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1.
Jamba ; 16(1): 1697, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39113929

RESUMEN

The COVID-19 pandemic's profound impacts on global health, driven by preparedness gaps and systemic risks, underscore the need to enhance societies' ability to manage both predictable risks and uncertainties inherent in disasters. While disaster research emphasises risk management for predictable threats and adaptive capacity for unexpected challenges, there is a lack of empirical examination of the impact of adaptive capacity on disaster resilience. This study addresses this gap by identifying three key adaptive capacities - quality of institutions, collaborative governance, and social capital - and examining their effects on COVID-19 resilience outcomes, measured by the ability to reduce excess mortality. Analysing secondary data from 129 nations using partial least squares structural equation modelling, the research finds significant positive effects of institutional quality and social capital on resilience outcomes. Conversely, collaborative governance shows a significant negative association, suggesting potentially intricate impacts beyond initial expectations. The findings highlight the need to enhance institutional quality and social capital to address preparedness gaps and unexpected challenges posed by biological hazards such as COVID-19. Future research should explore collaborative governance using a disaggregated approach that considers the roles of different stakeholders in various disaster phases. Contribution: This study advances disaster research by presenting practical methodologies for operationalising adaptive capacities and empirically examining their effects on disaster resilience. For practitioners and policymakers, it highlights the need to adopt a long-term perspective in building disaster resilience, focussing on improving institutional quality and social capital to manage the uncertainties and complexities inherent in disaster scenarios effectively.

2.
Disasters ; : e12647, 2024 Jun 25.
Artículo en Inglés | MEDLINE | ID: mdl-38924163

RESUMEN

Donor-funded climate and disaster resilience programmes and projects aim to help build the capacities and resilience of communities. Measuring resilience is critical, therefore, in providing feedback, evidence, and accountability. This paper presents recent two-year time-series findings from an ongoing multi-partner academic and practical collaboration pertaining to a climate change adaption project with rural communities in Cambodia. To measure community resilience, the study used the Flood Resilience Measurement for Communities, which measures, using mixed methods, disaster resilience capacities across five key dimensions of resilience: human, social, physical, natural, and financial capitals. The study analysed and reported changes in these areas of resilience in the selected villages, generating insights into the strengths and weaknesses of flood resilience capacities in the region. This paper provides valuable guidance as to where investment can be most effective in different communities, confirming the usefulness of the tool in measuring resilience and assessing the effectiveness of the project concerned.

3.
Heliyon ; 10(6): e28191, 2024 Mar 30.
Artículo en Inglés | MEDLINE | ID: mdl-38545232

RESUMEN

The successful implementation of urban resilience strategies is of utmost importance in order to reduce susceptibility and bolster resilience in the face of climate change consequences. The current understanding of the efficacy of different resilience strategies in mitigating vulnerability and bolstering urban resilience is lacking, despite its significance. This study assesses the efficacy of resilience strategies in mitigating vulnerability and enhancing urban resilience. We conducted a comprehensive analysis of scholarly literature published in English following PRISMA criteria from January 2001 to July 2023. Finally, 116 articles met the inclusion criteria and were selected for in-depth analysis. Results indicate that while resilience strategies have the potential to reduce susceptibility and enhance urban resilience, the effectiveness of resilience techniques is contingent upon various factors, such as the type of hazard, urban setting, and implementation process. The study also highlights the significance of stakeholder involvement, community participation, and adaptive management as essential components for effectively implementing resilience measures. Integrating physical, social, and institutional components in resilience practices demonstrated notable effectiveness. This study also reveals that improving the physical resilience of urban areas and strengthening their social and institutional capabilities to address and learn from disruptive events and pressures can decrease their vulnerability. The research also exposes those strategies focusing solely on mitigating a single issue, such as physical infrastructure, while neglecting social or institutional elements, which prove less effective. A comprehensive approach, incorporating institutional, social, and physical measures, should be designed to achieve maximal efficacy in mitigating vulnerability and strengthening urban resilience.

