Disaster Medicine and Public Health Preparedness最新文献

{"title":"Witnessing a Great Fire Through Female Eyes: A Phenomenological Study.","authors":"Arzu Tuna, İsmet Çelebi, Ahmet Doğan Kuday, Cuneyt Caliskan","doi":"10.1017/dmp.2025.10181","DOIUrl":"https://doi.org/10.1017/dmp.2025.10181","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to provide an in-depth analysis of women's experiences following a major forest fire.</p><p><strong>Methods: </strong>In qualitative research, sample size is not statistically determined, as generalization is not the primary goal. A small number of participants can yield rich data. The interview form included 3 demographic questions and 10 open-ended items aligned with the study's objectives. Data analysis was conducted using MAXQDA version 24.1.0.</p><p><strong>Results: </strong>Thematic analysis identified 3 main themes: Emotional Response, Fire Intervention, and Gender, comprising 8 categories. Participants commonly reported intense fear and anxiety, accompanied by physical symptoms such as tension and elevated blood pressure. Primary concerns involved the loss of pets, resources, security, and shelter. Women were found to be deeply affected emotionally and psychologically by the fire experience.</p><p><strong>Conclusions: </strong>The study revealed that women were equally engaged in firefighting efforts as men and also played a crucial caregiving role, offering support to affected individuals. These dual roles reflect both their resilience and the emotional burden they carried. The findings underscore the significant psychological impact of wildfires on women and highlight the necessity of integrating gender-sensitive approaches in disaster response and recovery efforts.</p>","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e252"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Navigating Challenges and Building Resilience: Qualitative Insights into Disaster Nursing Preparedness in Chinese Non-First-Tier Cities.","authors":"Liyi Song, Lin Du, Li Xu, Min Wu, Xueyan Li","doi":"10.1017/dmp.2025.10177","DOIUrl":"https://doi.org/10.1017/dmp.2025.10177","url":null,"abstract":"<p><strong>Objectives: </strong>This qualitative study aimed to explore the lived experiences, challenges, and perceptions of nurses regarding disaster preparedness in non-first-tier (inland) cities in China. Building upon our previous quantitative findings, we sought to understand the psychological, professional, and organizational factors that influence nurses' disaster response capabilities in resource-limited settings.</p><p><strong>Methods: </strong>A descriptive phenomenological approach was employed. Semistructured in-depth interviews were conducted with 12 nurses from four comprehensive hospitals at or above the second level in Yongcheng City, Henan Province, China, between September and December 2023. Participants were purposively selected based on their involvement in disaster response activities. Interviews were audio-recorded, transcribed verbatim, and analyzed using Colaizzi's 7-step method.</p><p><strong>Results: </strong>Five major themes emerged from the analysis: (1) Psychological Stress and Emotional Adaptation, (2) Disaster Emergency Response Capacity and Management, (3) Communication and Collaboration, (4) Challenges in Disaster Nursing Capacity Development, and (5) Impact of Disaster Relief Participation. Key findings revealed that nurses experienced significant psychological pressure during disaster response, struggled with limited specialized training opportunities, faced challenges in team coordination, and identified institutional barriers to disaster preparedness enhancement. Despite these challenges, participants demonstrated strong professional commitment and developed personal coping strategies.</p><p><strong>Conclusions: </strong>This study provides critical insights into the lived experiences of nurses during disaster response in Chinese non-first-tier cities. The findings highlight the need for systematic psychological support mechanisms, specialized disaster nursing training programs tailored to local contexts, enhanced interhospital collaboration networks, and stronger institutional commitment to disaster preparedness. These insights complement our previous quantitative findings and offer a comprehensive foundation for developing targeted interventions to enhance disaster nursing capabilities in resource-limited settings.