Emergency Supply Kits and Medical Self-Sufficiency: Lessons from Hurricane Ian.

IF 1.8 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Disaster Medicine and Public Health Preparedness Pub Date : 2025-08-15 DOI:10.1017/dmp.2025.10096

Jelonia Tasha Rumph, Stephanie Kieszak, Andrea Winquist, Arianna Hanchey, Laura DiGrande, Amy Helene Schnall

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引用次数: 0

Abstract

Objectives: Emergency supply kits (ESKs) may support disaster-related self-sufficiency and may be important for people with chronic health conditions (CHCs). However, evidence of ESK's effectiveness in supporting self-sufficiency is lacking. This study examined associations between households possessing ESKs and 1) household members leaving home for medicine and 2) individuals with CHCs seeking medical care.

Methods: Data were collected through a survey distributed to southwest Florida after Hurricane Ian's impact (n = 1342). Associations were assessed using logistic regression models.

Results: ESK possession was more common among households with members with CHCs (63%) than households without such members (56%). Overall, regression models revealed no clear association between ESK possession and leaving home for medicine (adjusted Odds Ratio (aOR)=1.27; CI = 0.81-2.02). Analyses restricted to households with individuals with CHCs revealed no clear associations between ESK possession and leaving the home for medicine (aOR= 1.35; CI = 0.81-2.25) or seeking medical care (aOR = 1.07; CI = 0.68-1.68).

Conclusions: This study did not provide evidence that ESKs promote medical self-sufficiency. However, it did not characterize the medication in households' ESKs or the type, duration, and severity of CHCs, and could have had uncontrolled confounding. Characterization of such factors would be important in future studies of ESKs and self-sufficiency among people with CHCs.

查看原文本刊更多论文

应急供应包和医疗自给自足：从飓风伊恩吸取的教训。

目标：应急供应包可支持与灾害有关的自给自足，对慢性病患者可能很重要。然而，缺乏证据证明ESK在支持自给自足方面的有效性。本研究考察了拥有ESKs的家庭与1)家庭成员离家就医和2)CHCs患者寻求医疗保健之间的关系。方法：在飓风伊恩影响后，通过在佛罗里达州西南部进行的调查收集数据（n = 1342）。使用逻辑回归模型评估相关性。结果：ESK在有CHCs成员的家庭中（63%）比没有CHCs成员的家庭（56%）更常见。总体而言，回归模型显示ESK持有与离家就医之间没有明显的关联(调整后的优势比(aOR)=1.27；Ci = 0.81-2.02)。仅限于有CHCs个体的家庭的分析显示，ESK持有与离家就医之间没有明确的关联(aOR= 1.35；CI = 0.81-2.25)或寻求医疗护理(aOR = 1.07；Ci = 0.68-1.68)。结论：本研究并未提供ESKs促进医疗自给自足的证据。然而，它没有描述家庭esk中的药物特征或CHCs的类型、持续时间和严重程度，并且可能存在无法控制的混淆。这些因素的特征在未来CHCs患者esk和自给自足的研究中将是重要的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Disaster Medicine and Public Health Preparedness PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.40

自引率

7.40%

发文量

258

审稿时长

6-12 weeks

期刊介绍： Disaster Medicine and Public Health Preparedness is the first comprehensive and authoritative journal emphasizing public health preparedness and disaster response for all health care and public health professionals globally. The journal seeks to translate science into practice and integrate medical and public health perspectives. With the events of September 11, the subsequent anthrax attacks, the tsunami in Indonesia, hurricane Katrina, SARS and the H1N1 Influenza Pandemic, all health care and public health professionals must be prepared to respond to emergency situations. In support of these pressing public health needs, Disaster Medicine and Public Health Preparedness is committed to the medical and public health communities who are the stewards of the health and security of citizens worldwide.