残疾、灾害和复原力

IF 1 4区 医学 Q4 REHABILITATION
S. Phibbs
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引用次数: 0

摘要

灾害是“对社区运作的严重干扰,超出了其利用自身资源应对的能力”(国际红十字联合会,2022)。灾害包括自然灾害事件、流行病、恐怖袭击、战争和工业事故。在《仙台减少灾害风险框架》(UNISDR,2015,第9页)中,抗灾能力被定义为“暴露在危险中的系统、社区或社会及时有效地抵抗、吸收、适应危险影响并从中恢复的能力,包括通过保护和恢复其基本结构和功能。“在脆弱性和风险方面,残疾问题被纳入仙台框架,并被纳入备灾、分类报告统计数据的必要性以及参与灾害政策和规划(UNISDR,2015)。联合国(2015年)对复原力的定义包括已建成的基础设施以及环境和社会复原力。然而,抗灾能力是一个有争议且复杂的术语,包括社会、组织、社区和心理能力之间的特遣队、地方和特定关系(Kendra等人,2018)。在个人层面,心理韧性是一种适应能力和积极应对逆境的能力,而社区韧性是指灾后恢复阶段的集体能力和社区反弹的能力(Wright,2021)。适应能力是由社会不平等和权力关系决定的,而这些不平等和关系又与性别、种族、阶级、(Wright,2021)年龄和残疾相关的结构性不平等有关。恢复力的关键方法侧重于政府选择地方能力的潜力,以证明撤回国家资源以减少脆弱性、建设能力、加强基础设施和确保可持续性的合理性(Kendra等人,2018)。逆向反应法(Phibbs等人,2018)确定,弱势和边缘化群体更有可能受到影响,在灾害应对和恢复阶段经历服务提供方面的差异,并随着时间的推移经历不公平的社会和福祉结果。在灾害文献中,弱势群体包括移民和土著人民、儿童、老年人以及身心残疾、医疗依赖、生活贫困、无家可归或农村孤立的人(Phibbs等人,2016)。残疾人在与灾害脆弱性相关的风险因素中的比例过高,包括生活贫困、医疗保健需求高、独自居住在低收入社区以及在紧急情况下无法快速反应(Phibbs等人,2014)。残疾人也不愿意撤离,因为他们担心紧急避难所无法满足他们的需求(Phibbs等人,2014;Stough和Kelman,2018)。记录残疾人经历的研究有限
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Disability, Disasters, and Resilience
Disasters are “serious disruptions to the functioning of a community that exceed its capacity to cope using its own resources” (International Federation of Red Cross, 2022). Disasters include natural hazard events, pandemics, terrorist attacks, war, and industrial accidents. Within the Sendai Framework for Disaster Risk Reduction (UNISDR, 2015, p. 9) disaster resilience is defined as “[t]he ability of a system, community or society exposed to hazards to resist, absorb, accommodate to and recover from the effects of a hazard in a timely and efficient manner, including through the preservation and restoration of its essential basic structures and functions.” Disability is included in the Sendai Framework in relation to vulnerability and risk as well as inclusion in disaster preparedness, the need for disaggregated reporting statistics, and participation in disaster policy and planning (UNISDR, 2015). The United Nations (2015) definition of resilience encompasses built infrastructure, as well as environmental and social resilience. However, disaster resilience is a contested and complex term encompassing contingent, local, and particular relationships between societal, organizational, community, and psychological capacity (Kendra et al., 2018). At the individual level, psychological resilience is an adaptive capacity and the ability to positively deal with adversity while community resilience refers to the collective capacity and the ability of communities to bounce back (Wright, 2021) during the disaster recovery phase. Adaptive capacity is shaped by social inequalities and relations of power, which are, in turn, related to structural inequities associated with gender, race, class, (Wright, 2021) age, and disability. Critical approaches to resilience focus on the potential for local capacity to be co-opted by governments in order to justify the withdrawal of state resources for reducing vulnerability, building capacity, strengthening infrastructure, and ensuring sustainability (Kendra et al., 2018). The inverse response law (Phibbs et al., 2018) identified that vulnerable and marginalized groups are more likely to be impacted, to experience disparities in service provision during the disaster response and recovery phase, and to experience inequitable social and well-being outcomes over time. Within the disaster literature, vulnerable populations include migrant and indigenous peoples, children, the elderly, and those who are physically and mentally disabled, medically dependent, living in poverty, homeless, or rurally isolated (Phibbs et al., 2016). People with disabilities are over-represented in risk factors that are associated with disaster vulnerability including living in poverty, having high healthcare needs, residing alone in low-income neighborhoods, and being unable to respond quickly during an emergency (Phibbs et al., 2014). Disabled people are also reluctant to evacuate due to concerns that emergency shelters will not be able to meet their needs (Phibbs et al., 2014; Stough & Kelman, 2018). There is limited research that documents the experiences of disabled people who have
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来源期刊
CiteScore
1.30
自引率
18.20%
发文量
68
期刊介绍: The Journal of Visual Impairment & Blindness is the essential professional resource for information about visual impairment (that is, blindness or low vision). The international peer-reviewed journal of record in the field, it delivers current research and best practice information, commentary from authoritative experts on critical topics, News From the Field, and a calendar of important events. Practitioners and researchers, policymakers and administrators, counselors and advocates rely on JVIB for its delivery of cutting-edge research and the most up-to-date practices in the field of visual impairment and blindness. Available in print and online 24/7, JVIB offers immediate access to information from the leading researchers, teachers of students with visual impairments (often referred to as TVIs), orientation and mobility (O&M) practitioners, vision rehabilitation therapists (often referred to as VRTs), early interventionists, and low vision therapists (often referred to as LVTs) in the field.
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