Building resiliency: a cross-sectional study examining relationships among health-related quality of life, well-being and disaster preparedness (2014)
Background: Worldwide, disaster exposure and consequences are rising. Disaster risk in New Zealand is amplified by island geography, isolation, and ubiquitous natural hazards. Wellington, the capital city, has vital needs for evacuation preparedness and resilience to the devastating impacts and increasing uncertainties of earthquake and tsunami disasters. While poor quality of life (QoL) is widely-associated with low levels of engagement in many health-protective behaviors, the relationships among health-related quality of life (HrQoL), well-being, and preparedness are virtually unknown. Methods: We hypothesized that QoL and well-being affect household evacuation preparedness. We performed a quantitative epidemiologic survey (cross-sectional design) of Wellington adults. Our investigation assessed healthpromoting attributes that build resiliency, conceptualized as health-protective attitudes and behaviors. Multidimensional QoL variables were measured using validated psychometric scales and analyzed for associations with evacuation preparedness, and we determined whether age and gender affected these relationships. Results: We received 695 survey responses (28.5% response rate; margin of error ±3.8%; 80% statistical power to detect true correlations of 0.11 or greater). Correlational analyses showed statistically significant positive associations with evacuation preparedness for spiritual well-being, emotional well-being, and life satisfaction. No associations were found for mental health, social well-being, or gender; physical health was weakly negatively associated. Evacuation preparedness increased with age. Regression analyses showed that overall health and well-being explained 4.6-6.8% of the variance in evacuation preparedness. Spiritual well-being was the only QoL variable that significantly and uniquely explained variance in preparedness. Conclusions: How well-being influences preparedness is complex and deeply personal. The data indicate that multidimensional readiness is essential, and meaningfulness is an important factor. Inadequate levels of tangible preparedness actions are accompanied by gaps in intangible readiness aspects, such as: 1) errors in perceived exposure to and salience of natural hazards, yielding circumscribed risk assessments; 2) unfamiliarity with the scope and span of preparedness; 3) underestimating disaster consequences; and 4) misinterpreting the personal resources required for self-managing disaster and uncertainty. Our results highlight that conceptualizing preparedness to include attitudes and behaviors of readiness, integrating well-being and meaningfulness into preparedness strategies, and prioritizing evacuation planning are critical for resiliency as a dynamic process and outcome.
CitationGowan, M.E., Kirk, R.C., Sloan, J.A. (2014) Building resiliency: a cross-sectional study examining relationships among health-related quality of life, well-being and disaster preparedness. Health and Quality of Life Outcomes, 12(1), pp. 85.
This citation is automatically generated and may be unreliable. Use as a guide only.
Keywordsearthquake; evacuation; hazards; health promotion; health outcomes; prevention; integrative disaster resilience; risk perception; self-management; tsunami
ANZSRC Fields of Research42 - Health sciences::4206 - Public health::420603 - Health promotion
44 - Human society::4410 - Sociology::441016 - Urban sociology and community studies
12 - Built Environment and Design::1205 - Urban and Regional Planning::120501 - Community Planning
Showing items related by title, author, creator and subject.
Gowan, M. E.; Sloan, J. A.; Kirk, R. C. (University of Canterbury. School of Health Sciences, 2015)Background: Conventional disaster preparedness messaging focuses largely on promoting survival actions and communications planning for the immediate post-disaster period. While such preparedness is vital, we have long-observed ...
Proportionate universalism in practice? A quasi-experimental study (GoWell) of a UK neighbourhood renewal programme's impact on health inequalities Egan, M.; Kearns, A.; Kattikreddi, S.V.; Curl, A.; Lawson, K.; Tannahill, C. (University of Canterbury. Geography, 2016)Recommendations to reduce health inequalities frequently emphasise improvements to socio-environmental determinants of health. Proponents of ‘proportionate universalism’ argue that such improvements should be allocated ...
Kingham, Simon (2017)