Influence of Mental Health on Disaster Preparedness: Findings from the Behavioral Risk Factor Surveillance System, 2007–2009
Abstract
Preparedness is central to improving health outcomes following disasters. Individuals with poor mental health may be at increased risk of adverse health consequences following disasters due to a lack of preparedness. We examined the relationship between preparedness and mental health. Using Louisiana and New Hampshire (2007) and Mississippi (2009) general preparedness and mental illness modules from the Behavioral Risk Factor Surveillance System (BRFSS) we examine whether having an evacuation plan, a 3-day supply of medication, and supplies including food, water, a radio, and flashlight is influenced by psychological distress, assessed by the Kessler-6, a validated measure of probable serious mental illness. Across respondents, 47% are prepared with supplies, 29% have an evacuation plan, and 91.2% have a 3-day supply of medication. Serious psychological distress increases the odds of a lack of overall preparedness (OR=1.61, 95%CI: 1.41, 1.84), a 3-day supply of medication (OR=1.66, 95%CI: 1.39, 1.99), and an evacuation plan (OR=1.22, 95%CI: 1.05, 1.42). Individuals with poor mental health are not only more at risk for adverse consequences following disasters, they are also starting off less prepared. Mental health practitioners, primary care providers, and emergency managers should craft health promotion and risk communication messages to focus on this vulnerable population.
References
Ablah, E., K. Konda and C. L. Kelley (2009) “Factors Predicting Individual Emergency Preparedness: A Multi-State Analysis of 2006 BRFSS Data,” Biosecurity and Bioterrorism: Biodefense Strategy, Practice, and Science, 7(3):317–330.10.1089/bsp.2009.0022Suche in Google Scholar
Akinbami, O. J., X. Liu, P. N. Pastor and C. A. Reuben (2011) Attention Deficit Hyperactivity Disorder Among Children Aged 5–17 Years in the United States, 1998–2009. US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics.Suche in Google Scholar
Alexander, D. (1997) “The Study of Natural Disasters, 1977–1997: Some Reflections on a Changing Field of Knowledge,” Disasters, 21(4):284–304.10.1111/1467-7717.00064Suche in Google Scholar
American Psychological Association (2010) Stress in America Findings. Washington, DC: American Psychological Association.Suche in Google Scholar
American Red Cross (ARC) (n.d.) Plan and Prepare. Retrieved August 30, 2013, from http://www.redcross.org/prepare.Suche in Google Scholar
Andrew, S. A. and J. M. Kendra (2012) “An Adaptive Governance Approach to Disaster-Related Behavioural Health Services,” Disasters, 36(3):514–532.10.1111/j.1467-7717.2011.01262.xSuche in Google Scholar
Basolo, V., L. J. Steinberg, R. J. Burby, J. Levine, A. M. Cruz and C. Huang (2009) “The Effects of Confidence in Government and Information on Perceived and Actual Preparedness for Disasters,” Environment and Behavior, 41(3):338–364.10.1177/0013916508317222Suche in Google Scholar
Benedek, D. M., C. Fullerton and R. J. Ursano (2007) “First Responders: Mental Health Consequences of Natural and Human-Made Disasters for Public Health and Public Safety Workers*,” Annual Review of Public Health, 28(1):55–68.10.1146/annurev.publhealth.28.021406.144037Suche in Google Scholar
Bethel, J. W., A. N. Foreman and S. C. Burke (2011) “Disaster Preparedness Among Medically Vulnerable Populations,” American Journal of Preventive Medicine, 40(2):139–143.10.1016/j.amepre.2010.10.020Suche in Google Scholar
Bonanno, G. A., S. Galea, A. Bucciarelli and D. Vlahov (2007) “What Predicts Psychological Resilience After Disaster? The Role of Demographics, Resources, and Life Stress,” Journal of Consulting and Clinical Psychology, 75(5):671–682.10.1037/0022-006X.75.5.671Suche in Google Scholar
Bourque, L. B., J. M. Siegel, M. Kano and M. M. Wood (2006) “Weathering the Storm: The Impact of Hurricanes on Physical and Mental Health,” The Annals of the American Academy of Political and Social Science, 604(1):129–151.10.1177/0002716205284920Suche in Google Scholar
