Disaster Awareness and Preparedness Among Older Adults in Canada Regarding Floods, Wildfires, and Earthquakes

Abstract

Older adults are significantly impacted by natural hazards and disasters that are exacerbated by climate change. Understanding their awareness and preparedness is essential for enhancing disaster resilience. This study investigated the attitudes, actions, and recommendations of older adults regarding natural hazards that pose risks in their geographic area—specifically floods, wildfires, and/or earthquakes in Canada. Methods for this study included survey and focus groups with older adults (n = 161 and n = 10, respectively) and other high-risk groups from across Canada, that are vulnerable to these natural hazards. The main findings from this study are that current awareness and preparedness among older adults is low, though stronger perceptions of risks are associated with risks specific to geographic locations where respondents live. Several barriers, such as hazard vulnerability misperceptions, cost-related reasons, and lack of hazard awareness have resulted in low awareness and preparedness among these populations. The two main recommendations arising from this research are: (1) improve awareness and preparedness with tailor-made emergency preparedness materials for older adults; and (2) adopt community-based approaches to disaster preparedness through existing community groups to strengthen social connections with a focus on locally specific hazards. The findings from this research can be applied to other hazards, including heatwaves and pandemics.

Keywords

Canada / Community-based disaster risk management / Disaster awareness and preparedness / Disaster resilience / Natural hazards / Older adults

References

Aldrich N, Benson WF. Disaster preparedness and the chronic disease needs of vulnerable older adults. Preventing Chronic Disease, 2008, 5(1): A27

Almazan JU, Albougami AS, Alamri MS, Colet PC, Adolfo CS, Allen K, Gravoso R, Boyle C. Disaster-related resiliency theory among older adults who survived Typhoon Haiyan. International Journal of Disaster Risk Reduction, 2019, 35: 101070

Asfaw HW, Nation LFNSLF, McGee TK, Christianson AC. Evacuation preparedness and the challenges of emergency evacuation in indigenous communities in Canada: The case of Sandy Lake First Nation, Northern Ontario. International Journal of Disaster Risk Reduction, 2019, 34: 55-63

Babcicky P, Seebauer S. The two faces of social capital in private flood mitigation: Opposing effects on risk perception, self-efficacy and coping capacity. Journal of Risk Research, 2017, 20(8): 1017-1037

Bateman JM, Edwards B. Gender and evacuation: A closer look at why women are more likely to evacuate for hurricanes. Natural Hazards Review, 2002, 3(3): 107-117

BCCS (British Columbia Coroners Service) Extreme heat and human mortality: A review of heat-related deaths in BC in summer 2021, 2022, Government of British Columbia: Victoria

Becker JS, Paton D, Johnston DM, Ronan KR, McClure J. The role of prior experience in informing and motivating earthquake preparedness. International Journal of Disaster Risk Reduction, 2017, 22: 179-193

Benevolenza MA, DeRigne L. The impact of climate change and natural disasters on vulnerable populations: A systematic review of literature. Journal of Human Behavior in the Social Environment, 2019, 29(2): 266281

Benmarhnia T, Deguen S, Kaufman JS, Smargiassi A. Vulnerability to heat-related mortality a systematic review, meta-analysis, and meta-regression analysis. Environmental Epidemiology, 2015, 26(6): 781-793

Bogdan EA, Roszko AM, Beckie MA, Conway A. We’re ready! Effectiveness of community disaster preparedness workshops across different community groups in Alberta, Canada. International Journal of Disaster Risk Reduction, 2021, 55: 1-16

Braun V, Clarke V. Using thematic analysis in psychology. Qualitative Research in Psychology, 2006, 2: 77-101

Bunker A, Wildenhain J, Vandenbergh A, Henschke N, Rocklöv J, Hajat S, Sauerborn R. Effects of air temperature on climate-sensitive mortality and morbidity outcomes in the elderly; A systematic review and meta-analysis of epidemiological evidence. EBioMedicine, 2016, 6: 258-268

Bush E, Lemmen DS. Canada’s Changing Climate Report, 2019, Ottawa: Government of Canada

CRC (Canadian Red Cross) and NIA (National Institute on Ageing). 2020. Closing the gaps: Advancing emergency preparedness, response and recovery for older adults. NIA, 14 December 2020. https://static1.squarespace.com/static/5c2fa7b03917eed9b5a436d8/t/5fd2410d9db3cd0795e984ed/1607614734474/crc_whitepaper_en.pdf. Accessed 11 Apr 2024.