</p>","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e250"},"PeriodicalIF":1.8,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Eight Personal Characteristics Scale Related to Vitality in Disasters: Turkish Validity and Reliability.","authors":"Havva Karadeniz, Seçil Duran Yılmaz, Hatun Erkuran","doi":"10.1017/dmp.2025.10174","DOIUrl":"https://doi.org/10.1017/dmp.2025.10174","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to validate and ensure the reliability of the Turkish version of the Vitality Questionnaire, which captures traits advantageous for survival, to aid in systematic preparations for future disasters and life challenges.</p><p><strong>Method: </strong>In this study, the Scale of Eight Personal Characteristics Related to Vitality was translated into Turkish by three language experts, validity and reliability analyses were conducted, and a pilot test was carried out with 30 participants. Subsequently, between February 1 and March 1, 2024, online data were collected from 523 individuals across Turkey who had experienced disasters.</p><p><strong>Results: </strong>The average age of participants was 24.09 ± 7.60 years; 72.7% (n = 380) were female. Among participants, 79.2% (n = 359) had experienced an earthquake, 65.1% (n = 56) a flood, and 47.4% (n = 9) a fire. Analysis of the Eight Personal Traits Scale showed the original 8-factor structure was retained, with all item factor loadings above 0.40 and an explained variance of 61.180%. Therefore, no items were removed, and the 8-subdimension structure was accepted. Factor loadings ranged between 0.34 and 0.83. Internal consistency, evaluated through split-half reliability, was found to be at an acceptable level.</p><p><strong>Conclusion: </strong>The analysis and evaluations conducted in this study concluded that the Eight Personal Traits Scale Related to Disaster Vitality is a valid and reliable measurement tool for the Turkish sample in identifying personal traits in the face of disasters.</p>","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e249"},"PeriodicalIF":1.8,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determinants of Miscarriage and Induced Abortion Among Married Syrian Refugee Women in Türkiye: A National Population-Based Study.","authors":"Ebru Inal Onal, Gharbia Mohammed, Edip Kaya, Ajdan Onal, Rafael Castro-Delgado","doi":"10.1017/dmp.2025.10162","DOIUrl":"https://doi.org/10.1017/dmp.2025.10162","url":null,"abstract":"<p><strong>Objective: </strong>Syrian refugee women face numerous obstacles that impact their reproductive health. The aim is to assess prevalence and predictors of miscarriage and induced abortion among Syrian refugee women in Türkiye.</p><p><strong>Methods: </strong>This study is a cross-sectional analysis based on data from 1886 Syrian refugee women aged 15-49 who have a history of marriage, obtained from the 2018 Türkiye Demographic and Health Survey - Syrian Migrant Sample. Univariate Chi-square, independent t-test, and multivariate logistic regression were performed to determine predictors of abortion and miscarriage.</p><p><strong>Results: </strong>Among ever married Syrian refugee women, 27.3% (n = 514) experienced at least 1 miscarriage, 5% (n = 95) reported having at least 1 abortion. Mean maternal age was predicted with miscarriage and induced abortion (OR = 1.06 [CI: 1.04-1.08; <i>P</i> < 0.001] and OR = 1.08 [CI: 1.04-1.12; <i>P</i> < 0.001] respectively). Women in the southern/eastern region of Türkiye experienced 4.24 times (95% CI = 1.50-12.02; <i>P</i> < 0.01) more abortions than in the western/central region. Women who are related to their spouses had an abortion 1.91 times (95% CI = 1.06-3.43; <i>P</i> < 0.05) more frequently than non-related couples.</p><p><strong>Conclusions: </strong>The rate of miscarriages and induced abortions is high among Syrian refugee women in Türkiye. Regional differences, maternal age, and marriage between relatives have been identified as important variables that need to be taken into consideration. Interventions concentrating on those elements by the bodies concerned may thereby lessen the burden and effects of abortion and miscarriage.</p>","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e246"},"PeriodicalIF":1.8,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"It's Good to Always Have a Plan\": A Qualitative Study of Canadians' Preparedness During Power Outages.","authors":"Vidursana Thiraviyarajah, Abhinand Thaivalappil, Fatih Sekercioglu, Greg Oulahen, Ian Young","doi":"10.1017/dmp.2025.10155","DOIUrl":"https://doi.org/10.1017/dmp.2025.10155","url":null,"abstract":"<p><strong>Objectives: </strong>Power outages can lead to food-borne and water-borne illness risks for consumers if proper protective measures are not taken at home. The purpose of this study was to understand the behaviors of Canadians related to food and water safety preparedness at home during power outages and floods.