4.
Gerontologist ; 64(3)2024 Mar 01.
Artículo en Inglés | MEDLINE | ID: mdl-37351950

RESUMEN

BACKGROUND AND OBJECTIVES: Disaster preparedness is an urgent concern, particularly for caregivers of persons with dementia. Developing and executing plans for oneself and another person who needs care can be difficult when the care recipient is cognitively impaired. We sought to better understand caregivers' disaster preparedness for the purpose of generating guidance for future interventions to increase caregiver resilience. RESEARCH DESIGN AND METHODS: We conducted a qualitative descriptive study of caregiver disaster experiences and perceptions of their preparedness. Fifty-two participants from diverse backgrounds participated in a focus group or interview. Deductive thematic data analysis was utilized to identify themes. Stress process models guided the interpretation of our findings. RESULTS: Analyses of caregivers' experiences and observations revealed that disaster preparedness was challenging for caregivers, though also perceived to be an important responsibility. We identified 3 main themes: (a) barriers to preparing for a disaster as a caregiver for a person living with dementia, (b) why it is important for a caregiver to develop a disaster plan, and (c) how to facilitate preparedness for caregivers of persons living with dementia. DISCUSSION AND IMPLICATIONS: This study highlighted the difficulties of preparing for a disaster while caring for a person with dementia. Applying stress process models to our results provided strong evidence that interventions could be developed to bolster caregivers' resources to cope with stressors associated with disaster preparedness. A key issue for public officials is the question of whether disaster shelters are appropriate for persons with dementia.


Asunto(s)
Demencia , Planificación en Desastres , Resiliencia Psicológica , Humanos , Cuidadores , Investigación Cualitativa
5.
Jamba ; 15(1): 1409, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-38059160

RESUMEN

The infusion of participatory methodologies in Zimbabwe gained momentum across rural and urban development planning platforms in the past decades. Participatory approaches are envisaged to deepen grassroots involvement in local planning and strengthen social networks for enhanced disaster resilience against complex weather-related hazards such as droughts. This article examines how community-based participatory planning (CBPP) contributes to the cohesiveness of the vulnerable groups and harnesses local capacities in building social capital. The article is underpinned by the community capital framework in understanding the nexus between participatory planning and social capital. Primary evidence is drawn from the cross-sectional study that targeted different socio-economic groups (N = 120) drawn from the selected three wards out of the 10 where CBPPs were conducted in Matobo district in 2016. The sample size was informed by the Rao Soft sample size calculator, hence a total of (n = 90) socioeconomic groups were targeted for a semi-structured questionnaire. The semi-structured tool was complemented by 12 in-depth interviews and three focus group discussions. Primary data were systematised, cleaned and analysed using the Statistical Package for Social Sciences (SPSS) V23. This was meant to probe and capture the benefits of CBPP and how it has strengthened the social capital of drought-prone communities in rural Matobo. Study results indicate improved inter- and intra-community networks post the CBPP processes in drought-prone Matobo as evidenced by the formation of community clubs, gender inclusive interventions and improved financial and material contributions towards community-driven projects. Furthermore, while women involvement is evident, their influence is less in productive livelihoods activities such as livestock rearing. Contribution: The CBPP process has shown that inclusive planning improves the identification of risks and strengthens collective actions towards design and implementation of resilience building strategies such as water harvesting and health centres.

6.
BMC Public Health ; 23(1): 2510, 2023 12 14.
Artículo en Inglés | MEDLINE | ID: mdl-38097956

RESUMEN

BACKGROUND: Resilience is vital for facing natural disasters and public health challenges. Despite the significance of resilience-building activities, there is a scarcity of locally-tailored planning and response strategies, leaving communities incapable of addressing the unique challenges posed by natural disasters and public health crises. This study aims to explore how the "One Community at a Time" approach enhances community resilience in facing natural hazards and public health challenges. METHODS: A systematic review was conducted over journal articles published from January 2001 to April 2023 through PRISMA approach. Multiple databases such as Web of Science and Scopus were thoroughly searched. We used independent screening by two researchers and painstaking data extraction using standardized forms. This approach was adopted to assure the reliability, validity, and precision of our study selection and analysis. The included studies' quality was evaluated by the Mixed Methods Appraisal Tool. RESULTS: In the evaluation, 35 studies were deemed eligible for inclusion and underwent in-depth examination. Several major components of "One Community at a Time" have been identified, including social capital and networks, local knowledge and learning, effective governance and leadership, preparedness and response capacity, and adaptive infrastructure and resources. This framework highlights the significance of individualized approaches to resilience-building initiatives, recognizing that each community has specific strengths, needs, and challenges. CONCLUSION: Relevant stakeholders can adapt suitable resilient strategies to help prepare and recover from natural hazards and public health challenges. By adopting a localized strategy, stakeholders can collaborate to develop a culture of readiness and resilience, ultimately leading to more sustainable and resilient communities. This framework advises community-based groups, local government, and other stakeholders on prioritizing partnerships, preparedness planning, community participation, and leadership as essential components of creating and maintaining resilience. "One Community at a Time" framework offers practical guidance for community-based organizations, local government, and other stakeholders to prioritize partnerships, preparedness planning, community participation, and leadership as essential components of creating and sustaining resilience.


