The Social Vulnerability of Older People to Natural Disasters: An Integrative Review

Daddoust, Leila; Khankeh, Hamidreza; Ebadi, Abbas; Sahaf, Robab; Nakhaei, Maryam; Asgary, Ali

doi:10.32598/hdq.4.1.5

Cited by 16 publications

(10 citation statements)

References 22 publications

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“…The aforementioned social barriers include violence in the community, specifically neglect and abuse of older adults. [5][6][7][8] It has been reported elsewhere 4,9,10 that the risk of community violence increases with factors that change with time (e.g., population growth), and recent developments in Ghana, South Africa, Nigeria, Brazil, Mexico, United States, and many other countries explicitly affirm this report. Ghana, for example, has recorded an increase in social violence and other social vices such as kidnapping, pickpocketing, and cyber fraud in the past decade.…”

mentioning

confidence: 55%

Psychometric Properties of a New Scale Measuring Neglect and Abuse of Older Adults in the Community: Implications for Social Activity

Asiamah¹,

Kouveliotis

Eduafo³

et al. 2020

Int Q Community Health Educ

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Background Neglect and abuse of older adults are still prevalent in communities of developing countries, a situation that could discourage active and healthy behaviors in community-dwelling older adults. Methods This study used the cross-sectional and correlational approaches to construct a scale measuring neglect and abuse in older adults living in the community. The study population was all (3,211) older adults who were resident in Accra and were part of the database of the Social Security and National Insurance Trust. Participants were 515 individuals who met some inclusion criteria. Three steps were followed to determine an initial set of 11 items, and principal component analysis with varimax rotation and confirmatory factor analysis were used to select relevant items and assess the psychometric properties of the final scale. Results Principal component analysis with varimax rotation yielded a two-factor solution on all 11 items. The first factor extracted was “discrimination and exploitation,” which accounted for a variance of 53.9% out of total variance of 70.8%. The scale had a good internal consistency (Cronbach’s α = .90, factor loading ≥0.50). Confirmatory factor analysis confirmed the two-factor solution and produced satisfactory convergent and discriminant validity. Conclusion It is concluded that 11 items that make up 2 factors are potential indicators of neglect and abuse of older adults at the community level. Finally, neglect and abuse of older people in the community can contribute to an increase or decrease in social activity.

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confidence: 55%

Psychometric Properties of a New Scale Measuring Neglect and Abuse of Older Adults in the Community: Implications for Social Activity

Asiamah¹,

Kouveliotis

Eduafo³

et al. 2020

Int Q Community Health Educ

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“…According to the other results of the study, non-related health system challenges the same as social, cultural and psychological factors are considered among the other challenges of Iranian health system during disasters. First of all, evidence shows that social vulnerability during disasters as a complicated and multidisciplinary concept, can be influenced by many factors the same as the aging structure of the community, the economic status, individual characteristics and cultural variables [ 30 ]. In this regard, paying attention to vulnerable groups in times of crisis is vital.…”

Section: Discussionmentioning

confidence: 99%

Iranian’s healthcare system challenges during natural disasters: the qualitative case study of Kermanshah earthquake

Mohammadpour¹,

Sadeghkhani²,

Bastani³

et al. 2020

BMC Emerg Med

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Background In order to the significance of lessons learned from the natural disasters for health care systems particularly in developing and under-developed countries, the main purpose of this study was to identify challenges and limitations in light of the earthquake experience in Kermanshah Province. Methods The present study was conducted in 2019 as a qualitative research using content analysis method. In this regard, 19 key informants were selected using snowball sampling. To enhance the accuracy of the study, the four validation criteria for qualitative studies in data coding developed by Guba and Lincoln including credibility, transferability, dependability and confirmability were used. Data was analyzed applying Graneheim and Lundman (2004) approach for analyzing the qualitative content of an interview text. Results Analysis of the data led to the identification of 2 main themes, 5 sub- themes and 17 main categories. The first main theme was health system oriented challenges containing challenges of medication supply and preparation, structural challenges, challenges in crisis-scene management and challenges of service delivery and the second main theme was non-health system oriented challenges including social and psychosocial challenges. Conclusion According to the results, along with health system oriented challenges with the inter-sectoral or intra-sectoral nature, the non-health system oriented challenges the same as social, cultural and psychological factors can be considered as the major challenges of Iran’s healthcare system in the face of crises. This complicated context can shed the light to policy makers that not only attention to the medicine and medical equipment supply chain, manpower preparation and service delivery system can be considered as an emergency, but also careful attention to the structural challenges and crisis-scene management should be planned and considered as a priority. Besides, the policy makers and the local managers should try to plan and act in a contingent situation according to the social and cultural characteristics of the region and the psychological condition and the mental needs of the people.

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“…Responding to the elderly's needs during emergency events such as natural disasters has become a major global concern 5 . The elderly are the most vulnerable group compared with younger people during natural disasters, not only in terms of functional capacity but also psychosocial factors (mental, emotional, and social) 6,7 . A disaster situation can be even more burdensome for those living with physical and/or cognitive impairments and social limitations 8 .…”

Section: Introductionmentioning

confidence: 99%

“…Moreover, individual characteristics such as visual impairment, chronic disease, and others characteristics of the elderly that make them more vulnerable. Physical conditions cause the elderly to be weaker than all groups, especially the younger ones at all stages of a disaster, including post-disaster 6,10 . Compelling evidence indicates that the elderly are more likely to experience post-traumatic stress disorder (PTSD) and adjustment disorder than younger people 11 .…”

Section: Introductionmentioning

confidence: 99%

Policymakers’ Perspectives on Responding to the Elderly's Mental Health Needs in Post-Disaster Situations

Efendi

Indarwati

Aurizki

et al. 2022

Journal of Public Health Research

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Background: Mental health issues following the occurrence of disaster remain neglected area especially for older people group. The purpose of this study was to explore stakeholders’ perspectives on post-disaster management related to the elderly’s mental health needs.Design and Methods: This qualitative case study was conducted between June and October 2020. The investigators conducted in-depth interviews with policymakers who were in charge of disaster management at national, provincial, and regional levels. The policymakers were selected through purposive sampling. A policy analysis was conducted by the investigators to answer the research question.Results: The results were presented based on actor, content, context, and process. The actors engage in intersectoral collaboration between disaster agencies, health agencies, and social agencies. The content is largely comprehensive; however, the disaster management policy should not neglect to address mental health conditions after a disaster event. The context is the vulnerability and risk of the elderly in terms of experiencing physical and mental issues after a disaster, which should be considered by policymakers in Indonesia. The process is the development of disaster management policies, which are influenced by cultural, economic, political, and international factors.Conclusion: This study reveals that stakeholders need to pay attention to the mental health issue of elderly in national and regional policy, particularly during post-disaster situations. In addition, posttraumatic stress in post-disaster situations should be highlighted in order to formulate a better aged care policy.

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The Social Vulnerability of Older People to Natural Disasters: An Integrative Review

Cited by 16 publications

References 22 publications

Psychometric Properties of a New Scale Measuring Neglect and Abuse of Older Adults in the Community: Implications for Social Activity

Psychometric Properties of a New Scale Measuring Neglect and Abuse of Older Adults in the Community: Implications for Social Activity

Iranian’s healthcare system challenges during natural disasters: the qualitative case study of Kermanshah earthquake

Policymakers’ Perspectives on Responding to the Elderly's Mental Health Needs in Post-Disaster Situations

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