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Household evacuation decision making during simultaneous events: Hurricane Ida and the COVID-19 pandemic 同时发生事件时的家庭疏散决策:伊达飓风和 COVID-19 大流行
IF 4.2 1区 地球科学 Q1 GEOSCIENCES, MULTIDISCIPLINARY Pub Date : 2024-11-01 DOI: 10.1016/j.ijdrr.2024.104914
Laura K. Siebeneck , Zengxiang Lei , Prabin Sharma , Rajat Verma , Mac Osazuwa-Peters , Satish V. Ukkusuri
Protective action decisions are complex and require households to consider a variety of factors including hazard risks, household characteristics, location, and experience. Previous research has examined these decisions in the context of a single hazard; however, it is also necessary to consider scenarios whereby two coupled hazards pose simultaneous risks. This paper examines the decision-making of households when making evacuation and shelter-in-place decisions during two simultaneous events: the 2021 Hurricane Ida and the COVID-19 pandemic. Survey data gathered from six parishes eight months after the storm were used to analyze risk perception tradeoffs and protective action decisions of households before Hurricane Ida made landfall. The results indicate that higher perceived risks of the hurricane causing injury or death, being vaccinated, having a higher income, having children residing in the home, and having previous experience of evacuating increased the odds of evacuating. Likewise, variables such as higher perceived risks related to being hospitalized or killed by COVID-19, being elderly, and being located further away from the storm track all decreased the likelihood of a household undertaking evacuation. The findings of this study improve understanding of how households consider competing risks during simultaneous hazard events, which in turn can help inform strategies for managing future disaster events involving multiple hazards and risks.
保护行动决策非常复杂,需要家庭考虑多种因素,包括灾害风险、家庭特征、地点和经验。以往的研究都是在单一灾害的背景下对这些决策进行研究,但也有必要考虑两种耦合灾害同时带来风险的情况。本文研究了家庭在 2021 年飓风 "艾达 "和 COVID-19 大流行这两个同时发生的事件中做出疏散和就地避难决策时的决策情况。在风暴发生八个月后从六个教区收集的调查数据被用来分析飓风 "艾达 "登陆前家庭的风险认知权衡和保护行动决策。结果表明,对飓风造成人员伤亡的风险感知较高、接种过疫苗、收入较高、家中有孩子以及有过撤离经验的家庭会增加撤离的几率。同样,认为 COVID-19 会导致住院或死亡的风险较高、年长者、距离风暴轨道较远等变量都会降低家庭撤离的可能性。这项研究的结果加深了人们对家庭在同时发生灾害事件时如何考虑相互竞争的风险的理解,这反过来又有助于为未来涉及多种灾害和风险的灾害事件的管理策略提供参考。
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引用次数: 0
Cooperative community wildfire response: Pathways to First Nations’ leadership and partnership in British Columbia, Canada 合作应对社区野火:加拿大不列颠哥伦比亚省原住民领导力和伙伴关系之路
IF 4.2 1区 地球科学 Q1 GEOSCIENCES, MULTIDISCIPLINARY Pub Date : 2024-11-01 DOI: 10.1016/j.ijdrr.2024.104933
Kelsey Copes-Gerbitz , Dave Pascal , Vanessa M. Comeau , Lori D. Daniels
With the growing scale of wildfires, many First Nations are demanding a stronger role in wildfire response. Disproportionate impacts on Indigenous communities (including First Nations, Métis, and Inuit) in Canada are motivating these demands: although approximately 5 % of the population identifies as Indigenous, about 42 % of wildfire evacuation events occur communities that are more than half Indigenous. In what is now known as British Columbia, Canada, new pathways for cooperative wildfire response between First Nations and provincial agencies are emerging. Drawing from semi-structured interviews with 15 experts from First Nations communities and agencies, and a review of 42 documents on wildfire response, our research highlights the diverse existing capacities, priority opportunities, and processes required to enhance cooperative pathways. Within First Nations communities, existing capacities include local knowledge, firefighting experience, equipment, funding, relationships, and leadership – an overlooked but fundamental capacity. Priority opportunities include ways to build capacity within and beyond wildfire response, such as fully equipped response crews, full-time year-round wildfire management crews, Emergency Management Coordinators, First Nations Liaisons, and cross-trained wildland and structural crews. Translating existing capacities into priority opportunities requires an ongoing focus on cooperative processes, including relationship-building, respecting Rights and Title, streamlining funding, and enabling “cultural safety” to overcome racism. These cooperative pathways can help transform wildfire governance toward First Nations-led partnerships.