Castañeda JV, Bronfman NC, Cisternas PC, Repetto PB. Understanding the culture of natural disaster preparedness: Exploring the effect of experience and sociodemographic predictors. Natural Hazards, 2020, 103(2): 1881-1904

Cherry KE, Brown JS, Marks LD, Galea S, Volaufova J, Lefante C, Su LJ, Welsh DA, Jazwinski SM. Longitudinal assessment of cognitive and psychosocial functioning after Hurricanes Katrina and Rita: Exploring disaster impact on middle-aged, older, and oldest-old adults. Journal of Applied Biobehavioral Research, 2011, 16(3–4): 187-211

Cherry KE, Calamia MR, Elliott EM, McKneely KJ, Nguyen QP, Loader CA, Miller LR, Sampson L, Galea S. Religiosity and social support predict resilience in older adults after a flood. International Journal of Aging Human Development, 2023, 96(3): 285-311

Cherry KE, Silva JL, Galea S. Cherry KE. Natural disasters and the oldest-old: A psychological perspective on coping and health in late life. Lifespan Perspectives on Natural Disasters, 2009, New York: Springer 171-193

Covello VT, Von Winterfeldt D, Slovic P. Risk communication: A review of the literature. Risk Abstracts, 1986, 3: 171-182.

Cox K, Kim B. Race and income disparities in disaster preparedness in old age. Journal of Gerontological Social Work, 2018, 61(7): 719-734

Creswell JW. A concise introduction to mixed methods research, 2021, Los Angeles: SAGE Publications

Cutter SL. Resilience to what? Resilience for whom?. The Geographical Journal, 2016, 182(2): 110-113

Cvetković VM, Roder G, Öcal A, Tarolli P, Dragićević S. The role of gender in preparedness and response behaviors towards flood risk in Serbia. International Journal of Environmental Research and Public Health, 2018, 15(12): 2761

Dynes R. Social capital: Dealing with community emergencies. Homeland Security Affairs, 2006, 2(2): 5

Government of Canada. 2023. National risk profile: Strengthening Canada’s all hazard approach to emergency management. https://www.publicsafety.gc.ca/cnt/mrgnc-mngmnt/ntnl-rsk-prfl/index-en.aspx. Accessed 11 Apr 2024.

Henderson SB, McLean KE, Lee MJ, Kosatsky T. Analysis of community deaths during the catastrophic 2021 heat dome: Early evidence to inform the public health response during subsequent events in greater Vancouver Canada. Environmental Epidemiology, 2022, 6(1): e189

Ibrahim, D. 2016. Canadians’ experiences with emergencies and disasters 2014. Ottawa, Ontario: Statistics Canada. https://www150.statcan.gc.ca/n1/pub/85-002-x/2016001/article/14469-eng.htm. Accessed 1 Apr 2024.

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

Kohn S, Eaton JL, Feroz S, Bainbridge AA, Hoolachan J, Barnett DJ. Personal disaster preparedness: An integrative review of the literature. Disaster Medicine and Public Health Preparedness, 2012, 6(3): 217-231

Kwan C, Walsh CA. Seniors’ disaster resilience: A scoping review of the literature. International Journal of Disaster Risk Reduction, 2017, 25: 259-273

Lindell MK, Perry RW. The protective action decision model: Theoretical modifications and additional evidence. Risk Analysis, 2012, 32(4): 616-632

Mahsin MD, Cabaj J, Saini V. Respiratory and cardiovascular condition-related physician visits associated with wildfire smoke exposure in Calgary, Canada, in 2015: A population-based study. International Journal of Epidemiology, 2022, 51(1): 166-178

Massazza A, Brewin CR, Joffe H. Feelings, thoughts, and behaviours during disaster. Qualitative Health Research, 2020, 31(2): 323-337