Burger, J., M. H. McDermott, C. Chess, E. Bochenek, M. Perez-Lugo and K. K. Pflugh (2003) “Evaluating Risk Communication About Fish Consumption Advisories: Efficacy of a Brochure Versus a Classroom Lesson in Spanish and English,” Risk Analysis, 23(4): 791–803.10.1111/1539-6924.00356Suche in Google Scholar
CDC (2012a) BRFSS Publications and Research: User’s guide. Retrieved, 2012, from http://www.cdc.gov/brfss/pubs/index.htm#users.Suche in Google Scholar
CDC (2012b) CDC Features: An Estimated 1 in 10 U.S. Adults Report Depression. Retrieved October 21, 2013, from http://www.cdc.gov/features/dsdepression/.Suche in Google Scholar
Centers for Disease Control and Prevention. (2007) BRFSS 2007 Survey Data and Documentation. Atlanta, GA: Division of Behavioral Surveillance, Public Health Surveillance and Informatics Program Office (PHSIPO).Suche in Google Scholar
Centers for Disease Control and Prevention. (2007, 2009). Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia: U.S. Department of Health and Human Services.Suche in Google Scholar
Centers for Disease Control and Prevention. (2009) BRFSS 2009 Survey Data and Documentation. Atlanta, GA: Division of Behavioral Surveillance, Public Health Surveillance and Informatics Program Office (PHSIPO).Suche in Google Scholar
Chang, C. M., K. M. Connor, T. J. Lai, L. C. Lee and J. R. T. Davidson (2005) “Predictors of Posttraumatic Outcomes Following the 1999 Taiwan Earthquake,” The Journal of Nervous and Mental Disease, 193(1):40–46.10.1097/01.nmd.0000149217.67211.abSuche in Google Scholar
Chang, S. E. and S. B. Miles (2004) “The Dynamics of Recovery: A Framework.” In: (Y. Okuyama and S. E. Chang, Eds.), Modeling Spatial and Economic Impacts of Disasters. New York: Springer, pp. 181–204.10.1007/978-3-540-24787-6_10Suche in Google Scholar
Christensen, K. M., M. E. Blair and J. M. Holt (2007) “The Built Environment, Evacuations, and Individuals with Disabilities,” Journal of Disability Policy Studies, 17(4):249.10.1177/10442073070170040801Suche in Google Scholar
Clements, B. (2009) Disasters and Public Health: Planning and Response. Burlington, MA: Elsevier.Suche in Google Scholar
Dirkzwager, A. J. E., L. Grievink, P. G. Van der Velden and C. J. Yzermans (2006) “Risk Factors for Psychological and Physical Health Problems after a Man-Made Disaster Prospective Study,” The British Journal of Psychiatry, 189(2):144–149.10.1192/bjp.bp.105.017855Suche in Google Scholar
Dombrowsky, W. R. (1998) “Again and Again: Is a Disaster What We Call a Disaster?.” In: (E. L. Quarantelli, ed.) What is a disaster?: A dozen perspectives on the question. New York: Routledge, pp. 19.Suche in Google Scholar
Edwards, M. L. (1993) “Social Location and Self-Protective Behavior: Implications for Earthquake Preparedness,” International Journal of Mass Emergencies and Disasters, 11(3):293–303.10.1177/028072709301100303Suche in Google Scholar
Eisenman, D. P., C. Wold, J. Fielding, A. Long, C. Setodji, S. Hickey and L. Gelberg (2006) “Differences in Individual-Level Terrorism Preparedness in Los Angeles County,” American Journal of Preventive Medicine, 30(1):1–6.10.1016/j.amepre.2005.09.001Suche in Google Scholar
Eisenman, D. P., Q. Zhou, M. Ong, S. Asch, D. Glik and A. Long (2009) “Variations in Disaster Preparedness by Mental Health, Perceived General Health, and Disability Status,” Disaster Medicine and Public Health Preparedness, 3(1):33.10.1097/DMP.0b013e318193be89Suche in Google Scholar
FEMA. (2013) Build A kit. Retrieved August 30, 2013, from http://www.ready.gov/build-a-kit.Suche in Google Scholar
Foa, E. B., D. J. Stein and A. C. McFarlane (2006) “Symptomatology and Psychopathology of Mental Health Problems After Disaster,” J Clin Psychiatry, 67(Suppl 2):15–25.Suche in Google Scholar
Fox, M. H., G. W. White, C. Rooney and J. L. Rowland (2007) “Disaster Preparedness and Response for Persons with Mobility Impairments,” Journal of Disability Policy Studies, 17(4):196–205.10.1177/10442073070170040201Suche in Google Scholar
Galea, S., J. Ahern, H. Resnick, D. Kilpatrick, M. Bucuvalas, J. Gold and D. Vlahov (2002) “Psychological Sequelae of the September 11 Terrorist Attacks in New York City,” New England Journal of Medicine, 346(13):982–987.10.1056/NEJMsa013404Suche in Google Scholar
