Extreme Weather Disruptions and Emergency Preparedness Among Older Adults in Ohio: An Eight-County Assessment

Smitha Rao, Fiona C. Doherty, Anthony Traver, Marisa Sheldon, Emma Sakulich, Holly Dabelko-Schoeny

International Journal of Disaster Risk Science ›› 2024, Vol. 15 ›› Issue (2) : 213-225.

International Journal of Disaster Risk Science ›› 2024, Vol. 15 ›› Issue (2) : 213-225. DOI: 10.1007/s13753-024-00548-8
Article

Extreme Weather Disruptions and Emergency Preparedness Among Older Adults in Ohio: An Eight-County Assessment

Author information +
History +

Abstract

The disproportionate risks and impacts of climate change and extreme weather on older adults are increasingly evident. While especially true in disaster-prone areas, human-caused climate change introduces an element of uncertainty even in previously identified “safe” regions such as the Midwestern United States. Using a cumulative disadvantage and vulnerability-informed framework and descriptive statistics from multiple data sources, this article provides an overview of climate impacts, vulnerabilities, and county-level characteristics, focusing on older adults living in Central Ohio. A comparative multiple-case study methodology was used to triangulate regionally representative primary and secondary data sources to examine state and county-level measures of vulnerability, emergency preparedness, and disruptions caused by extreme weather among older adults across eight counties in Central Ohio. Seventy-eight percent of older adults in the sample reported being prepared for emergencies per Federal Emergency Management Agency guidelines. Older adults in Union County reported the highest rates of preparedness, while those in Fayette County reported the lowest. County-level rates of disruption of life activities by extreme weather ranged widely. Among the most rural in the region, Fayette County emerged as uniquely disadvantaged, with the lowest median income, the most vulnerable across multiple social vulnerability dimensions, and the most reported disruptions to life activities from extreme weather. County profiles offer a snapshot of existing vulnerabilities, socioeconomic conditions, special needs, preparedness, and current disruptions among older adults in the region and can inform resource mobilization across community and policy contexts.

Keywords

Disaster preparedness / Extreme weather / Midwestern United States / Older adults / Regional assessment / Social vulnerability

Cite this article

Download citation ▾
Smitha Rao, Fiona C. Doherty, Anthony Traver, Marisa Sheldon, Emma Sakulich, Holly Dabelko-Schoeny. Extreme Weather Disruptions and Emergency Preparedness Among Older Adults in Ohio: An Eight-County Assessment. International Journal of Disaster Risk Science, 2024, 15(2): 213‒225 https://doi.org/10.1007/s13753-024-00548-8

