日本灾害与疏散意识的因素分析:透过多元统计方法了解社会脆弱性。

IF 1.8 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Akemi Hara, Hirotomo Miyatake, Akihiko Ozaki, Michio Murakami, Yoshitake Takebayashi, Daisuke Hori, Naomi Komori, Yudai Kaneda, Hiroaki Saito, Masaharu Tsubokura, Takahiro Tabuchi
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引用次数: 0

摘要

目的:本研究考察了社会脆弱性因素(如看护、经济不稳定和非正规就业)如何影响灾害准备和意识,重点研究了疏散和灾害意识之间的非线性关联。研究设计:全国代表性调查的横断面分析。方法:数据来自2023年日本COVID-19和社会互联网调查(JACSIS),包括28,481名参与者。因素分析确定了两个准备领域:疏散意识和备灾意识。广义线性模型(GLM)评估了意识得分与社会人口统计学和健康因素之间的关系。敏感性分析采用随机森林模型,逻辑回归检验低意识的预测因子。结果:两个因素解释了76%的准备行为差异。GLM显示,年龄较大(估计= 10.99,P < .001)、家庭规模较大(估计= 4.34,P < .001)、收入较高(估计= 0.08,P < .001)和社区依恋(估计= 0.09,P < .001)与疏散意识呈正相关,而非正规工作(估计= -0.03,P = .01)和公共援助(估计= -0.05,P < .001)与疏散意识呈负相关。Logistic回归证实,依赖公共援助(OR = 1.54, 95% CI[1.26, 1.87])和非正规就业增加了准备不足的几率。结论:社会脆弱性因素与较低的灾害意识有关,确定了一个风险较高的亚群体。备灾政策应考虑到人口和经济差异,强调有针对性的、以社区为基础的战略,以提高弱势群体的抵御能力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Factor Analysis of Disaster and Evacuation Awareness in Japan: Understanding Social Vulnerabilities through Multiple Statistical Approaches.

Objective: This study examined how social vulnerability factors-such as caregiving, economic instability, and nonregular employment-affect disaster preparedness and awareness, with a focus on nonlinear associations with evacuation and disaster awareness.

Study design: Cross-sectional analysis of a nationally representative survey.

Methods: Data came from the 2023 Japan COVID-19 and Society Internet Survey (JACSIS), including 28,481 participants. Factor analysis identified two preparedness domains: evacuation awareness and disaster preparedness awareness. Generalized linear models (GLM) assessed associations between awareness scores and sociodemographic and health factors. Sensitivity analysis used a random forest model, and logistic regression examined predictors of low awareness.

Results: Two factors explained 76% of variance in preparedness behaviors. GLM showed that older age (Estimate = 10.99, P < .001), larger household size (Estimate = 4.34, P < .001), high income (Estimate = 0.08, P < .001), and community attachment (Estimate = 0.09, P < .001) were positively related to evacuation awareness, while nonregular employment (Estimate = -0.03, P = .01) and public assistance (Estimate = -0.05, P < .001) were negatively associated. Logistic regression confirmed that reliance on public assistance (OR = 1.54, 95% CI [1.26, 1.87]) and nonregular employment increased odds of low preparedness.

Conclusions: Social vulnerability factors are linked to lower disaster awareness, identifying a subgroup at higher risk. Preparedness policies should account for demographic and economic disparities, emphasizing tailored, community-based strategies to improve resilience among vulnerable populations.

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来源期刊
Disaster Medicine and Public Health Preparedness
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.
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