Mayhorn CB. Cognitive aging and the processing of hazard information and disaster warnings. Natural Hazards Review, 2005, 6(4): 165-170

McDermott-Levy R, Kolanowski AM, Fick DM, Mann ME. Addressing the health risks of climate change in older adults. Journal of Gerontological Nursing, 2019, 45(11): 21-29

Melton CC, De Fries CM, Smith RM, Mason LR. Wildfires and older adults: A scoping review of impacts, risks, and interventions. International Journal of Environmental Research and Public Health, 2023, 20(13): 6252

Morsut C, Kuran C, Kruke BI, Orru K, Hansson S. Linking resilience, vulnerability, social capital and risk awareness for crisis and disaster research. Journal of Contingencies and Crisis Management, 2022, 30(2): 137-147

Neuhauser L, Ivey SL, Huang D, Engelman A, Tseng W, Dahrouge D, Gurung S, Kealey M. Availability and readability of emergency preparedness materials for deaf and hard-of-hearing and older adult populations: Issues and assessments. PloS One, 2013, 8(2): e55614

Ngo EB. When disasters and age collide: Reviewing vulnerability of the elderly. Natural Hazards Review, 2001, 2(2): 80-89

Oostlander SA, Champagne-Poirier O, O’Sullivan TL. Media portrayal of older adults across five Canadian disasters. The International Journal of Aging and Human Development, 2022, 94(2): 234-250

O’Sullivan JJ, Bradford RA, Bonaiuto M, De Dominicis S, Rotko P, Aaltonen J, Waylen K, Langan SJ. Enhancing flood resilience through improved risk communications. Natural Hazards and Earth System Sciences, 2012, 12(7): 2271-2282

PSC (Public Safety Canada). 2021. Public opinion research study: Emergency preparedness awareness campaign. https://epe.lac-bac.gc.ca/100/200/301/pwgsc-tpsgc/por-ef/public_safety_canada/2021/054-20-e/POR054-20-Report_Final.htm#_Toc63042342. Accessed 1 Apr 2024.

Public Health Agency Canada. 2018. Prevalence of chronic diseases and risk factors among Canadians aged 65+. https://www.canada.ca/content/dam/phac-aspc/documents/services/publications/diseases-conditions/prevalence-of-chronic-disease-and-risk-factors/chronic-disease-infographic-en.pdf. Accessed 1 Apr 2024.

Reininger BM, Rahbar MH, Lee M, Chen Z, Alam SR, Pope J, Adams B. Social capital and disaster preparedness among low income Mexican Americans in a disaster prone area. Social Science Medicine, 2013, 1982(83): 50-60

Reynolds, B, and C. Lutfy. 2018. Crisis and emergency risk communication manual. Atlanta, GA: Centers for Disease Control and Prevention. https://emergency.cdc.gov/cerc/manual/index.asp. Accessed 1 Apr 2024.

Rosenkoetter MM, Covan EK, Cobb BK, Bunting S, Weinrich M. Perceptions of older adults regarding evacuation in the event of a natural disaster: Populations at risk across the lifespan: Empirical studies. Public Health Nursing, 2007, 24(2): 160-168

Roslin, A. 2018. Seniors and natural disaster relief. Zoomer, 19 November 2018. https://www.everythingzoomer.com/health/2018/11/19/seniors-natural-disaster-relief. Accessed 10 Feb 2024.

Rubenson, K., R. Desjardins, and E.S. Yoon. 2007. International adult literacy survey. Adult learning: A comparative perspective: Results from the adult literacy and life skills survey. Catalogue no. 89-552-XIE–no.17. Ottawa, Ontario: Statistics Canada. http://www.statcan.gc.ca/pub/89-552-m/89-552-m2007017-eng.pdf. Accessed 1 Apr 2024.

Scovell M, McShane C, Swinbourne A, Smith D. Rethinking risk perception and its importance for explaining natural hazard preparedness behavior. Risk Analysis, 2022, 42(3): 450-469

Slovic P. Perception of risk. Science, 1987, 236: 280-285

Smith JS, Cartlidge MR. Place attachment among retirees in Greensburg Kansas. Geographical Review, 2011, 101(4): 536-555

Somes J. The loneliness of aging. Journal of Emergency Nursing, 2021, 47: 469-475

Statistics Canada Canadian survey on disability, 2017, Ottawa: Statistics Canada

Statistics Canada. 2020. Population projections for Canada (2018 to 2068), provinces and territories (2018 to 2043). https://www150.statcan.gc.ca/n1/en/pub/91-520-x/91-520-x2019001-eng.pdf?st=WNdoAJ29. Accessed 1 Apr 2024.

