses to protect public health. Lancet. 2015;386(10006):1861-1914.Google Scholar
40. Bright, F, Gilbert, JD, Winskog, C, Byard, R. Inadequate domestic insulation in Australia – an additional risk factor for lethal hypothermia. Pathology. 2013;45:S90.Google Scholar
41. Dirkzwager, AJ, Grievink, L, Van der Velden, PG, Yzermans, CJ. Risk factors for psychological and physical health problems after a man-made disaster. Br J Psychiatry. 2006;189(2):144-149.Google Scholar
42. Cutter, SL, Boruff, BJ, Shirley, WL. Social vulnerability to environmental hazards. Soc Sci Q. 2003;84(2):242-261.Google Scholar
43. Coates, L, Haynes, K, O’Brien, J, et al. Exploring 167 years of vulnerability: an examination of extreme heat events in Australia, 1844–2010. Environ Sci Policy. 2014;42:33-44.Google Scholar
44. Council of Australian Governments. National strategy for disaster resilience. Canberra: COAG. 2011.Google Scholar
45. White, CJ, Remenyi, T, McEvoy, D, et al. Tasmanian State Natural Disaster Risk Assessment. Hobart, Australia: University of Tasmania. 2016.Google Scholar
46. Council of Ambulance Authorities. Paramedic Professional Competency Standards Version 2.2. St Kilda: CAA. 2013.Google Scholar
47. Cone, DC, Serra, J, Kurland, L. Comparison of the SALT and Smart triage systems using a virtual reality simulator with paramedic students. Eur J Emerg Med. 2011;18(6):314-321.Google Scholar
48. Wilkerson, W, Avstreih, D, Gruppen, L, et al. Using immersive simulation for training first responders for mass casualty incidents. Acad Emerg Med. 2008;15(11):1152-1159.Google Scholar
49. Annear, MJ, Otani, J, Gao, X, Keeling, S. Japanese perceptions of societal vulnerability to disasters during population ageing: constitution of a new scale and initial findings. Int J Disaster Risk Reduct. 2016;18:32-40.Google Scholar
50. Maneesriwongul, W, Dixon, JK. Instrument translation process: a methods review. J Adv Nurs. 2004;48(2):175-186.Google Scholar
51. Cohen, J. Statistical Power Analysis for the Behavioral Sciences, 2nd ed. Hilsdale, NJ: Lawrence Earlbaum Associates. 1988.Google Scholar
52. Whitmee, S, Haines, A, Beyrer, C, et al. Safeguarding human health in the Anthropocene epoch: report of The Rockefeller Foundation – Lancet commission on planetary health. Lancet. 2015;386(10007):1973-2028.Google Scholar
53. Bergstrand, K, Mayer, B, Brumback, B, Zhang, Y. Assessing the relationship between social vulnerability and community resilience to hazards. Soc Indic Res. 2015;122(2):391.Google Scholar
54. Cutter, SL, Emrich, CT, Webb, JJ, Morath, D. Social vulnerability to climate variability hazards: a review of the literature. Final Rep Oxfam Am. 2009;5:1-44.Google Scholar
55. Emergency Management Victoria. Community Resilience Framework For Emergency Management. Melbourne: EMV. 2017.Google Scholar
56. Furukawa, K, Ootsuki, M, Kodama, M, Arai, H. Exacerbation of dementia after the earthquake and tsunami in Japan. J Neurol. 2012;259(6):1243.Google Scholar
57. Furukawa, K, Ishiki, A, Tomita, N, et al. What we did and learnt in the care of the patients with dementia after the Great East Japan earthquake in 2011. Nihon Rinsho Jap J Clin Med. 2016;74(3):519-522.Google Scholar
58. United Nations Department of Economic and Social Affairs. World urbanization prospects: the 2011 revision. New York: United Nations. 2012.Google Scholar
59. Uejio, CK, Wilhelmi, OV, Golden, JS, et al. Intra-urban societal vulnerability to extreme heat: the role of heat exposure and the built environment, socioeconomics, and neighborhood stability. Health Place. 2011;17(2):498-507.Google Scholar
60. Lucas, PV, Mason, R, Annear, M, et al. Pain assessment in older adults with dementia: an exploratory pilot study of paramedic students’ perceptions of the utility of two validated assessment tools. Australas J Paramed. 2016;13(3):Article 3.Google Scholar
61. Costello, A, Abbas, M, Allen, A, et al. Managing the health effects of climate change. Lancet. 2009;373(9676):1693-1733.Google Scholar
62. Garschagen, M, Hagenlocher, M, Comes, M, et al. World Risk Report 2016. Berlin: Bündnis Entwicklung Hilft and UNU-EHS. 2016.Google Scholar
63. Anderson, D, Prioleau, P, Taku, K, et al. Post-traumatic stress and growth among medical student volunteers after the March 2011 disaster in Fukushima, Japan: implications for student involvement with future disasters. Psychiatr Q. 2016;87(2):241.Google Scholar
64. Hayward, BM. Rethinking resilience: reflections on the earthquakes in Christchurch, New Zealand, 2010 and 2011. Ecol Soc. 2013;18(4):37-42.Google Scholar