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Community Advantage and Individual Self-Efficacy Promote Disaster Preparedness: A Multilevel Model among Persons with Disabilities

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  • Rachel M. Adams

    (Natural Hazards Center, University of Colorado Boulder, 1440 15th St, Boulder, CO 80309, USA
    UCLA Center for Public Health and Disasters, Fielding School of Public Health, University of California Los Angeles, 650 Charles E Young Drive S, Los Angeles, CA 90095, USA)

  • David P. Eisenman

    (UCLA Center for Public Health and Disasters, Fielding School of Public Health, University of California Los Angeles, 650 Charles E Young Drive S, Los Angeles, CA 90095, USA
    Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine, University of California Los Angeles, 100 Glendon Ave, Suite 850, Los Angeles, CA 90024, USA)

  • Deborah Glik

    (UCLA Center for Public Health and Disasters, Fielding School of Public Health, University of California Los Angeles, 650 Charles E Young Drive S, Los Angeles, CA 90095, USA)

Abstract

Disaster preparedness initiatives are increasingly focused on building community resilience. Preparedness research has correspondingly shifted its attention to community-level attributes that can support a community’s capacity to respond to and recover from disasters. While research at the community level is integral to building resilience, it may not address the specific barriers and motivators to getting individuals prepared. In particular, people with disabilities are vulnerable to disasters, yet research suggests that they are less likely to engage in preparedness behaviors. Limited research has examined what factors influence their ability to prepare, with no studies examining both the individual and community characteristics that impact these behaviors. Multilevel modeling thus offers a novel contribution that can assess both levels of influence. Using Los Angeles County community survey data from the Public Health Response to Emergent Threats Survey and the Healthy Places Index, we examined how social cognitive and community factors influence the relationship between disability and preparedness. Results from hierarchical linear regression models found that participants with poor health and who possessed activity limitations engaged in fewer preparedness behaviors. Self-efficacy significantly mediated the relationship between self-rated health and disaster preparedness. Living in a community with greater advantages, particularly with more advantaged social and housing attributes, reduced the negative association between poor self-rated health and preparedness. This study highlights the importance of both individual and community factors in influencing people with disabilities to prepare. Policy and programming should therefore be two-fold, both targeting self-efficacy as a proximal influence on preparedness behaviors and also addressing upstream factors related to community advantage that can create opportunities to support behavioral change while bolstering overall community resilience.

Suggested Citation

  • Rachel M. Adams & David P. Eisenman & Deborah Glik, 2019. "Community Advantage and Individual Self-Efficacy Promote Disaster Preparedness: A Multilevel Model among Persons with Disabilities," IJERPH, MDPI, vol. 16(15), pages 1-18, August.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:15:p:2779-:d:254530
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    References listed on IDEAS

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    1. David Eisenman & Anita Chandra & Stella Fogleman & Aizita Magana & Astrid Hendricks & Ken Wells & Malcolm Williams & Jennifer Tang & Alonzo Plough, 2014. "The Los Angeles County Community Disaster Resilience Project — A Community-Level, Public Health Initiative to Build Community Disaster Resilience," IJERPH, MDPI, vol. 11(8), pages 1-16, August.
    2. Al-Rousan, T.M. & Rubenstein, L.M. & Wallace, R.B., 2014. "Preparedness for natural disasters among older US adults: A nationwide survey," American Journal of Public Health, American Public Health Association, vol. 104(3), pages 506-511.
    3. Kathleen Sherrieb & Fran Norris & Sandro Galea, 2010. "Measuring Capacities for Community Resilience," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 99(2), pages 227-247, November.
    4. D. Pfeffermann & C. J. Skinner & D. J. Holmes & H. Goldstein & J. Rasbash, 1998. "Weighting for unequal selection probabilities in multilevel models," Journal of the Royal Statistical Society Series B, Royal Statistical Society, vol. 60(1), pages 23-40.
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    6. Sung Hae Kim, 2023. "A Psychometric Validation of the Korean Version of Disaster Response Self-Efficacy Scale for Nursing Students," IJERPH, MDPI, vol. 20(4), pages 1-13, February.
    7. Susan F. Rockloff & Carina C. Anderson & Lucinda P. Burton & Victoria R. Terry & Sally K. Jensen & Anne Nolan & Peter C. Terry, 2024. "Individual Resilience and Disaster-Specific Adaptation and Resilience Following a Bushfire Event in Regional Queensland," Sustainability, MDPI, vol. 16(16), pages 1-16, August.
    8. Brielle Lillywhite & Gregor Wolbring, 2022. "Emergency and Disaster Management, Preparedness, and Planning (EDMPP) and the ‘Social’: A Scoping Review," Sustainability, MDPI, vol. 14(20), pages 1-50, October.
    9. Ziyi Wang & Ziqiang Han & Lin Liu & Shaobin Yu, 2021. "Place Attachment and Household Disaster Preparedness: Examining the Mediation Role of Self-Efficacy," IJERPH, MDPI, vol. 18(11), pages 1-13, May.
    10. Kai-Yuan Ke & Yong-Jun Lin & Yih-Chi Tan & Tsung-Yi Pan & Li-Li Tai & Ching-An Lee, 2020. "Enhancing Local Disaster Management Network through Developing Resilient Community in New Taipei City, Taiwan," IJERPH, MDPI, vol. 17(15), pages 1-19, July.
    11. Rao, Smitha & Enelamah, Ngozi V., 2024. "Social protection and absorptive capacity: Disaster preparedness and social welfare policy in the United States," World Development, Elsevier, vol. 173(C).

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