Asunto(s)
Planificación en Desastres , Desastres Naturales , Resiliencia Psicológica , Humanos , Salud Pública , Planificación en Desastres/métodos , Reproducibilidad de los Resultados
7.
Mar Pollut Bull ; 197: 115721, 2023 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-37956492

RESUMEN

What are the best methods to build cyclone and storm resilience in a developing country? We examine the multiple resources that contribute to storm resilience in the highly vulnerable ecological context of coastal Bangladesh, finding that human capital is a critical turnkey resource that enables and facilitates the use of other resources in household responses to floods, storm surges and other cyclone damage. Drawing on a household survey of nine coastal villages in different ecological zones of coastal Bangladesh, we use principal component analysis (PCA) and multiple regression to identify four components of storm resilience and a human capital index that, along with other household resources, predicts resilience to storms and cyclones. We then use this human capital index as a policy tool to map the proportion of highly resilient households in these nine villages and identify additional methods for building a stronger understanding of storm resilience.


Asunto(s)
Tormentas Ciclónicas , Resiliencia Psicológica , Humanos , Bangladesh , Inundaciones , Análisis Multivariante
8.
Risk Anal ; 2023 Nov 20.
Artículo en Inglés | MEDLINE | ID: mdl-37983824

RESUMEN

Critical infrastructures are ubiquitous and their interdependencies have become more complex leading to their uncertain behaviors in the aftermath of disasters. The article develops an integrated economic input-output model that incorporates household-level survey data from Hurricane Sandy, which made its landfall in 2012. In this survey, 427 respondents who were living in the state of New Jersey during Hurricane Sandy were used in the study. The integration of their responses allowed us to show the probability and duration of various types of critical infrastructure failures due to a catastrophic hurricane event and estimate the economic losses across different sectors. The percentage of disruption and recovery period for various infrastructure systems were extracted from the survey, which were then utilized in the economic input-output model comprising of 71 economic sectors. Sectors were then ranked according to: (i) inoperability, the percentage in which a sector is disrupted relative to its ideal level, and (ii) economic loss, the monetary worth of business interruption caused by the disaster. With the combined infrastructure disruptions in the state of New Jersey, the model estimated an economic loss of $36 billion, which is consistent with published estimates. Results from this article can provide insights for future disaster preparedness and resilience planning.

9.
J Environ Manage ; 347: 119026, 2023 Dec 01.
Artículo en Inglés | MEDLINE | ID: mdl-37816280

RESUMEN

The severity of global flood disasters is growing, causing loss of human life and property. Building a high-resilience social system, an important means of sustainable flood control, can address these flood-related issues. Numerous studies have carried out disaster resilience evaluations and explored the correlation between flood disaster loss and intensity, but neglected to analyze the role of resilience construction in disaster loss reduction. This study proposed a research route for linking flood loss and disaster loss to quantify the relationship between the two. Take Guangdong Province, China as a study case, the mixed-effects (ME) model and multilevel hybrid evaluation model (MHEM) were established to assess disaster loss and resilience of cities, respectively. Subsequently, disaster resilience curves were built to quantitatively evaluate disaster resilience and corresponding disaster loss. The results show that (1) the ME model can concurrently build the disaster intensity-loss curves of multiple cities with high fitting accuracy. The MHEM combines multiple methods to determine the evaluation result with the highest consistency, showing high reliability. (2) The central and southern regions of Guangdong Province have low disaster loss and high resilience, while the northern regions have high disaster loss and low resilience. (3) With the improvement of disaster resistance, the reduction in disaster loss gradually decreases. Disaster loss in low-resilience cities exhibits greater randomness than that in high-resilience cities, and increasing their resilience can more significantly reduce their level of loss. This study provides a quantitative basis and available methods for comprehensive responses to natural disasters and adaptation to global climate change.