随着野火规模的不断扩大,许多原住民要求在野火应对中发挥更大的作用。加拿大原住民社区(包括原住民、梅蒂斯人和因纽特人)所受到的不成比例的影响促使他们提出这些要求:尽管约有 5% 的人口自称是原住民,但约 42% 的野火疏散事件发生在原住民占一半以上的社区。在现在的加拿大不列颠哥伦比亚省,原住民和省级机构之间正在出现合作应对野火的新途径。通过对来自原住民社区和机构的 15 位专家进行半结构化访谈,以及对 42 份有关野火应对的文件进行审查,我们的研究强调了现有的各种能力、优先机会以及加强合作途径所需的程序。在原住民社区内,现有能力包括当地知识、灭火经验、设备、资金、关系和领导力--这是一种被忽视的基本能力。优先机会包括在野火响应内外建设能力的方法,例如装备齐全的响应人员、全年全职的野火管理人员、应急管理协调员、原住民联络员以及经过交叉培训的野地和结构性人员。将现有能力转化为优先机会需要持续关注合作过程,包括建立关系、尊重权利和所有权、精简资金以及实现 "文化安全 "以克服种族主义。这些合作途径有助于将野火治理转变为由原住民主导的伙伴关系。
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引用次数: 0
Fostering civic participation and collective actions for disaster risk reduction: Insights from Aotearoa New Zealand case studies 促进公民参与和集体行动,减少灾害风险:新西兰奥特亚罗瓦案例研究的启示
IF 4.2 1区 地球科学 Q1 GEOSCIENCES, MULTIDISCIPLINARY Pub Date : 2024-11-01 DOI: 10.1016/j.ijdrr.2024.104954
Manomita Das , Julia Becker , Emma E H Doyle
This paper explores how community members collaborate with emergency management organizations in the pre-disaster stage and engage in collective actions for reducing disaster risks in their communities. Utilizing four qualitative case studies from New Zealand, we examined how local groups interested in reducing community level disaster risks form, the nature of their collective actions and collaboration with emergency management organizations, their facilitators and barriers and the outcomes of the processes. The findings suggest that people's involvement, collaboration, and collective action in the pre-disaster stage entails participating in programmes administered by emergency management organizations through diverse community groups, informal emergency response teams, and specialized volunteer groups. The two primary goals are to have a group of people ready to provide immediate support in an event by maintaining community response teams and making prior arrangements that support people to spontaneously volunteer in an emergency, through community emergency hub approach. These groups engage in tasks such as creating community response plans, maintaining resources, and fostering communication and social capital. The factors facilitating these efforts include hazard awareness, community conversations, institutional support and active DRR organizations, clear objectives, skilled facilitators, and ensuring community solutions are supported. However, currently, community involvement in the pre-disaster stage is narrowly focused on improving response outcomes, lacking a broader perspective of addressing developmental and environmental issues that create risks. They are also rooted in the idea of a solidaristic community and rely on social capital. We discuss the implications of the current practices and the way forward.