References

[]
Adger WN. Vulnerability. Global Environmental Change, 2006, 16(3): 268-281,
CrossRef Google scholar
[]
Age-Friendly Innovation Center, Central Ohio Area Agency on Aging, and Franklin County Office on Aging. 2021. Regional assessment on aging survey report. Olathe, KS: ETC Institute. https://public.tableau.com/app/profile/christy.kranich/viz/CORAA2021/Home. Accessed 27 Feb 2024.
[]
Akah, H., C. Almasi, A.B. Stevens, and N. Wiselogel. 2023. 2023 health value dashboard. Columbus, OH: Health Policy Institute of Ohio. https://www.healthpolicyohio.org/wp-content/uploads/2023/04/2023HealthValueDashboard_Final.pdf. Accessed 27 Feb 2024.
[]
Al-Rousan TM, Rubenstein LM, Wallace RB. Preparedness for natural disasters among older US adults: A nationwide survey. American Journal of Public Health, 2014, 104(3): 506-511,
CrossRef Google scholar
[]
Aly, R., H. Akah, and Z. Reat. 2020. Summary assessment of older Ohioans. Columbus, OH: Ohio Department of Aging. https://aging.ohio.gov/about-us/reports-and-data/summary-assessment-of-older-ohioans-2020. Accessed 29 Feb 2024.
[]
Angel J, Swanston C, Boustead BM, Conlon K, Hall K, Jorns J, Kunkel K, Lemos M, et al.. Reidmiller DR, Avery CW, Easterling DR, Kunkel KE, Lewis KLM, Maycock TK, Stewart BC, et al.. Midwest. Impacts, risks, and adaptation in the United States: Fourth national climate assessment, 2018 Washington, DC U.S. Global Change Research Program 872-940
[]
Ashida S, Zhu X, Robinson EL, Schroer A. Disaster preparedness networks in rural Midwest communities: Organizational roles, collaborations, and support for older residents. Journal of Gerontological Social Work, 2018, 61(7): 735-750,
CrossRef Google scholar
[]
ATSDR (Agency for Toxic Substances and Disease Registry). 2020. CDC/ATSDR Social Vulnerability Index (SVI). https://www.atsdr.cdc.gov/placeandhealth/svi/index.html. Accessed 27 Feb 2024.
[]
Bartlett L, Vavrus F. Comparative case studies: An innovative approach. Nordic Journal of Comparative and International Education, 2017,
CrossRef Google scholar
[]
Bell SA, Singer D, Solway E, Kirch M, Kullgren J, Malani P. Predictors of emergency preparedness among older adults in the United States. Disaster Medicine and Public Health Preparedness, 2021, 15(5): 624-630,
CrossRef Google scholar
[]
Bryant, N., R. Stone, C. Connelly, and K. Boerner. 2022. The impact of climate change: Why older adults are vulnerable. Boston, MA: LeadingAge LTSS Center. https://ltsscenter.org/reports/The_Impact_of_Climate_Change_Why_Older_Adults_are_Vulnerable.pdf. Accessed 27 Feb 2024.
[]
Dabelko-Schoeny, H., A. Maleku, Q.C. Cao, K. White, and B. Ozbilen. 2021. We want to go, but there are no options: Exploring barriers and facilitators of transportation among diverse older adults. Journal of Transport & Health 20: Article 100994.
[]
Dannefer D. Cumulative advantage/disadvantage and the life course: Cross-fertilizing age and social science theory. The Journals of Gerontology, 2003, 58(6): S327-S337,
CrossRef Google scholar
[]
EPA (US Environmental Protection Agency). 2016a. Climate change and the health of older adults. https://www.epa.gov/climateimpacts/climate-change-and-health-older-adults. Accessed 28 Jul 2023.
[]
EPA (US Environmental Protection Agency). 2016b. Climate change indicators: US and global temperature. https://www.epa.gov/climate-indicators/climate-change-indicators-us-and-global-temperature. Accessed 28 Jul 2023.
[]
EPA (US Environmental Protection Agency). 2016c. What climate change means for Ohio. EPA 430-F-16-037. https://19january2017snapshot.epa.gov/sites/production/files/2016-09/documents/climate-change-oh.pdf. Accessed 27 Feb 2024.
[]
FEMA (Federal Emergency Management Agency). 2023. Risk comparison report. National risk index. https://hazards.fema.gov/nri/report/viewer?dataLOD=Census%20tracts&dataIDs=T48201334100#SectionSocialVulnerability. Accessed 3 Nov 2023.
[]
Ferraro KF, Kelley-Moore JA. Cumulative disadvantage and health: Long-term consequences of obesity?. American Sociological Review, 2003, 68(5): 707-729,
CrossRef Google scholar
[]
Flanagan BE, Gregory EW, Hallisey EJ, Heitgerd JL, Lewis B. A social vulnerability index for disaster management. Journal of Homeland Security and Emergency Management, 2011,
CrossRef Google scholar
[]
Georgetown Law. 2023. Preparing for climate change in Ohio. Washington, DC: Georgetown Climate Center. https://www.georgetownclimate.org/adaptation/state-information/ohio/overview.html. Accessed 27 Feb 2024.
[]
Gonyea JG, Curley A, Melekis K, Levine N, Lee Y. Loneliness and depression among older adults in urban subsidized housing. Journal of Aging and Health, 2018, 30(3): 458-474,
CrossRef Google scholar
[]
Henderson TL, Roberto KA, Kamo Y. Older adults’ responses to Hurricane Katrina: Daily hassles and coping strategies. Journal of Applied Gerontology, 2010, 29(1): 48-69,
CrossRef Google scholar
[]
Howard A, Blakemore T, Bevis M. Older people as assets in disaster preparedness, response and recovery: Lessons from regional Australia. Ageing and Society, 2017, 37(3): 517-536,
CrossRef Google scholar
[]
Ingram DD, Franco SJ. NCHS urban–rural classification scheme for counties. Vital Health Statistics, 2012, 166(154): 1-65
[]
Killian TS, Moon ZK, McNeill C, Garrison B, Moxley S. Emergency preparedness of persons over 50 years old: Further results from the health and retirement study. Disaster Medicine and Public Health Preparedness, 2017, 11(1): 80-89,