Asunto(s)
Desastres , Inundaciones , Humanos , Reproducibilidad de los Resultados , Ciudades , Cambio Climático
10.
Jamba ; 15(1): 1349, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37671315

RESUMEN

This article examined how the education system was impacted by the Cyclone ldai disaster in eastern Chimanimani District in 2019. In addition, this article discoursed the enrolment trends, pass rate patterns and general quality of education over the 2018-2019 study period. It assessed local and stakeholders' initiatives towards building a disaster-resilient education system. A mixed-methods approach integrated both quantitative and qualitative techniques to obtain in-depth narratives of lived experiences and quantitative aspects. A chi-square test provided sufficient ground to conclude that there were significant dropout patterns at a 95% confidence level. A paired t-test for the years 2018 (M = 64.59; SD = 12.61) and 2019 (M = 62; SD = 15.32) showed no significant difference (t [11] = 0.817, p = 0.432) at a 95% confidence interval. Concerted efforts are needed to avert the native pattern of school enrolment and academic results reflected in the study. Contribution: We therefore recommend that a holistic integrative disaster resilience framework between school, community and stakeholders showed great potential for the future.

11.
Jamba ; 15(1): 1457, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37435437

RESUMEN

Indonesia lies on the Pacific Ring of Fire, where most of the area is highly unstable, making it a site of numerous volcanoes and earthquakes, so it needs to enhance its social system through knowledge, awareness, and local wisdom to create disaster resilience. Previous research has discussed resilience through societal knowledge and awareness, but there is a gap in understanding the local wisdom. Therefore, this study aims to present how the resilience process concerns with the community based on the local wisdom and knowledge for the community in Anak Krakatau, Banten. This research employs observations on the conditions of facilities and infrastructure of access road, in-depth interviews with local people, and bibliometric review over the last 17 years. A total of 16 articles were selected and reviewed for this study, after comprehensive analysis from 2000 documents. It is stated that preparing for natural hazards requires the integration of knowledge and local knowledge. Prior to the occurrence of a natural calamity, knowledge is dependent on the structure of a home in order to create a resilient structure, while local lore relies on the omens of nature. Contribution: The integration of knowledge and local wisdom can fulfil the resilience process in terms of preparedness and after effect of natural hazards. These integrations must be evaluated for disaster mitigation policies in order to develop and implement a comprehensive disaster mitigation plan for the community.

12.
Natl Sci Rev ; 10(8): nwad097, 2023 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-37389148

RESUMEN

Large-scale disasters can disproportionately impact different population groups, causing prominent disparity and inequality, especially for the vulnerable and marginalized. Here, we investigate the resilience of human mobility under the disturbance of the unprecedented '720' Zhengzhou flood in China in 2021 using records of 1.32 billion mobile phone signaling generated by 4.35 million people. We find that although pluvial floods can trigger mobility reductions, the overall structural dynamics of mobility networks remain relatively stable. We also find that the low levels of mobility resilience in female, adolescent and older adult groups are mainly due to their insufficient capabilities to maintain business-as-usual travel frequency during the flood. Most importantly, we reveal three types of counter-intuitive, yet widely existing, resilience patterns of human mobility (namely, 'reverse bathtub', 'ever-increasing' and 'ever-decreasing' patterns), and demonstrate a universal mechanism of disaster-avoidance response by further corroborating that those abnormal resilience patterns are not associated with people's gender or age. In view of the common association between travel behaviors and travelers' socio-demographic characteristics, our findings provide a caveat for scholars when disclosing disparities in human travel behaviors during flood-induced emergencies.

13.
Environ Sci Pollut Res Int ; 30(35): 83401-83420, 2023 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-37341940

RESUMEN

Under the tremendous challenges of frequent disasters, disaster resilience is imperative for risk reduction and sustainable management in poverty and disaster-prone areas. Ganzi Prefecture has a complicated topography and vulnerable ecosystems. Geological disasters have historically been the most serious risks in the region. To fully understand the potential risks and strengthen resilience, the study investigates the resilience level of 18 counties in Ganzi. Firstly, the paper develops a multidimensional index system based on the Baseline Resilience Indicators for Communities (BRIC) framework. And the entropy weighting method is used to calculate Ganzi's disaster resilience level from the aspects of "society-economy-infrastructure-environment." Then, the study uses exploratory spatial data (ESDA) to analyze the spatial-temporal evolution of disaster resilience. Finally, Geodetector is used to investigate the main driving factors of disaster resilience and their interactions. The results indicated that Ganzi's disaster resilience had maintained an upward trend from 2011 to 2019, with significant spatial divergence, which shows high resilience in the southeast and low resilience in the northwest. The economic indicator is the driving factor in the spatial difference of disaster resilience, and the interaction factor has a significantly stronger explanatory power for resilience. Therefore, the government should strengthen ecotourism development to help alleviate poverty in special industries and promote synergistic regional development.