本文探讨了社区成员如何在灾前阶段与应急管理组织合作,并参与降低社区灾害风险的集体行动。通过对新西兰四个定性案例的研究,我们探讨了对降低社区灾害风险感兴趣的地方团体是如何形成的、他们的集体行动和与应急管理组织合作的性质、他们的促进因素和障碍以及这些过程的结果。研究结果表明,人们在灾前阶段的参与、合作和集体行动需要通过不同的社区团体、非正式应急小组和专业志愿者团体参与应急管理组织管理的计划。这两个主要目标是,通过维持社区应急小组和事先作出安排,支持人们在紧急情况下自发提供志愿服务,从而使一群人随时准备在事件发生时提供即时支持。这些小组的任务包括制定社区应急计划、维护资源、促进沟通和社会资本。促进这些工作的因素包括危险意识、社区对话、机构支持和活跃的减灾组织、明确的目标、熟练的主持人,以及确保社区解决方案得到支持。然而,目前社区在灾前阶段的参与仅局限于改善应对结果,缺乏解决造成风险的发展和环境问题的更广阔视角。这些做法还植根于团结社区的理念,依赖于社会资本。我们将讨论当前做法的影响和未来发展方向。
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引用次数: 0
Stakeholder engagement in disaster recovery: Insights into roles and power dynamics from the Ahr Valley, Germany 利益相关者参与灾后恢复:从德国阿赫河谷洞察角色和权力动态
IF 4.2 1区 地球科学 Q1 GEOSCIENCES, MULTIDISCIPLINARY Pub Date : 2024-11-01 DOI: 10.1016/j.ijdrr.2024.104960
Olasunkanmi Habeeb Okunola
Stakeholder engagement is increasingly important in disaster risk management, serving as an effective approach to consensus-building and improved management. However, practical implementation encounters challenges and conflicts between political leaders and stakeholders. This paper provides an overview of participatory and collaborative governance in disaster recovery, drawing on the institutional interaction framework. Through qualitative methods including 32 semi-structured interviews with government agencies, NGOs, community organizations, and volunteers involved in post-flood recovery in the Ahr Valley, Germany, the study examines stakeholder roles and power dynamics and their impact on recovery process. The findings illustrate multiple scenarios of community stakeholder interactions, highlighting how these interactions shape recovery. Power struggles and hidden power dynamics are revealed to significantly influence decision-making, with pre-existing stakeholder conflicts playing a role. I argue that recognizing stakeholder roles and relationships and fostering community leadership can establish trusted connections, enabling sustained engagement and resilience-building beyond immediate recovery efforts.
利益相关方的参与在灾害风险管理中日益重要,是建立共识和改善管理的有效方法。然而,在实际执行过程中,政治领导人和利益相关者之间会遇到挑战和冲突。本文以机构互动框架为基础,概述了灾后恢复中的参与式协作治理。研究采用定性方法,包括对参与德国阿赫河谷洪灾后恢复工作的政府机构、非政府组织、社区组织和志愿者进行 32 次半结构式访谈,考察了利益相关者的角色和权力动态及其对恢复过程的影响。研究结果说明了社区利益相关者互动的多种情况,强调了这些互动是如何影响灾后恢复的。研究发现,权力斗争和隐藏的权力动态对决策产生了重大影响,而利益相关者之间预先存在的冲突也在其中发挥了作用。我认为,认识到利益相关者的角色和关系并培养社区领导力,可以建立可信赖的联系,从而在立即开展恢复工作之后,还能持续参与并建设复原力。
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引用次数: 0
Exploring Indonesian coastal communities' responses to the 2019 Ambon earthquake and preparedness for future disasters 探索印度尼西亚沿海社区对 2019 年安汶地震的应对措施以及对未来灾害的准备情况
IF 4.2 1区 地球科学 Q1 GEOSCIENCES, MULTIDISCIPLINARY Pub Date : 2024-11-01 DOI: 10.1016/j.ijdrr.2024.104961
Wiesye Violent Pelupessy , Robert Mark Silverman
Since the seventeenth century, megathrust earthquakes and tsunamis have been recorded in Maluku Province, Indonesia. Most of Maluku's communities live on alluvial soils where tsunamis have occurred on active seismic paths, which will negatively impact them during disasters. Therefore, learning from past communities' responses and experiences is vital to decrease the risk associated with potential future disasters. However, studies about Indonesian coastal communities’ seismic responses and preparedness at the grassroots level, particularly in Maluku Province, have yet to be done. Thirty survivors of the Mw 6.5 Ambon earthquake in 2019 with over a thousand aftershocks, living in the three coastal villages on Ambon Island, were selected as respondents in the semi-structured interviews. The research results showed that the survivors had various responses to the earthquake and its aftershocks. Religious belief was a critical factor for their capability to respond to calamities, besides social support that has helped them survive. The 2019 earthquake has also enhanced their creativity, engagement, and participation. Some disaster preparedness gaps still exist, although their experiences have taught them to be more aware and prepared for future disasters. These problematic gaps are the availability of early warning systems, public education and information, risk transfer capability, protection development, humanitarian aid protocols and procedures, and health recovery. With its crucial recommendations, this study strengthens disaster governance in archipelagic countries like Indonesia and adds to the literature on how coastal communities handle multiple seismic disasters.
