244493 Earthquake emergency preparedness: Perceptions of minority indigenous peoples

Monday, October 31, 2011

Eugene Yu-Chang Peng, MD, MS , Department of Community Medicine, Taipei City Hospital, Renai Branch, Taipei, Taiwan
Fuh-Yuan Shih, MD, PhD , Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan
Shu-Yu Lyu, MPH, PhD , School of Public Health, Taipei Medical University, Taipei, Taiwan
Yi-Chen Yang, MS , Department of health risk management, China Medical University, Taichung, Taiwan
Donald E. Morisky, ScD, MSPH, ScM , Department of Community Health Sciences, School of Public Health, University of California at Los Angeles, Los Angeles, CA
Many indigenous tribes reside within main earthquake impact zones in Taiwan, since they mostly live in mountainous areas. The Austronesian minority is only 2% of Taiwan's population, but they are heavily affected by natural disasters. The objective of this study was to compare indigenous and non-indigenous perspectives on emergency preparedness and response. The survey population was selected intentionally from health care professionals, community residents, and community volunteer workers from all regions of Taiwan. A total of 143 indigenous and 230 non-indigenous participants were given an anonymous self-administered questionnaire. Among the participants, 11.1% of the indigenous and 52.4% of the non-indigenous participants were health professionals. Regarding attitudes towards earthquake preparedness, about 79.1% to 99.2% of the participants responded correctly and no ethnic difference was found. However, more indigenous respondents believed less impact was caused by the aftershock of a big earthquake (47.6% vs. 31.7%, p <.01). Of note, more than half of the indigenous participants agreed that there should be special consideration for female health in terms of refugee facilities and procedures (54.8%), disaster education (50.3%) and gender differences in lodging arrangements for people displaced by disaster (53.4%). Significant ethnic differences in this regard were observed. The findings suggest tailoring cultural and gender-appropriate approaches to formulate disaster preparedness strategies and policies.

Learning Areas:
Assessment of individual and community needs for health education
Communication and informatics
Diversity and culture
Planning of health education strategies, interventions, and programs
Public health or related research
Social and behavioral sciences

Learning Objectives:
1.Recognize the earthquake disaster prevention issues among indigenous and non-indigenous population. 2.Identify the ethnic differences in related to earthquake emergency preparedness. 3.Discuss gender sensitive earthquake emergency preparedness strategies.

Keywords: Disasters, Community Education

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the Co-PI of this research project.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.