Asunto(s)
Desastres , Ecosistema , Pobreza , China
14.
Disasters ; 47(4): 1090-1117, 2023 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-37096656

RESUMEN

As rural areas in developing countries are generally more vulnerable to disasters triggered by natural hazards than urban areas, it has become critical to strengthen rural community disaster resilience (CDR) to reduce the risks. Using follow-up interviews, surveys, and secondary data, this study reviewed the Safe Rural Community (SRC) programme implemented by the One Foundation, a Chinese civilian non-governmental organisation (NGO), after the 2013 Lushan earthquake in China. The study focused on five key resilience aspects: networks; infrastructure; institutions; capacity; and culture. It found that the SRC programme successfully developed five standardised, systematic, interrelated, and practical elements: localised volunteer rescue teams; adequate emergency supplies; practical disaster reduction training; community emergency plans; and regular emergency rescue drills. Third-party evaluations and a 2022 Lushan earthquake test revealed that this NGO-led, community-based, and team-oriented initiative had been effective. Consequently, the study provides some guidance for the development of effective CDR programmes in rural communities in developing countries.


Asunto(s)
Planificación en Desastres , Desastres , Humanos , Población Rural , Países en Desarrollo , Pueblos del Este de Asia
15.
Int J Data Sci Anal ; 15(3): 231-246, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37035277

RESUMEN

The uncertain world has seen increasing emergencies, crises and disasters (ECDs), such as the COVID-19 pandemic, hurricane Ian, global financial inflation and recession, misinformation disaster, and cyberattacks. AI for smart disaster resilience (AISDR) transforms classic reactive and scripted disaster management to digital proactive and intelligent resilience across ECD ecosystems. A systematic overview of diverse ECDs, classic ECD management, ECD data complexities, and an AISDR research landscape are presented in this article. Translational disaster AI is essential to enable smart disaster resilience.

16.
Environ Syst Decis ; 43(2): 191-199, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-36816093

RESUMEN

Both natural and manmade disasters have severely impacted the region of Southeast Texas over the past few decades, and this has negatively affected the socio-economic well-being of the region. The state of Texas has suffered 200-250 billion dollars in damages from natural and manmade disasters since 2010. Given the region's strategic importance to the nation's energy and security, developing resilience knowledge and multi-disaster resilience research focused on issues pertaining to the region is needed. This paper describes the structure and process of building a center for multi-disaster resilience at a regional public university. By utilizing a bottom-up approach, the Center's mission and design are broadly democratized through the participation of a variety of scholars and various stakeholders with whom they interact. Resilience needs specific to the Southeast Texas region are examined, as is the relationship between resilience and the academic disciplines of the stakeholders involved. The issues of resilience in the region are discussed as well as the future steps for the Center's continued growth and development for the study of resilience.

17.
Prehosp Disaster Med ; : 1-8, 2023 Jan 06.
Artículo en Inglés | MEDLINE | ID: mdl-36606323

RESUMEN

Recent large-scale disasters have exposed the interconnected nature of modern societies, exacerbating the risk of cascading impacts. Examining elements of community health status, such as social determinants of health, their perceived health status, and how they relate to disaster resilience, can illuminate alternative actions for cost-effective disaster prevention and management. Moreover, agricultural communities are essential to food security and provide a working example of the importance of mitigation in escalation of crises. To that aim, this research examines perceptions of the relationship between disaster resilience and determinants of health, including health status. Participants also reported their views on perceived vulnerable groups in their community and proposed design characteristics of more effective community disaster plans.Here investigated are these elements in a small agricultural community of Western Australia previously exposed to bushfires. A questionnaire was used based on health elements from the Social Determinants of Health described by the World Health Organization (WHO) and compared this with quantitative data describing the community health status. A mixed methods approach combining qualitative (semi-structured interview) and quantitative (closed questions using a Likert scale) tools was undertaken with a small group of community members.It was found that community connection and social capital were perceived to provide knowledge and support that enhanced individual disaster risk awareness and preparedness and improved an individual's disaster resilience. Stress and social exclusion within a community were perceived to decrease an individual's resilience to disaster. Disaster resilience was reported to be a function of good physical and mental health. To achieve effective disaster planning, community partnership in the development, education, and testing of plans and robust communication were described as essential traits in community emergency plans.