Inter-Agency Standing Committee (2007) IASC Guidelines on Mental Health and Psychosocial Support in Emergency Settings. Retrieved, 2011, from http://www.who.int/mental_health/emergencies/IASC_guidelines.pdf.Suche in Google Scholar
Kessler, R. C., P. R. Barker, L. J. Colpe, J. F. Epstein, J. C. Gfroerer, E. Hiripi, M. J. Howes, S. L. Normand, R. W. Manderscheid, E. E. Walters, and A. M. Zaslavsky (2003) “Screening for Serious Mental Illness in the General Population,” Archives of General Psychiatry, 60(2):184–189.10.1001/archpsyc.60.2.184Suche in Google Scholar
Kim, S. C., R. Plumb, Q. Gredig, L. Rankin and B. Taylor (2008) “Medium-Term Post-Katrina Health Sequelae Among New Orleans Residents: Predictors of Poor Mental and Physical Health,” Journal of Clinical Nursing, 17(17):2335–2342.10.1111/j.1365-2702.2008.02317.xSuche in Google Scholar
Klerman, G. L. and M. M. Weissman (1989) “Increasing Rates of Depression,” JAMA: The Journal of the American Medical Association, 261(15):2229–2235.10.1001/jama.1989.03420150079041Suche in Google Scholar
Laska, S. (2008) “What if Hurricane Ivan had Not Missed New Orleans?*,” Sociological Inquiry, 78(2):174–178.10.1111/j.1475-682X.2008.00232.xSuche in Google Scholar
Lindell, M. K. and D. J. Whitney (2000) “Correlates of Household Seismic Hazard Adjustment Adoption,” Risk Analysis, 20(1):13–26.10.1111/0272-4332.00002Suche in Google Scholar
Mileti, D. S. (1999) Disasters by Design: A Reassessment of Natural Hazards in the United States. Washington, DC: Natl Academy Pr.Suche in Google Scholar
Mileti, D. S. and J. H. Sorensen (1990) “Communication of Emergency Public Warnings,” (Report No. ORNL-6609). Washington, DC: Federal Emergency Management Agency.Suche in Google Scholar
Mitchell, J. K. (1990) “Human Dimensions of Environmental Hazards: Complexity, Disparity, and the Search for Guidance.” In: (A. Kirby, ed.) Nothing to Fear: Risks and Hazards in American Society. Tucson: University of Arizona Press, pp. 131–175.Suche in Google Scholar
Mohay, H. and N. Forbes (2009) “Reducing the Risk of Posttraumatic Stress Disorder in Children Following Natural Disasters,” Australian Journal of Guidance and Counselling, 19(2):179–195.10.1375/ajgc.19.2.179Suche in Google Scholar
Murphy, S. T., M. Cody, L. B. Frank, D. Glik and A. Ang (2009) “Predictors of Emergency Preparedness and Compliance,” Disaster Medicine and Public Health Preparedness, 3(Suppl 2):S1.10.1097/DMP.0b013e3181a9c6c5Suche in Google Scholar
National Disaster Interfaith Network. (2014) Working with U.S. Faith Communities during Crises, Disasters & Public Health Emergencies. (Field Guide).Suche in Google Scholar
Neria, Y., A. Nandi and S. Galea (2008) “Post-Traumatic Stress Disorder Following Disasters: A Systematic Review,” Psychological Medicine, 38(04):467.10.1017/S0033291707001353Suche in Google Scholar
Norris, F. H., M. J. Friedman, P. J. Watson, C. M. Byrne, E. Diaz and K. Kaniasty (2002) “60,000 Disaster Victims Speak: Part I. an Empirical Review of the Empirical Literature, 1981–2001,” Psychiatry: Interpersonal and Biological Processes, 65(3):207–239.10.1521/psyc.65.3.207.20173Suche in Google Scholar
Norris, F. H., T. Smith and K. Kaniasty (1999) “Revisiting the Experience–Behavior Hypothesis: The Effects of Hurricane Hugo on Hazard Preparedness and Other Self-Protective Acts,” Basic and Applied Social Psychology, 21(1):37–47.Suche in Google Scholar
Ozer, E. J., S. R. Best, T. L. Lipsey and D. S. Weiss (2003) “Predictors of Posttraumatic Stress Disorder and Symptoms in Adults: A Meta-Analysis,” Psychological Bulletin, 129(1):52.10.1037/0033-2909.129.1.52Suche in Google Scholar
Perry, R. W. (2007) “What is a Disaster?,” In: (H. Rodriguez, E.L. Quarantelli, R. R. Dynes, eds.) Handbook of Disaster Research. New York: Springer, pp. 1–15.10.1007/978-0-387-32353-4_1Suche in Google Scholar
Phillips, B. D., W. C. Metz and L. A. Nieves (2005) “Disaster Threat: Preparedness and Potential Response of the Lowest Income Quartile,” Global Environmental Change Part B: Environmental Hazards, 6(3):123–133.10.1016/j.hazards.2006.05.001Suche in Google Scholar