自十七世纪以来,印度尼西亚马鲁古省一直有大地壳地震和海啸的记录。马鲁古省的大多数社区都生活在冲积土上,海啸发生在活跃的地震路径上,这将在灾害发生时对他们造成负面影响。因此,学习过去社区的应对措施和经验对于降低未来潜在灾害的风险至关重要。然而,有关印尼沿海社区(尤其是马鲁古省)基层地震应对和准备工作的研究尚待开展。研究人员选取了生活在安汶岛三个沿海村庄的 30 名在 2019 年发生的安汶 6.5 级地震(余震超过 1000 次)中的幸存者作为半结构化访谈的受访者。研究结果显示,幸存者对地震及其余震的反应各不相同。除了帮助他们生存的社会支持外,宗教信仰也是他们应对灾难能力的关键因素。2019 年的地震也提高了他们的创造力、参与度和参与度。尽管他们的经历让他们对未来的灾难有了更多的认识和准备,但在备灾方面仍然存在一些差距。这些问题包括预警系统的可用性、公共教育和信息、风险转移能力、保护发展、人道主义援助协议和程序以及健康恢复。本研究提出的重要建议加强了印尼等群岛国家的灾害治理,并为有关沿海社区如何应对多重地震灾害的文献增添了新的内容。
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引用次数: 0
Assessing the influence of self and collective efficacy on volunteering following a natural disaster 评估自我效能和集体效能对自然灾害后志愿服务的影响
IF 4.2 1区 地球科学 Q1 GEOSCIENCES, MULTIDISCIPLINARY Pub Date : 2024-11-01 DOI: 10.1016/j.ijdrr.2024.104952
Shaun Thomas , Johanna Thomas , December Maxwell , Lacie Michel Bogen
Following hurricane Katrina, many New Orleanians evacuated to Baton Rouge. Despite a significant outpouring of assistance, not everyone engaged in pro-social behaviors during this time. Some felt an obligation to help yet failed to donate their time to assist those displaced by the storm. Prior studies have examined pro-social behavior following a natural disaster as a product of self or collective efficacy. Analyzing data from interviews with Baton Rouge area residents two months after Katrina, we explore the role of self and collective efficacy on helping activity and volunteering in shelters for evacuees. This study advances the extant literature by exploring an interactive model to provide a more accurate assessment of how self and collective efficacy work contemporaneously to influence different forms of pro-social behavior. Results suggest the likelihood of helping others or volunteering after a disaster are, in part, dependent on a nuanced combination of self and collective efficacy.
