{"title":"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。","authors":"Akemi Hara, Hirotomo Miyatake, Akihiko Ozaki, Michio Murakami, Yoshitake Takebayashi, Daisuke Hori, Naomi Komori, Yudai Kaneda, Hiroaki Saito, Masaharu Tsubokura, Takahiro Tabuchi","doi":"10.1017/dmp.2025.10202","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>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.</p><p><strong>Study design: </strong>Cross-sectional analysis of a nationally representative survey.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>Two factors explained 76% of variance in preparedness behaviors. GLM showed that older age (Estimate = 10.99, <i>P</i> < .001), larger household size (Estimate = 4.34, <i>P</i> < .001), high income (Estimate = 0.08, <i>P</i> < .001), and community attachment (Estimate = 0.09, <i>P</i> < .001) were positively related to evacuation awareness, while nonregular employment (Estimate = -0.03, <i>P</i> = .01) and public assistance (Estimate = -0.05, <i>P</i> < .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.</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e279"},"PeriodicalIF":1.8000,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Factor Analysis of Disaster and Evacuation Awareness in Japan: Understanding Social Vulnerabilities through Multiple Statistical Approaches.\",\"authors\":\"Akemi Hara, Hirotomo Miyatake, Akihiko Ozaki, Michio Murakami, Yoshitake Takebayashi, Daisuke Hori, Naomi Komori, Yudai Kaneda, Hiroaki Saito, Masaharu Tsubokura, Takahiro Tabuchi\",\"doi\":\"10.1017/dmp.2025.10202\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>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.</p><p><strong>Study design: </strong>Cross-sectional analysis of a nationally representative survey.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>Two factors explained 76% of variance in preparedness behaviors. GLM showed that older age (Estimate = 10.99, <i>P</i> < .001), larger household size (Estimate = 4.34, <i>P</i> < .001), high income (Estimate = 0.08, <i>P</i> < .001), and community attachment (Estimate = 0.09, <i>P</i> < .001) were positively related to evacuation awareness, while nonregular employment (Estimate = -0.03, <i>P</i> = .01) and public assistance (Estimate = -0.05, <i>P</i> < .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.</p><p><strong>Conclusions: </strong>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.</p>\",\"PeriodicalId\":54390,\"journal\":{\"name\":\"Disaster Medicine and Public Health Preparedness\",\"volume\":\"19 \",\"pages\":\"e279\"},\"PeriodicalIF\":1.8000,\"publicationDate\":\"2025-09-26\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Disaster Medicine and Public Health Preparedness\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1017/dmp.2025.10202\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Disaster Medicine and Public Health Preparedness","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1017/dmp.2025.10202","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
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.
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.