Redlener, I. E., D. M. Abramson, N. A. Stehling-Ariza, R. Grant and D. G. Johnson (2007) The American Preparedness Project: Where the US Public Stands in 2007 on Terrorism, Security, and Disaster Preparedness. New York, NY: National Center for Disaster Preparedness.Suche in Google Scholar
Reeves, W. C., T. W. Strine, L. A. Pratt, W. Thompson, I. Ahluwalia, S. S. Dhingra and L. Williams (2011) “Mental Illness Surveillance Among Adults in the United States,” MMWR Surveill Summ, 60(Suppl 3):1–29.Suche in Google Scholar
Smith, D. L. and S. J. Notaro (2009) “Personal Emergency Preparedness for People with Disabilities from the 2006–2007 Behavioral Risk Factor Surveillance System,” Disability and Health Journal, 2(2):86–94.10.1016/j.dhjo.2009.01.001Suche in Google Scholar
Sorensen, J. H. and B. V. Sorensen (2007) “Community Processes: Warning and Evacuation.” In: (H. Rodríguez, E. L. Quarantelli and R. Dynes eds.) Handbook of disaster research. New York, NY: Springer, pp. 183–199.10.1007/978-0-387-32353-4_11Suche in Google Scholar
Substance Abuse and Mental Health Services Administration. (2014-2-24) Disaster Technical Assistance Center: Education and Training. Retrieved January 24, 2013, from http://samhsa.gov/DTAC/education.asp.Suche in Google Scholar
Tierney, K. J., M. Lindell and R. Perry (2001) Facing the Unexpected: Disaster Preparedness and Response in the United States. Washington, DC: Natl Academy Press.Suche in Google Scholar
U.S. Department of Veterans Affairs. (2014) Psychological First Aid: Field Operations Guide. Retrieved March 16, 2013, from http://www.ptsd.va.gov/professional/materials/manuals/psych-first-aid.asp.Suche in Google Scholar
Ursano, R. J., C. S. Fullerton, L. Weisaeth and B. Raphael (2007) Textbook of Disaster Psychiatry. New York: Cambridge University Press.10.1017/CBO9780511544415Suche in Google Scholar
Yzermans, C. J., G. A. Donker, J. J. Kerssens, A. J. E. Dirkzwager, R. J. H. Soeteman and P. M. H. Ten Veen (2005) “Health Problems of Victims before and after Disaster: A Longitudinal Study in General Practice,” International Journal of Epidemiology, 34(4):820–826.10.1093/ije/dyi096Suche in Google Scholar
©2014 by De Gruyter
Artikel in diesem Heft
- Frontmatter
- Opinion Articles
- Understanding Your Audience: How Psychologists Can Help Emergency Managers Improve Disaster Warning Compliance
- Reframing the Climate Change Debate to Better Leverage Policy Change: An Analysis of Public Opinion and Political Psychology
- Research and Policy in Homeland Security and Climate Change: Results from a Roundtable and Thoughts on Developing a National Research Agenda for Climate Change and Security
- Research Articles
- Evaluating Children’s Learning of Adaptive Response Capacities from ShakeOut, an Earthquake and Tsunami Drill in Two Washington State School Districts
- Influence of Mental Health on Disaster Preparedness: Findings from the Behavioral Risk Factor Surveillance System, 2007–2009
- Volunteer Fire Chiefs’ Perceptions of Retention and Recruitment Challenges in Rural Fire Departments: The Case of North Dakota, USA
- Flu at the Zoo: Emergency Management Training for the Nation’s Zoos and Aquariums
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Artikel in diesem Heft
- Frontmatter
- Opinion Articles
- Understanding Your Audience: How Psychologists Can Help Emergency Managers Improve Disaster Warning Compliance
- Reframing the Climate Change Debate to Better Leverage Policy Change: An Analysis of Public Opinion and Political Psychology
- Research and Policy in Homeland Security and Climate Change: Results from a Roundtable and Thoughts on Developing a National Research Agenda for Climate Change and Security
- Research Articles
- Evaluating Children’s Learning of Adaptive Response Capacities from ShakeOut, an Earthquake and Tsunami Drill in Two Washington State School Districts
- Influence of Mental Health on Disaster Preparedness: Findings from the Behavioral Risk Factor Surveillance System, 2007–2009
- Volunteer Fire Chiefs’ Perceptions of Retention and Recruitment Challenges in Rural Fire Departments: The Case of North Dakota, USA
- Flu at the Zoo: Emergency Management Training for the Nation’s Zoos and Aquariums
- Eyes to the Sky: Situating the Role of Storm Spotters in the Warning and Response Network