Hostname: page-component-586b7cd67f-tf8b9 Total loading time: 0 Render date: 2024-11-20T10:24:21.490Z Has data issue: false hasContentIssue false

Older people's needs following major disasters: a qualitative study of Iranian elders' experiences of the Bam earthquake

Published online by Cambridge University Press:  14 August 2009

ALI ARDALAN*
Affiliation:
School of Public Health and Institute of Public Health Research, Tehran University of Medical Sciences, Tehran, Iran.
MONIR MAZAHERI
Affiliation:
Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Stockholm, Sweden. Faculty of Nursing and Midwifery, Tehran University of Medical Science, Tehran, Iran.
KOUROSH HOLAKOUIE NAIENI
Affiliation:
School of Public Health and Institute of Public Health Research, Tehran University of Medical Sciences, Tehran, Iran.
MOHSEN REZAIE
Affiliation:
School of Public Health and Institute of Public Health Research, Tehran University of Medical Sciences, Tehran, Iran.
FARIBA TEIMOORI
Affiliation:
Iranian Research Centre on Ageing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
FARSHAD POURMALEK
Affiliation:
Iran University of Medical Sciences, Tehran, Iran.
*
Address for correspondence: Ali Ardalan, No. 78, Italia Ave, Health in Emergencies and Disasters Department, School of Public Health and Institute of Public Health Research, Tehran University of Medical Sciences, Tehran, Iran. E-mail: [email protected] or [email protected]

Abstract

Elders have long been recognised as among the most vulnerable people in disaster events. This paper reports a qualitative study of the self-perceived needs of older people in the aftermath of the Bam earthquake in Iran in 2003. A total of 56 people aged from 65 to 88 years were recruited to the study using purposive sampling, including 29 men and 27 women. Six focus group discussions and ten semi-structured individual interviews were conducted. Each focus group involved six to ten people from the cities of Bam and Baravat and their rural suburbs. Content analysis was used to analyse the transcribed data. The analysis identified four major themes among the informants' concerns: inappropriate service delivery, affronts to dignity, feeling insecure and emotional distress. A disaster-prone country like Iran needs to be appropriately prepared with culturally sensitive plans to meet the needs of those who suffer from their effects, not least older people. Emergency relief managers should note that for many older people in a disaster zone, customary forms of relief are neither required nor appropriate, and that their distinctive immediate and long-term needs should be assessed and met. Relief agencies need to be trained to be age-sensitive and should mainstream older people's rights in the planning and implementation of both the response and recovery phases of assistance.