18.
Disasters ; 47(3): 788-805, 2023 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-36082482

RESUMEN

The role of religious belief in disasters has attracted increased scholarly interest in recent years. This paper shows that religious belief can generate disaster resilience through the pathways of disaster framing, mental health, and disaster behaviours. Drawing on interviews conducted with Tibetan Buddhist believers in the Yushu earthquake area of China, this study indicates that notions of Tibetan Buddhism, as well as religious practices, helped locals to make sense of the 2010 event, obtain spiritual support in its aftermath, foster a sense of community, and develop a prosocial post-earthquake environment. These religious notions and practices also assisted in sustaining a faith-based network composed of two kinds of important local social relationships, layperson-layperson and layperson-monk, which increased local disaster resilience at the level of response behaviour. The findings enrich our understanding of the religious source of disaster resilience and yield insights into disaster risk reduction in religious regions, especially where Buddhist belief is prevalent.


Asunto(s)
Desastres , Terremotos , Humanos , Tibet , China , Salud Mental
19.
Chinese Journal of Nursing ; (12): 2901-2910, 2023.
Artículo en Chino | WPRIM (Pacífico Occidental) | ID: wpr-1027784

RESUMEN

Objective To analyze the influencing factors of disaster resilience in medical rescue workers,to construct a prediction model for the low-level risk of disaster resilience in medical rescue workers,and to verify the predictive effect of the model.Methods Using the convenience sampling method and the snowball method,1 037 medical rescue workers who participated in disaster rescue in 18 provinces(autonomous regions and municipalities)were selected as the participants from May to July 2022.Online questionnaire surveys were conducted using general information questionnaires,disaster resilience measuring tools for healthcare rescuers,the Mindful Attention Awareness Scale,the Simple Coping Style Questionnaire and the Depression-Anxiety-Stress Scale.Univariate and multivariate logistic regression analyses were used to determine the independent influencing factors for the low level of disaster resilience of medical rescue workers.A risk prediction model was constructed,and a nomogram chart was drawn.The model's effectiveness was evaluated using the receiver operating characteristic curve(ROC)and calibration curve.The Bootstrap method was applied for internal validation.Results The logistic regression analysis showed that per capita monthly income of households,whether to participate in on-site disaster rescue,positive coping,mindfulness level,and adequacy of rescue supplies were independent influencing factors for the disaster resilience of medical rescue workers(P<0.05).The predictive formula for the low-level risk of disaster resilience in medical rescue workers was established as follows:Logit(P)=8.741-0.381 x per capita monthly income of households-0.891 x whether to participate in on-site disaster rescue-2.544 x positive coping-0.020 x mindfulness level-0.222 x adequacy of rescue supplies.The area under the ROC curve was 0.823,and the optimal critical value was 0.353.The sensitivity and specificity were 79.12%and 71.43%,respectively.The Hosmer-Lemeshow test showed that x2=12.250(P=0.140),and the predicted curve fitted well with the ideal curve.The external validation showed that the sensitivity and specificity of the model were 75.00%and 66.39%,respectively,and the overall accuracy was 69.95%.Conclusion The prediction model in this study has sound predictive effects and can provide references and guidance for managers to select,recruit,and train medical rescue workers.

20.
Disaster Med Public Health Prep ; 17: e278, 2022 12 12.
Artículo en Inglés | MEDLINE | ID: mdl-36503707

RESUMEN

INTRODUCTION: Community-level social capital organizations are critical pre-existing resources that can be leveraged in a disaster. AIM: The study aimed to test the hypothesis that communities with larger pre-disaster stocks of social capital organizations would maintain pre-disaster levels or experience growth. METHODOLOGY: An annual panel dataset of counties in the contiguous United States from 2000 to 2014 totaling 46620 county-years, including longitudinal data on disasters and social capital institutions was used to evaluate the effect of disaster on growth of social capital. RESULTS: When a county experienced more months of disasters, social capital organizations increased a year later. These findings varied based on the baseline level of social capital organizations. For counties experiencing minor disaster impacts, growth in social capital organizations tends to occur in counties with more social capital organizations in 2000; this effect is a countervailing finding to that of major disasters, and effect sizes are larger. CONCLUSION: Given the growing frequency of smaller-scale disasters and the considerable number of communities that experienced these disasters, the findings suggest that small scale events create the most common and potentially broadest impact opportunity for intervention to lessen disparities in organizational growth.


Asunto(s)
Planificación en Desastres , Desastres , Capital Social , Humanos , Estados Unidos
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