卡特里娜飓风过后,许多新奥尔良人撤离到巴吞鲁日。尽管人们纷纷伸出援助之手,但在此期间,并非每个人都有亲社会行为。有些人觉得自己有义务提供帮助,但却没有捐出自己的时间来帮助那些因风暴而流离失所的人。先前的研究将自然灾害后的亲社会行为视为自我或集体效能的产物。通过分析卡特里娜飓风过后两个月对巴吞鲁日地区居民的访谈数据,我们探讨了自我效能感和集体效能感对帮助活动和在避难所志愿服务的影响。本研究通过探索互动模型,对自我效能感和集体效能感如何同时影响不同形式的亲社会行为进行了更准确的评估,从而推动了现有文献的发展。研究结果表明,灾后帮助他人或志愿服务的可能性在一定程度上取决于自我效能感和集体效能感的细微结合。
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引用次数: 0
Developing a Digital Disaster Documents System for essential documents: Perspectives of decision-makers in disaster and emergency management in Canada 为重要文件开发数字灾难文件系统:加拿大灾害和应急管理决策者的观点
IF 4.2 1区 地球科学 Q1 GEOSCIENCES, MULTIDISCIPLINARY Pub Date : 2024-11-01 DOI: 10.1016/j.ijdrr.2024.104975
Mahed Choudhury , Evalyna Bogdan , Julie Drolet , Kamal Khatiwada
Despite a growing recognition in the literature concerning the intricate relationship between innovation as an adaptive measure to effectively achieve the overarching objectives of disaster risk reduction and resilience, limited studies have examined how social innovation can be tailored to the local context. This study fills this gap by examining decision-makers' perspectives on the Digital Disaster Documents System (D3S), which digitizes vital documents for disaster response and recovery. A web-based survey was completed by 21 decision-makers across Canada, analyzing their responses using thematic analysis and descriptive statistics. Overall, decision-makers exhibit a positive attitude toward the innovation of D3S as a means to enhance disaster preparedness. Moreover, their constructive feedback on various aspects (content, organization, and storage) of the D3S paves the way for necessary adjustments and enhancements tailored to local needs. This research underscores the necessity for social innovations in emergency and disaster preparedness, especially in ways that are inclusive and equitable.
尽管越来越多的文献认识到,创新作为一种适应性措施,与有效实现减少灾害风险和提高抗灾能力的总体目标之间存在着错综复杂的关系,但对社会创新如何因地制宜的研究却十分有限。本研究通过考察决策者对数字灾难文件系统(D3S)的看法填补了这一空白,该系统将灾难响应和恢复所需的重要文件数字化。加拿大各地的 21 位决策者完成了一项基于网络的调查,并利用主题分析和描述性统计对他们的回答进行了分析。总体而言,决策者对 D3S 作为加强备灾手段的创新表现出积极的态度。此外,他们对 D3S 的各个方面(内容、组织和存储)提出了建设性的反馈意见,为根据当地需求进行必要的调整和改进铺平了道路。这项研究强调了在应急和备灾方面进行社会创新的必要性,特别是以包容和公平的方式进行创新。
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引用次数: 0
A systematic review of community-based volcanic risk reduction and adaptation to the compound and cascading impacts of climate change in volcanic SIDS 对基于社区的火山风险减少和适应气候变化对小岛屿发展中国家火山活动的复合和连带影响的系统审查
IF 4.2 1区 地球科学 Q1 GEOSCIENCES, MULTIDISCIPLINARY Pub Date : 2024-11-01 DOI: 10.1016/j.ijdrr.2024.104995
Allanson Cruickshank , Stefano Moncada , Adelle Thomas
This systematic literature review examined approaches to community-based disaster risk reduction (CBDRR) and community-based adaptation (CBA) in response to both volcanic hazards and climate change in small island developing states (SIDS). There is a dearth of research on this topic in the existing literature. The SCOPUS, Web of Science and SpringerLink databases were searched using the PRISMA 2020 method. The review yielded 50 relevant articles out of the initial 14,652. Several papers focused directly on either community approaches to disaster risk reduction (DRR) or climate change adaptation (CCA), showing that there is still room for addressing these issues jointly. Additionally, key themes were the role of indigenous and local knowledge, culture, religion and the importance of social capital in the implementation of CBDRR and CBA. Case studies of Saint Vincent and the Grenadines and Dominica were also included in the paper. A key finding of the review and the case studies was that CBDRR and CBA approaches can be combined in order to avoid the duplication of efforts and resources, especially important in the context of SIDS, where these resources are often scarce and research rarely assesses the compound impacts of climatic and non-climatic events.
