Emergency Preparedness in Older Adults With and Without COPD During Power Outages and Natural Disasters

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rural disasters chronic illness

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References

Al-Rousan

T. M.

Rubenstein

L. M.

Wallace

R. B.

(2015). Preparedness for natural disasters among older US adults: A nationwide survey. Am J Public Health, 105(Suppl 4), S621–S626. S614-620. https://doi.org/10.2105/AJPH.2013.301559r

Ashida

Robinson

E. L.

Gay

Ramirez

(2016). Motivating rural older residents to prepare for disasters: Moving beyond personal benefits. Ageing Society, 36(10), 2117–2140. https://doi.org/10.1017/S0144686X15000914

Bayram

Rice

M. B.

Abdalati

Akpinar Elci

Mirsaeidi

Annesi-Maesano

Pinkerton

K. E.

Balmes

J. R.

(2023). Impact of global climate change on pulmonary health: Susceptible and vulnerable populations. Annals of the American Thoracic Society, 20(8), 1088–1095. https://doi.org/10.1513/AnnalsATS.202212-996CME

Bell

S. A.

Horowitz

Iwashyna

T. J.

(2020). Health outcomes after disaster for older adults with chronic disease: A systematic review. Gerontologist, 60(7), e535–e547. https://doi.org/10.1093/geront/gnz123

Bethel

J. W.

Foreman

A. N.

Burke

S. C.

(2011). Disaster preparedness among medically vulnerable populations. American Journal of Preventive Medicine, 40(2), 139–143. https://doi.org/10.1016/j.amepre.2010.10.020

Blackburn

C. C.

Boyce

M. R.

Rico

Niekamp

Moats

Radcliff

Thomas

(2025). Predictors of individual-level preparedness for natural disasters and trust in disaster assistance in the United States, 2024. Public Health Rep, 140(4), 333549251341236–333549251341315. https://doi.org/10.1177/00333549251341236

Bureau

U. C.

(2020). Urban and rural. Retrieved June 25 from. https://www.census.gov/programs-surveys/geography/guidance/geo-areas/urban-rural.html

Casey

J. A.

Fukurai

Hernandez

Balsari

Kiang

M. V.

(2020). Power outages and community health: A narrative review. Current Environmental Health Reports, 7(4), 371–383. https://doi.org/10.1007/s40572-020-00295-0

Celli

B. R.

Wedzicha

J. A.

(2019). Update on clinical aspects of chronic obstructive pulmonary disease. The New England Journal of Medicine, 381(13), 1257–1266. https://doi.org/10.1056/NEJMra1900500

10.

Charles

S. T.

(2010). Strength and vulnerability integration: A model of emotional well-being across adulthood. Psychol Bull, 136(6), 1068–1091. https://doi.org/10.1037/a0021232

11.

Cisternas

P. C.

Cifuentes

L. A.

Bronfman

N. C.

Repetto

P. B.

(2024). The influence of risk awareness and government trust on risk perception and preparedness for natural hazards. Risk Analysis, 44(2), 333–348. https://doi.org/10.1111/risa.14151

12.

Dempsey

T. M.

Lapinsky

S. C.

Melnychuk

Lapinsky

S. E.

Reed

M. J.

Niven

A. S.

(2019). Special populations: Disaster care considerations in chronically ill, pregnant, and morbidly Obese patients. Critical Care Clinics, 35(4), 677–695. https://doi.org/10.1016/j.ccc.2019.06.010

13.

McBrien

Flores

N. M.

Northrop

A. J.

Schlegelmilch

Kiang

M. V.

Casey

J. A.

(2023). Spatiotemporal distribution of power outages with climate events and social vulnerability in the USA. Nature Communications, 14(1), 2470. https://doi.org/10.1038/s41467-023-38084-6

14.

Dominianni

Lane

Johnson

Ito

Matte

(2018). Health impacts of citywide and localized power outages in New York city. Environmental Health Perspective, 126(6), Article 067003. https://doi.org/10.1289/EHP2154

15.

Downer

Holland

(2025). Winter storm Uri, mortality, and health care use of nursing home residents. JAMA Network Open, 8(4), Article e254111. https://doi.org/10.1001/jamanetworkopen.2025.4111

16.

Gamble

J. L.

Hurley

B. J.

Schultz

P. A.

Jaglom

W. S.

Krishnan

Harris

(2013). Climate change and older Americans: State of the science. Environmental Health Perspective, 121(1), 15–22. https://doi.org/10.1289/ehp.1205223

17.

Hamidi

Joseph

(2019). Changing epidemiology of the American population. Clinics in Geriatric Medicine, 35(1), 1–12. https://doi.org/10.1016/j.cger.2018.08.001

18.

Kakkera

Atchley

W. T.

Kodali

Bartter

(2023). Ageing and chronic obstructive pulmonary disease: Interrelationships. Current Opinion in Pulmonary Medicine, 29(2), 90–95. https://doi.org/10.1097/MCP.0000000000000943

19.

