First published on July 7, 2009
Disaster Medicine and Public Health Preparedness, doi:10.1001/DMP.0b013e3181a9c6c5
© 2009 American Medical Association
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RESEARCH

Predictors of Emergency Preparedness and Compliance

Sheila T. Murphy 1*, Michael Cody 1, Lauren B. Frank 1, Deborah Glik 1, Alfonso Ang 1

1 Drs Murphy and Cody and Ms Frank are with the Annenberg School for Communication, University of Southern California; Dr Glik is with the Department of Community Health Sciences, University of California, Los Angeles School of Public Health; and Dr Ang is with the Department of Internal Medicine, University of California, Los Angeles School of Medicine.

* To whom correspondence should be addressed. E-mail: smurphy{at}usc.edu.


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Abstract

Background: In response to the evolving nature of potential disasters, both human made and natural, this research identifies predictors of individual emergency preparedness and compliance with government requests.

Methods: A survey of a nationally representative sample of US adults (1629 respondents) revealed which emergency supplies and plans they had in place; their perceived level of preparedness and that of their local health care system; the likelihood of 7 terrorist and 4 naturally occurring events, whether they would evacuate their home; shelter in place at home and work; be quarantined, vaccinated, or take medication; and whether they believed that these actions would increase their chances for survival.

Results: Having supplies was predicted by being male, older, wealthier, and white, living in the western United States, and being exposed to national news. Having plans was related to living in the western United States, having children, and being exposed to national news. Compliance was associated with being female and ill. Holding demographic factors constant, preparedness and compliance with government requests were associated with the perceived likelihood of a natural but not a terrorist event, the perceived efficacy of requested actions, and belief in one's local health care system.

Conclusions: A focus on natural as opposed to terrorist events and people's perceived efficacy of emergency actions and local health care systems may increase their preparedness and compliance with government requests.

Key Words: emergency, disaster, compliance, preparedness