本系统性文献综述研究了小岛屿发展中国家(SIDS)针对火山灾害和气候变化采取的社区减灾(CBDRR)和社区适应(CBA)方法。在现有文献中,有关这一主题的研究十分匮乏。采用 PRISMA 2020 方法对 SCOPUS、Web of Science 和 SpringerLink 数据库进行了检索。在最初的 14,652 篇文章中,审查得出了 50 篇相关文章。有几篇文章直接关注社区减少灾害风险(DRR)或适应气候变化(CCA)的方法,这表明在共同解决这些问题方面仍有空间。此外,关键主题还包括土著和地方知识、文化、宗教的作用,以及社会资本在实施社区减少灾害风险和社区适应方面的重要性。文件中还包括对圣文森特和格林纳丁斯以及多米尼克的案例研究。审查和案例研究的一个重要发现是,可以将基于社区的减少灾害风险和复原以及基于社 区的成本效益分析方法结合起来,以避免工作和资源的重复,这在小岛屿发展中国家尤为重 要,因为这些国家的资源往往稀缺,而且研究很少评估气候和非气候事件的复合影响。
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引用次数: 0
Enhancing systemic risk management to strengthen community resilience: Key recommendations from state-of-the-art practices of past complex incidents 加强系统性风险管理,增强社区复原力:从以往复杂事件的最先进做法中得出的主要建议
IF 4.2 1区 地球科学 Q1 GEOSCIENCES, MULTIDISCIPLINARY Pub Date : 2024-11-01 DOI: 10.1016/j.ijdrr.2024.105013
Malith Senevirathne, Dilanthi Amaratunga, Richard Haigh, Georgina Clegg
Traditional hazard risk analysis methods have historically encouraged single-hazard resilience, yet complex events often precipitate systemic risks, surpassing established resilience measures and presenting novel policy dilemmas in disaster risk management. Recent studies, including the Midterm Review of the Sendai Framework for Disaster Risk Reduction (SFMTR) from 2015 to 2030, reveal significant gaps and uncertainties in the compartmentalised aspects of resilience strategies, particularly in recognizing systemic risk perspectives. This highlights the necessity for an all-encompassing approach to building resilience, with a focus on vulnerable communities and a comprehensive understanding of the integration among state-of-the-art practices from previous complex incidents. This research aims to investigate disaster management practices related to complex disasters, with a specific focus on systemic risk management within community resilience approaches. To examine the state-of-the-art applications and challenges of various disaster management practices, a research team conducted a comprehensive analysis of seven disaster incidents in Europe and Asia, encompassing tsunamis, earthquakes, terrorist attacks, flash floods, industrial accidents, wildfires, and the COVID-19 pandemic. Through comparative analysis of these disaster management practices, and synthesizing literature findings and counterfactual thinking from the identified cases, innovative key recommendations were extracted. These recommendations are centred on recognizing the drivers of systemic risk on vulnerable communities for leveraging systemic risk management. They underscore the imperative need for understanding integrated risk diagnosis and risk governance strategies essential for addressing systemic risks. Collectively, these recommendations provide a comprehensive way forward for enhancing community resilience in the face of multifaceted hazards and challenges.