Taylor-Butts, A. 2015. Emergency preparedness in Canada, 2014. Ottawa, Ontario: Statistics Canada. https://www150.statcan.gc.ca/n1/pub/85-002-x/2015001/article/14234-eng.htm. Accessed 1 Apr 2024.

Thistlethwaite, J., D. Henstra, S. Peddle, and D. Scott. 2017. Canadian voices on changing flood risk findings from a national survey. https://uwaterloo.ca/partners-for-action/sites/default/files/uploads/files/canadian_voices_on_changing_flood_risk_fnl.pdf. Accessed 11 Apr 2024.

Tilstra MH, Nielsen CC, Tiwari I, Jones CA, Vargas AO, Quemerais B, Bulut O, Salma J, Yamamoto SS. Exploring socio-environmental effects on community health in Edmonton, Canada to understand older adult and immigrant risk in a changing climate. Urban Climate, 2022, 44: 101225

Tuohy R, Stephens C, Johnston D. Older adults’ disaster preparedness in the context of the September 2010–December 2012 Canterbury earthquake sequence. International Journal of Disaster Risk Reduction, 2014, 9: 194-203

Tyler M, Fairbrother P. Gender, households, and decision-making for wildfire safety. Disasters, 2018, 42(4): 697-718

UNDRR (United Nations Office for Disaster Risk Reduction). n.d.a. Disaster. https://www.undrr.org/terminology/disaster. Accessed 10 Feb 2024.

UNDRR (United Nations Office for Disaster Risk Reduction). n.d.b. Resilience. https://www.undrr.org/terminology/resilience. Accessed 10 Feb 2024.

UNDRR (United Nations Office for Disaster Risk Reduction). 2015. Sendai framework for disaster risk reduction 2015–2030. https://www.preventionweb.net/files/43291_sendaiframeworkfordrren.pdf. Accessed 31 Mar 2024.

Ungar M. Multisystemic resilience: Adaptation and transformation in contexts of change, 2021, Oxford: Oxford University Press

Wachinger G, Renn O, Begg C, Kuhlicke C. The risk perception paradox—Implications for governance and communication of natural hazards. Risk Analysis, 2013, 33(6): 1049-1065

Wieland ML, Asiedu GB, Lantz K, Abbenyi A, Njeru JW, Osman A, Goodson M, Ahmed Y Leveraging community engaged research partnerships for crisis and emergency risk communication to vulnerable populations in the COVID-19 pandemic. Journal of Clinical and Translational Science, 2021

Wright, J., E. Bogdan, S. Hamilton, R. Krueger, and J. Andrey. 2022. Inclusive resilience: Reducing disaster risks for Canadians. Waterloo, Ontario: Partners for Action, University of Waterloo. https://uwaterloo.ca/inclusive-resilience/sites/default/files/uploads/documents/crc-p4a-finalreport-en.pdf. Accessed 1 Apr 2024.

Yong AG, Lemyre L, Pinsent C, Krewski D. Risk perception and disaster preparedness in immigrants and Canadian-born adults: Analysis of a national survey on similarities and differences. Risk Analysis, 2017, 37(12): 2321-2333

Zakour MJ, Harrell EB. Access to disaster services: Social work interventions for vulnerable populations. Journal of Social Service Research, 2003, 30(2): 27-54

Ziolecki, A., J. Thistlethwaite, D. Henstra, and D. Scott. 2020. Canadian voices on flood risk 2020: Findings from a national survey about how we should manage anincreasingly costly and common peril. Waterloo, Ontario: Partners for Action, University of Waterloo. https://uwaterloo.ca/partners-for-action/sites/default/files/uploads/files/finalreport_nationalsurvey_sept20.pdf. Accessed 1 Apr 2024.