CrossRef Google scholar
[]
Kim H, Zakour M. Disaster preparedness among older adults: Social support, community participation, and demographic characteristics. Journal of Social Service Research, 2017, 43(4): 498-509,
CrossRef Google scholar
[]
Kurlychek MC, Johnson BD. Cumulative disadvantage in the American criminal justice system. Annual Review of Criminology, 2019, 2(1): 291-319,
CrossRef Google scholar
[]
Lubben J, Blozik E, Gillmann G, Iliffe S, von Renteln Kruse W, Beck JC, Stuck AE. Performance of an abbreviated version of the Lubben social network scale among three European community-dwelling older adult populations. The Gerontologist, 2006, 46(4): 503-513,
CrossRef Google scholar
[]
Marlon, J., L. Neyens, M. Jefferson, P. Howe, M. Mildenberger, and A. Leiserowitz. 2022. Yale climate opinion maps 2021. New Haven, CT: Yale Program on Climate Change Communication. https://climatecommunication.yale.edu/visualizations-data/ycom-us. Accessed 27 Feb 2024.
[]
McCarthy S, Friedman S. Disaster preparedness and housing tenure: How do subsidized renters fare?. Housing Policy Debate, 2023, 33(5): 1100-1123,
CrossRef Google scholar
[]
Merdjanof AA. Climate, disasters, and extreme weather events: Vulnerability, resources, and interventions for lower-income older adults. Generations, 2021, 45(2): 1-10
[]
Muttillo, E. 2018. Should your address determine access to aging services? An analysis of senior tax levies in Ohio. Cleveland, OH: Center for Community Solutions. https://www.communitysolutions.com/address-determine-access-aging-services-analysis-senior-tax-levies-ohio. Accessed 27 Feb 2024.
[]
NOAA (National Oceanic and Atmospheric Administration). 2022. State climate summaries 2022—Ohio. Boulder, CO: NOAA National Centers for Environmental Information. https://statesummaries.ncics.org/chapter/oh. Accessed 27 Feb 2024.
[]
Phillips BD, Morrow BH. Social science research needs: Focus on vulnerable populations, forecasting, and warnings. Natural Hazards Review, 2007, 8(3): 61-68,
CrossRef Google scholar
[]
Priya A. Case study methodology of qualitative research: Key attributes and navigating the conundrums in its application. Sociological Bulletin, 2021, 70(1): 94-110,
CrossRef Google scholar
[]
Public and Affordable Housing Research Corporation and National Low Income Housing Coalition. 2021. Taking stock: Natural hazards and federally assisted housing. https://www.pahrc.org/wp-content/uploads/2021/06/Taking-Stock.pdf. Accessed 27 Feb 2024.
[]
Rao, S., F.C. Doherty, S. Teixeira, D.T. Takeuchi, and S. Pandey. 2023. Social and structural vulnerabilities: Associations with disaster readiness. Global Environmental Change 78: Article 102638.
[]
Rule P, John VM. A necessary dialogue: Theory in case study research. International Journal of Qualitative Methods, 2015,
CrossRef Google scholar
[]
Seneviratne, S.I., X. Zhang, M. Adnan, W. Badi, C. Dereczynski, A. Di Luca, S. Ghosh, I. Iskandar, et al. 2021. Weather and climate extreme events in a changing climate. In Climate change 2021: The physical science basis. Contribution of Working Group I to the Sixth Assessment Report of the Intergovernmental Panel on Climate Change, 1513–1766. Cambridge, UK: Cambridge University Press.
[]
Shih, R.A., J.D. Acosta, E.K. Chen, E.G. Carbone, L. Xenakis, D.M. Adamson, and A. Chandra. 2018. Improving disaster resilience among older adults. Rand Health Quarterly 8(1): Article 3.
[]
Shuey KM, Willson AE. Cumulative disadvantage and black-white disparities in life-course health trajectories. Research on Aging, 2008, 30(2): 200-225,
CrossRef Google scholar
[]
Smith, A.B. 2020. US billion-dollar weather and climate disasters, 1980–present (NCEI Accession 0209268). Boulder, CO: NOAA National Centers for Environmental Information.
[]
Urban Institute. 2020. Forecasting state and national trends in household formation and homeownership: Ohio. https://www.urban.org/policy-centers/housing-finance-policy-center/projects/forecasting-state-and-national-trends-household-formation-and-homeownership/ohio. Accessed 28 Jul 2023.
[]
US Census Bureau. 2022. American community survey 5-year estimates. https://www.census.gov/data/developers/data-sets/acs-5year.html. Accessed 28 Jul 2023.
[]
US Department of Housing and Urban Development (HUD). 2021. Picture of subsidized households. https://www.huduser.gov/portal/datasets/assthsg.html. Accessed 18 Jan 2023.
[]
US Global Change Research Program. 2018. Fourth national climate assessment, Vol. 2: Impacts, risks, and adaptation in the United States. Washington, DC: US Global Change Research Program.
[]
Yin RK. The case study as a serious research strategy. Science Communication, Knowledge, 1981, 3(1): 97-114
[]
Yin RK. . Applications of case study research, 2011 Thousand Oaks, CA Sage Publications Inc
[]
Yin RK. . Case study research and applications—Design and methods, 2018 4 Thousand Oaks, CA Sage
[]
Zakour, M.J., and D.F. Gillespie. Community disaster vulnerability: Theory, research, and practice. New York: Springer.
[]
Zamboni, L.M., and E.G. Martin. 2020. Association of US households’ disaster preparedness with socioeconomic characteristics, composition, and region. JAMA Network Open 3(4): Article e206881.

Accesses

Citations

Detail

Sections
Recommended

/