传统的灾害风险分析方法历来鼓励单一灾害的抗灾能力,但复杂事件往往会引发系统性风险,超越既定的抗灾措施,给灾害风险管理带来新的政策困境。最近的研究,包括《仙台减少灾害风险框架》(SFMTR)2015 至 2030 年的中期审查,揭示了抗灾战略在条块分割方面的巨大差距和不确定性,特别是在认识系统性风险视角方面。这凸显了采用全方位方法建设抗灾能力的必要性,重点关注脆弱社区,并全面了解以往复杂事件中最先进做法的整合情况。本研究旨在调查与复杂灾害相关的灾害管理实践,特别关注社区抗灾能力方法中的系统风险管理。为了研究各种灾害管理实践的最新应用和挑战,研究小组对欧洲和亚洲的七次灾害事件进行了全面分析,包括海啸、地震、恐怖袭击、山洪暴发、工业事故、野火和 COVID-19 大流行病。通过对这些灾害管理实践进行比较分析,并综合文献结论和已确定案例的反事实思维,提炼出了创新性的关键建议。这些建议的核心是认识到系统性风险对脆弱社区的驱动因素,以利用系统性风险管理。这些建议强调了理解综合风险诊断和风险治理战略对解决系统性风险至关重要的必要性。总之,这些建议为提高社区面对多方面危害和挑战的复原力提供了全面的前进方向。
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引用次数: 0
The food and nutritional insecurity experienced by pregnant women living in shelters following the 2023 earthquakes in Turkiye 2023 年土耳其地震后居住在避难所的孕妇所经历的食物和营养不安全问题
IF 4.2 1区 地球科学 Q1 GEOSCIENCES, MULTIDISCIPLINARY Pub Date : 2024-11-01 DOI: 10.1016/j.ijdrr.2024.104987
Hüsna Kaya Kaçar , Ömer Furkan Kaçar , Tugba Kose , Amanda Avery
Natural hazards may limit household access to food and water. Shelters and food aid were provided as emergency measures following the 2023 earthquakes (EQ) in Turkiye. Pregnancy is a nutritionally vulnerable time. This study investigated weight changes, experienced level of food insecurity and changes to dietary patterns in pregnant women displaced following the EQ.
A questionnaire was developed to collect demographic and anthropometric data. We used the USDA six-items questionnaire to determine level of household food security and food frequency questions validated to show changes to dietary patterns after disasters. Pregnant women living in shelters in eight affected districts were invited to take part 5–6 weeks post-EQ.
Data was collected from 49 women of mixed parity with mean gestational age 24.9(SD 5.14) weeks and 79.6 % in their 2nd trimester. A mean weight loss of 1.5(SD 2.65) kg (p < 0.001) was observed with 63.3 % mothers losing weight and 14.3 % weight-stable post-EQ. 71.4 % experienced severe food insecurity. Intake of animal proteins, dairy products, wholegrains, fruits and vegetable decreased post-EQ (p < 0.001). Intake of prepared CHOs, salt, sugar and fruit juice increased (p < 0.0001). Use of nutritional supplements including vitamin D, calcium, magnesium and zinc decreased (p < 0.0001). Women experienced more mental health disorders and greater fatigue post-EQ.
Our findings of combined food and nutritional insecurity, with increased risk of malnutrition, may have short and long-term adverse health outcomes for both the mother and infant. Better strategies are required following disasters to try and improve the nutritional intake of vulnerable population groups to reduce these risks.
自然灾害可能会限制家庭获得食物和水。2023 年土耳其地震(EQ)发生后,作为紧急措施提供了避难所和食品援助。孕期是营养脆弱期。本研究调查了因地震而流离失所的孕妇的体重变化、所经历的粮食不安全程度以及饮食模式的变化。我们使用美国农业部的六项调查问卷来确定家庭食品安全水平,并使用经过验证的食物频率问题来显示灾后饮食模式的变化。我们收集了 49 名孕妇的数据,她们的孕期平均为 24.9 周(标准差为 5.14 周),79.6% 的孕妇处于怀孕中期。观察发现,体重平均下降了 1.5(标准差 2.65)千克(p < 0.001),63.3% 的母亲体重下降,14.3% 的母亲在 EQ 后体重稳定。71.4%的母亲经历了严重的粮食不安全。EQ 后,动物蛋白、乳制品、全谷物、水果和蔬菜的摄入量减少(p < 0.001)。预制碳水化合物、盐、糖和果汁的摄入量则有所增加(p < 0.0001)。维生素 D、钙、镁和锌等营养补充剂的使用量减少(p < 0.0001)。我们的研究结果表明,食物和营养的双重不安全会增加营养不良的风险,可能会对母亲和婴儿的健康造成短期和长期的不利影响。灾后需要制定更好的策略,努力改善弱势群体的营养摄入,以降低这些风险。
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引用次数: 0
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International journal of disaster risk reduction
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