Konstantinoudis

Minelli

Vicedo-Cabrera

A. M.

Ballester

Gasparrini

Blangiardo

(2022). Ambient heat exposure and COPD hospitalisations in England: A nationwide case-crossover study during 2007-2018. Thorax, 77(11), 1098–1104. https://doi.org/10.1136/thoraxjnl-2021-218374

20.

Kurmi

O. P.

Semple

Simkhada

Smith

W. C.

Ayres

J. G.

(2010). COPD and chronic bronchitis risk of indoor air pollution from solid fuel: A systematic review and meta-analysis. Thorax, 65(3), 221–228. https://doi.org/10.1136/thx.2009.124644

21.

Laberge

Heykoop

Camp

P. G.

(2021). Personal disaster preparedness of people with chronic obstructive pulmonary disease: Development and validation of a self-report questionnaire. Canadian Journal of Respiratory Critical Care and Sleep Medicine, 5(5), 316–322. https://doi.org/10.1080/24745332.2021.1872047

22.

Leyva

E. W. A.

Beaman

Davidson

P. M.

(2017). Health impact of climate change in older people: An integrative review and implications for nursing. Journal of Nursing Scholarship, 49(6), 670–678. https://doi.org/10.1111/jnu.12346

23.

Liao

K. M.

Y. J.

(2025). Factors influencing disaster preparedness behaviors of older adults. PLoS One, 20(2), Article e0315617. https://doi.org/10.1371/journal.pone.0315617

24.

Lowe

K. E.

Regan

E. A.

Anzueto

Austin

J. H. M.

Beaty

T. H.

Benos

P. V.

Benway

C. J.

Bhatt

S. P.

Bleecker

E. R.

Bodduluri

Bon

Boriek

A. M.

Boueiz

A. R.

Bowler

R. P.

Budoff

Casaburi

Castaldi

P. J.

Charbonnier

J. P.

Silverman

E. K.

(2019). COPDGene((R)) 2019: Redefining the diagnosis of chronic obstructive pulmonary disease. Chronic Obstructive Pulmonary Disease, 6(5), 384–399. https://doi.org/10.15326/jcopdf.6.5.2019.0149

25.

Medina-Ramon

Zanobetti

Schwartz

(2006). The effect of ozone and PM10 on hospital admissions for pneumonia and chronic obstructive pulmonary disease: A national multicity study. American Journal of Epidemiology, 163(6), 579–588. https://doi.org/10.1093/aje/kwj078

26.

Xia

Wang

Wei

Han

Liu

Pan

(2025). Psychological influences and implications for household disaster preparedness: A systematic review. Front Public Health, 13, Article 1457406. https://doi.org/10.3389/fpubh.2025.1457406

27.

Nyberg

Tistad

Wadell

(2019). Can the COPD web be used to promote self-management in patients with COPD in Swedish primary care: A controlled pragmatic pilot trial with 3 month- and 12 month follow-up. Scandinavian Journal of Primary Health Care, 37(1), 69–82. https://doi.org/10.1080/02813432.2019.1569415

28.

Skarha

Gordon

Sakib

June

Jester

D. J.

Peterson

L. J.

Andel

Dosa

D. M.

(2021). Association of power outage with mortality and hospitalizations among Florida nursing home residents after hurricane irma. JAMA Health Forum, 2(11), Article e213900. https://doi.org/10.1001/jamahealthforum.2021.3900

29.

Smith

A. B.

(2024). 2024: An active year of U.S. billion-dollar weather and climate disasters. Retrieved June 25 from NOAA. https://www.climate.gov/news-features/blogs/beyond-data/2024-active-year-us-billion-dollar-weather-and-climate-disasters

30.

Wang

Jin

Dong

Yang

Niu

Mao

Yuan

You

Wang

Chai

(2025). Global burden of disease study on COPD in the older adult: Comprehensive analysis of environmental factors and interaction effects. Front Public Health, 13, Article 1597793. https://doi.org/10.3389/fpubh.2025.1597793

31.

Wedzicha

J. A.

Seemungal

T. A.

(2007). COPD exacerbations: Defining their cause and prevention. Lancet, 370(9589), 786–796. https://doi.org/10.1016/S0140-6736(07)61382-8

32.

Zhang

Sheridan

S. C.

Birkhead

G. S.

Croft

D. P.

Brotzge

J. A.

Justino

J. G.

Stuart

N. A.

Romeiko

X. X.

Dong

Hao

Lin

(2020). Power outage: An ignored risk factor for COPD exacerbations. Chest, 158(6), 2346–2357. https://doi.org/10.1016/j.chest.2020.05.555

33.

Zhu

Chen

Deng

Liu

Yao

(2013). The relationship between particulate matter (PM10) and hospitalizations and mortality of chronic obstructive pulmonary disease: A meta-analysis. COPD, 10(3), 307–315. https://doi.org/10.3109/15412555.2012.744962