</p><p><strong>Methods: </strong>A qualitative descriptive study was conducted, consisting of 6 virtual focus groups, each with 8 people, in July 2023. Participants were selected from geographically dispersed locations in Ontario, Canada that had experienced power outages due to weather events. Thematic analysis was conducted to generate key themes.</p><p><strong>Results: </strong>Four themes were generated related to participants' food and water safety preparedness: 1) trusted information sources and lived experiences; 2) support and resources; 3) factors beyond one's control; and 4) differences in psychosocial determinants.</p><p><strong>Conclusions: </strong>Effective risk communication targeting misconceptions, incentivization programs, and community resilience planning may help prevent or reduce enteric illness risks during such emergencies.</p>","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e245"},"PeriodicalIF":1.8,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association Between Health-Related Quality of Life and Willingness of COVID-19 Vaccination: A Cross-sectional Study in China.","authors":"Jingrui Wang, Ruihan Xi, Zhenzhen Su, Yijin Feng, Yujun Fan, Wanmin Su, Jing Xia, Qianwen Pan, Lina Shi, YuanFang Li, Bo Li, Peixi Wang","doi":"10.1017/dmp.2025.10133","DOIUrl":"https://doi.org/10.1017/dmp.2025.10133","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to explore the association between Health-Related Quality of Life (HRQoL) and people's willingness to receive the coronavirus disease 2019 (COVID-19) vaccination.</p><p><strong>Methods: </strong>This survey was conducted in November 2020. 1461 participants (convenient sampling method) completed the online questionnaire. HRQoL was assessed using the 12-item Short Form Survey (SF-12) which included Physical and Mental Component Summary (PCS and MCS). The relationship between HRQoL and the willingness of COVID-19 vaccination was assessed by multivariate logistic regression.</p><p><strong>Results: </strong>25.67% of respondents intended to be vaccinated immediately, 61.05% hesitated, and 13.28% refused. The mean score of PCS was 51.27 ± 6.30 and MCS was 47.72 ± 9.26. The multivariate logistic regression analysis showed the correlation between HRQoL and the willingness of vaccination (<i>Ρ</i><0.05). Based on Z-score standardization, for 1 standard deviation (SD) increase in PCS, the odds ratio (OR) was 0.854 (95% confidence interval [CI]: 0.753-0.969) for hesitant vaccination vs. immediate vaccination. For 1 SD increase in MCS, the OR was 0.810 (95% CI: 0.677-0.970) for reluctant vaccination (refusal of COVID-19 vaccination) vs immediate vaccination, and the OR was 0.808 (95% CI: 0.710-0.919) for hesitant vaccination vs immediate vaccination.</p><p><strong>Conclusions: </strong>People with better HRQoL preferred to receive the COVID-19 vaccine immediately.</p>","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e244"},"PeriodicalIF":1.8,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Provisional Reprocessing of Medical Devices in Field Hospitals: Evaluation of Chemical Approaches for Feasibility and Effectiveness.","authors":"Ute Bailey-Monje, Elena Becker, Sven Funke, Eugen Gubajdulin, Ralf Matthias Hagen, Gerhard Kirmse, Konstantin Lütz, Nico T Mutters, Ricarda Maria Schmithausen, Ruth Weppler, Manuel Döhla","doi":"10.1017/dmp.2025.10173","DOIUrl":"10.1017/dmp.2025.10173","url":null,"abstract":"<p><strong>Objectives: </strong>Field hospitals are deployable hospitals that treat patients directly on site before they are transported to permanent medical facilities. The supply of sterile surgical instruments is important, but not every field hospital is equipped with a sterile processing department. This concept therefore attempts to test a method of reprocessing surgical instruments under field conditions that can at least provide a provisional form of disinfection in case of logistic breakdowns.</p><p><strong>Methods: </strong>Development, testing, and evaluation of a provisional chemical reprocessing procedure for reusable surgical instruments using hydrogen peroxide. The evaluation was carried out visually, microbiologically, and with regard to material damage.</p><p><strong>Results: </strong>The concept is easy to implement but requires thorough training. The reprocessed surgical instruments were free of residual protein, showed no bacteriological growth, and were not damaged by the chemical reprocessing even after 10 cycles.