Type
Articles
Copyright
Copyright © Cambridge University Press 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Akbari, M. E., Asadilari, M., Montazeri, A., Aflatunian, M. R. and Farshad, A. A. 2005. Evaluation of health system responsiveness to the 2003 Bam, Iran, earthquake. Earthquake Spectra, 21, S1, S469–74.CrossRefGoogle Scholar
Ardalan, A., Holakouie Naieni, K., Aflatounian, M. R., Nekouie, M., LaPorte, R. E. and Noji, E. K. 2005. Experience of a population-based study on needs and health status of affected people in Bam. Iranian Journal of Epidemiology, 1, 1, 3346.Google Scholar
Ardalan, A., Holakouie Naeini, K., Ahmadnejad, E., Osooli, M. and Pourmalek, F. 2008. A review on epidemiology of natural hazards in I.R. Iran. In Anon (ed.), Proceedings of 5th National Congress of Epidemiology. Kurdistan University Press, Sanandaj, Iran.Google Scholar
Cherniack, E. P. 2008. The impact of natural disasters on the elderly. American Journal of Disaster Medicine, 3, 3, 133–9.Google Scholar
Chou, Y. J., Huang, N., Lee, C. H., Tsai, S. L., Tsay, J. H., Chen, L. S. and Chou, P. 2003. Suicides after the 1999 Taiwan earthquake. International Journal of Epidemiology, 32, 6, 1007–14.Google Scholar
Desai, M., Pratt, L., Lentzner, H. and Robinson, K. N. 2001. Trends in Vision and Hearing Among Older Americans. Aging Trends 2, National Center for Health Statistics, Hyattsville, Maryland. Available online at http://www.cdc.gov/nchs/data/ahcd/agingtrends/02vision.pdf [Accessed 14 April 2009].Google Scholar
Eliopoulos, C. 2005. Gerontological Nursing. Sixth edition, Lippincott Williams and Wilkins, Philadelphia.Google Scholar
Fernandez, L. S., Byard, D., Lin, C. C., Benson, S. and Barbera, J. A. 2002. Frail elderly as disaster victims: emergency management strategies. Prehospital and Disaster Medicine, 17, 2, 6774.Google Scholar
Ghafory-Ashtiany, M. and Hosseini, M. 2008. Post-Bam earthquake: recovery and reconstruction. Natural Hazards, 44, 2, 229–41.Google Scholar
Gibson, M. J. and Hayunga, M. 2006. We Can Do Better: Lessons Learned for Protecting Older Persons in Disasters. American Association of Retired People, Washington DC. Available online at http://assets.aarp.org/rgcenter/il/better.pdf [Accessed 5 June 2008].Google Scholar
Greenbaum, T. 2000. Moderating Focus Groups: A Practical Guide to Focus Group Facilitation. Sage, Newbury Park, California.CrossRefGoogle Scholar
HelpAge International 2008. Six Myths About Older People in Emergencies. HelpAge International, London. Available online at http://www.helpage.org/Emergencies/Myths [Accessed 22 January 2009].Google Scholar
Hess, P. 2004 a. Age-related changes. In Ebersole, P., Hess, P. and Luggen, A. S. (eds), Toward Healthy Ageing: Human Needs and Nursing Response. Sixth edition, Mosby, St Louis, Missouri, 93ff.Google Scholar
Hess, P. 2004 b. End-of-life issues. In Ebersole, P., Hess, P. and Lugeen, A. S. (eds), Toward Healthy Ageing: Human Needs and Nursing Response. Sixth edition, Mosby, St Louis, Missouri, 656ff.Google Scholar
Krueger, R. A. 1994. Focus Groups: A Practical Guide for Applied Research. Sage, Newbury Park, California.Google Scholar
Lamb, K., O'Brien, C. and Fenza, P. J. 2008. Elders at risk during disasters. Home Healthcare Nurse, 26, 1, 30–8.CrossRefGoogle ScholarPubMed
Matthieu, M. M. and Ivanoff, A. 2006. Using stress, appraisal, and coping theories in clinical practice: assessments of coping strategies after disasters. Brief Treatment and Crisis Intervention, 6, 4, 337–48.CrossRefGoogle Scholar
Mudur, G. 2005. People after tsunami: aid agencies ignored special needs of elderly. British Medical Journal, 20, 331(7514), 422.Google Scholar
Murphy, S. A., Johnson, L. C., Wu, L., Fan, J. J. and Lohan, J. 2003. Bereaved parents' outcomes 4 to 60 months after their children's deaths by accident, suicide, or homicide: a comparative study demonstrating differences. Death Studies, 27, 1, 3961.Google Scholar
Petrovich, B., Tiodorovich, B., Kocich, B., Cvetkovich, M. and Blagojevich, L. 2001. Influence of socio-economic crisis on epidemiological characteristics of suicide in the region of Nis (southeastern part of Serbia, Yugoslavia). European Journal of Epidemiology, 17, 2, 183–7.Google Scholar
Plouffe, L. and Kang, I. 2008. Older Persons in Emergencies: An Active Ageing Perspective. World Health Organization, Geneva, 27-41. Available online at http://www.who.int/ageing/publications/EmergenciesEnglish13August.pdf [Accessed 14 April 2009].Google Scholar
Prince, M. and Davies, M. A. P. 2007. Natural environment disaster survival experiences: narrative research from two communities. Australasian Journal of Disaster and Trauma Studies, 2007, 2. Available online at http://www.massey.ac.nz/~trauma/issues/2007-2/prince.htm [Accessed 22 January 2009].Google Scholar
Qin, P., Agerbo, E. and Mortensen, P. B. 2003. Suicide risk in relation to socioeconomic, demographic, psychiatric, and familial factors: a national register-based study of all suicides in Denmark, 1981–1997. American Journal of Psychiatry, 160, 4, 765–72.CrossRefGoogle ScholarPubMed
Suar, D., Mishra, S. and Khuntia, R. 2007. Placing age differences in the context of the Orissa supercyclone: who experiences psychological distress? Asian Journal of Social Psychology, 10, 2, 117–22.CrossRefGoogle Scholar
United Nations Organisation (UNO) 1991. United Nations Principles for Older Persons. Programme on Ageing, UNO, New York. Available online at http://www.un.org/ageing/un_principles.html [Accessed 23 January 2009].Google Scholar
Whitman, S., Good, G., Donoghue, E. R., Benbow, N., Shou, W. and Mou, S. 1997. Mortality in Chicago attributed to the July 1995 heat wave. American Journal of Public Health, 87, 9, 1515–18.CrossRefGoogle Scholar