Disaster Preparedness Disparities: Analysis of the 2018-2020 FEMA National Household Survey

Shukla, Meghna; Gibson-Scipio, Wanda; Amberson, Taryn; Castner, J.

doi:10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a3853

Cited by 5 publications

(3 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For example, older adults comprised the majority of hurricane disaster deaths and hospitalizations for dehydration in Hurricane Sandy, with more traumatic injuries related to household clean-up and foodborne and waterborne disease compared to younger counterparts [26][27][28][29]. Further, households in historically redlined and predominantly Black/African American-identifying urban communities experience macro-level disparities in toxic exposures, post-disaster housing recovery, and community resource access [30][31][32][33].…”

Section: Introductionmentioning

confidence: 99%

Tailoring Household Disaster Preparedness Interventions to Reduce Health Disparities: Nursing Implications from Machine Learning Importance Features from the 2018–2020 FEMA National Household Survey

Shukla,

Amberson,

Heagele

et al. 2024

IJERPH

View full text Add to dashboard Cite

Tailored disaster preparedness interventions may be more effective and equitable, yet little is known about specific factors associated with disaster household preparedness for older adults and/or those with African American/Black identities. This study aims to ascertain differences in the importance features of machine learning models of household disaster preparedness for four groups to inform culturally tailored intervention recommendations for nursing practice. A machine learning model was developed and tested by combining data from the 2018, 2019, and 2020 Federal Emergency Management Agency National Household Survey. The primary outcome variable was a composite readiness score. A total of 252 variables from 15,048 participants were included. Over 10% of the sample self-identified as African American/Black and 30.3% reported being 65 years of age or older. Importance features varied regarding financial and insurance preparedness, information seeking and transportation between groups. These results reiterate the need for targeted interventions to support financial resilience and equitable resource access. Notably, older adults with Black racial identities were the only group where TV, TV news, and the Weather Channel was a priority feature for household disaster preparedness. Additionally, reliance on public transportation was most important among older adults with Black racial identities, highlighting priority needs for equity in disaster preparedness and policy.

show abstract

Section: Introductionmentioning

confidence: 99%

Tailoring Household Disaster Preparedness Interventions to Reduce Health Disparities: Nursing Implications from Machine Learning Importance Features from the 2018–2020 FEMA National Household Survey

Shukla,

Amberson,

Heagele

et al. 2024

IJERPH

View full text Add to dashboard Cite

show abstract

“…In the U.S., only 12% of households have the most basic elements of household disaster preparedness needed to shelter in place at home for 3 days (20)(21)(22). Further, profound racial disparities for those with Black racial identities have been observed in disasters such as the COVID-19 pandemic and weather-related disasters (23)(24)(25)(26), exacerbated by long-standing disparities inherent to macro-level segregated housing and sociopolitical networks with fewer financial savings resources set aside for disasters (27)(28)(29). When controlling for pre-disaster disease burden, social network support, social vulnerability, and socioeconomic resources, racial disparity in other large-scale disasters was no longer associated with health outcomes like post-disaster depression (29)(30)(31)(32).…”

Section: Introductionmentioning

confidence: 99%

Cognitive Interview Validation of a Novel Household Hazard Vulnerability Assessment Instrument

Amberson

Ndayishimiye

Cloud

et al. 2022

Preprint

View full text Add to dashboard Cite

Background Weather and climate disasters are responsible for over 13,000 USA deaths, worsened morbidity, and $1.7 trillion additional costs over the last 40 years with profound racial disparities. This project empirically generated items for a novel survey instrument of household hazard vulnerability with initial construct validation while addressing racial data bias. Methods Cognitive interviewing methodology was completed with transdisciplinary disaster expert panelists (n=20) from diverse USA regions on 60 unique hazard, disaster, or event items. Interview video recordings were qualitatively analyzed using thematic and pattern coding. Results A cognitive process mapped to themes of disaster characteristics, resources, individual life facet, and felt effect was revealed. 379 unique instances of linked terms as synonyms, co-occurring, compounding, or cascading events were identified. Potential for racial data bias was elucidated. Analysis of radiation exposure, trauma, criminal acts of intent items revealed participants may not interpret survey items with these terms as intended. Discussion The findings indicate the potential for racial data bias relative to water dam failure, evacuation, external flood, suspicious package/substance, and transportation failure. Hazard terms that were not interpreted as intended require further revision in the validation process of individual or household disaster vulnerability assessments. Conclusion Several commonalities in the cognitive process and mapping of disaster terms may be utilized in disaster and climate change research aimed at the individual and household unit of analysis. Keywords: racial bias; survey and questionnaire development; validation studies; disasters; environment and public health; hazard analysis

show abstract

“…It is important to note after controlling for pre-disaster disease burden, social network support, social vulnerability, and socioeconomic resources, racial disparity in other large-scale disasters was no longer associated with health outcomes like post-disaster depression. 18,19 Given centuries-long structural racism with resulting segregated education, housing, and policy/law enforcement, multi-level conceptualizations, and research designs are essential to adequate understanding of disasterrelated racial disparities. [20][21][22][23]…”

mentioning

confidence: 99%

Cognitive Interview Validation of a Novel Household Hazard Vulnerability Assessment Instrument

Amberson,

Ndayishimiye,

Cloud

et al. 2023

West J Nurs Res

View full text Add to dashboard Cite

Background: Weather and climate disasters are responsible for over 13 000 US deaths, worsened morbidity, and $1.7 trillion in additional costs over the last 40 years with profound racial disparities. Objectives: This project empirically generated items for a novel survey instrument of household hazard vulnerability with initial construct validation while addressing racial bias in the data collection process. Methods: Cognitive interviews facilitated understanding regarding the performance of drafted survey questions with transdisciplinary expert panelists from diverse US regions on unique hazard/disaster/event items. To prevent representation bias in data collection, those with Black and/or African American racial, biracial, or multiracial identities were over-sampled. Interview video recordings were qualitatively analyzed using thematic and pattern coding. Results: A cognitive process mapped to themes of disaster characteristics, resources, individual life facets, and felt effects was revealed. We identified 379 unique instances of linked terms as synonyms, co-occurring, compounding, or cascading events. Potential for racial bias in data collection was elucidated. Analysis of radiation exposure, trauma, and criminal acts of intent items revealed participants may not interpret survey items with these terms as intended. Conclusion: Potential for racial bias exists relative to water dam failure, evacuation, external flood, suspicious packages/substances, and transportation failure. Hazard terms that were not interpreted as intended require further revision in the validation process of individual or household disaster vulnerability assessments. Several commonalities in the cognitive process and mapping of disaster terms may be utilized in disaster and climate change research aimed at the individual and household unit of analysis.

show abstract

Disaster Preparedness Disparities: Analysis of the 2018-2020 FEMA National Household Survey

Cited by 5 publications

References 0 publications

Tailoring Household Disaster Preparedness Interventions to Reduce Health Disparities: Nursing Implications from Machine Learning Importance Features from the 2018–2020 FEMA National Household Survey

Tailoring Household Disaster Preparedness Interventions to Reduce Health Disparities: Nursing Implications from Machine Learning Importance Features from the 2018–2020 FEMA National Household Survey

Cognitive Interview Validation of a Novel Household Hazard Vulnerability Assessment Instrument

Cognitive Interview Validation of a Novel Household Hazard Vulnerability Assessment Instrument

Contact Info

Product

Resources

About