</p><p><strong>Conclusions: </strong>Provisional reprocessing of reusable surgical instruments seems possible using high-level chemical disinfection with hydrogen peroxide (3% for 150 minutes or 7.5% for 30 minutes) in case of necessity due to logistic breakdowns and patients that need immediate treatment. In addition, a multibarrier approach that includes hygiene measures and antibiotic stewardship is required to effectively reduce the risk of surgical site infections.</p>","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e239"},"PeriodicalIF":1.8,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing Psychological Resilience and Stress Symptoms in Health Care Workers Following the 2023 Kahramanmaraş Earthquake.","authors":"Hatice Polat, Kerim Uğur, Tunahan Sun","doi":"10.1017/dmp.2025.10153","DOIUrl":"10.1017/dmp.2025.10153","url":null,"abstract":"<p><strong>Objectives: </strong>The study was conducted to assess the psychological resilience and stress symptoms in health care workers following the 2023 Kahramanmaraş earthquake.</p><p><strong>Methods: </strong>The study was completed with a sample size of 313 health care workers who experienced the earthquake and was carried out in a descriptive and correlational design. The Sociodemographic Data Form, Brief Psychological Resilience Scale (BPRS), and Traumatic Stress Symptom Scale-5 (TSSS-5) were used.</p><p><strong>Results: </strong>The study found that 39.6% of health care workers were diagnosed with post-traumatic stress disorder, 41.2% of participants considered leaving their jobs after the earthquake, and 79.9% reported a decrease in job motivation (slight or a lot). It was determined that there was a negative correlation between the participants' BPRS scores and TSSS-5 scores (<i>r</i>:-0.523, <i>P</i> = 0.00).</p><p><strong>Conclusions: </strong>In accordance with the findings of our study, it can be posited that traumatic stress symptoms diminished as the level of psychological resilience increased in health care workers who experienced the earthquake.</p>","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e243"},"PeriodicalIF":1.8,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reflecting on COVID-19 Intra-action Reviews: Institutionalizing Collective Introspection During Public Health Emergencies.","authors":"Cindy Chiu de Vazquez, Landry Ndriko Mayigane, Armand Mbanya, Candice Vente, Elliot Brennan, Rolland Kimbi Wango, Mary Stephen, Ambrose Otau Talisuna, Jussi Sane, Tanja Schmidt, Nicolas Isla, Ihor Perehinets, Dalia Samhouri, Maung Maung Htike, Reuben Samuel, Phuong Nam Nguyen, Babatunde Olowokure, Tamara Mancero, Liviu Vedrasco, Stella Chungong","doi":"10.1017/dmp.2025.116","DOIUrl":"10.1017/dmp.2025.116","url":null,"abstract":"<p><p>The magnitude and duration of the COVID-19 pandemic has highlighted the need for countries to continuously reflect and improve on their ongoing response. The World Health Organization (WHO) introduced the guidance for conducting COVID-19 intra-action reviews (IARs) in July 2020. As of November 25, 2022, 136 IARs have been conducted by 78 countries in all 6 WHO regions. IARs are country-led and outcomes country-owned, with the flexible methodology enabling countries to focus on COVID-19-related priority issues in their national and subnational contexts. WHO's approach to promoting the use of IARs recognizes the importance of 3 learning modalities: countries learning through self-reflection, countries learning from each other, and WHO and partners learning from countries to improve WHO guidance and tools. Moving forward, the value of reflective learning in public health emergencies can be further enhanced by institutionalizing an ongoing learning mindset and translating reflective learning-based recommendations into policy change and action.</p>","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e242"},"PeriodicalIF":1.8,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Comparative Study on Disaster Preparedness between Persons with Disabilities and Persons without Disabilities in the Philippines - ADDENDUM.","authors":"Shodai Sunagozaka, Takashi Izutsu, Megumi Miyagoshi, Atsuro Tsutsumi","doi":"10.1017/dmp.2025.10166","DOIUrl":"10.1017/dmp.2025.10166","url":null,"abstract":"","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e241"},"PeriodicalIF":1.8,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144857040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}