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Impact of the 26 December 2003 Bam Earthquake on Activities of Daily Living and Instrumental Activities of Daily Living of Older People

Published online by Cambridge University Press:  05 May 2011

Ali Ardalan*
Affiliation:
Health in Emergencies and Disasters Department, National Institute of Health Research, Tehran University of Medical Sciences, Tehran, Iran Disaster Public Health Department, School of Public Health, 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 Sciences, Iran
Hani Mowafi
Affiliation:
Harvard Humanitarian Initiative, Harvard University, Boston, Massachusetts USA Department of Emergency Medicine, Boston University, Boston, Massachusetts USA
Michael VanRooyen
Affiliation:
Harvard Humanitarian Initiative, Harvard University, Boston, Massachusetts USA
Fariba Teimoori
Affiliation:
Iranian Research Centre on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran School of Medicine, Iran University of Medical Sciences, Tehran, Iran
Reza Abbasi
Affiliation:
Kerman University of Medical Sciences, Kerman, Iran
*
Correspondence: Ali Ardalan No. 78 Italia Ave.Health in Emergencies and Disasters Department National Institute of Health ResearchTehran University of Medical SciencesTehran, Iran Email: [email protected] or [email protected]

Abstract

Introduction: This study compares self-reported Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) status among elderly survivors of the 2003 Bam Earthquake before, two months after, and five years after the event, and explores related determinants.

Methods: A two-stage cluster survey was conducted on 210 elderly survivors in the earthquake-stricken area five years after the event.

Results: Both ADL and IADL scores decreased two months after earthquake compared to prior status (p <0.001). No differences were observed between two months and five years after the event (p >0.05). Access to medical services were not related to level of ADL or IADL (p = 0.52 and p = 0.74, respectively). Elderly survivors with lower functional capability in terms of ADL experienced more problems in access to relief items (p = 0.04), but no similar association was found for IADL (p = 0.26).

Conclusion: The Bam earthquake adversely affected functional capacity of the elderly. Disaster responders must take into account functional capacity of elders when planning for medical and relief operations.

Type
Original Research
Copyright
Copyright Ardalan © World Association for Disaster and Emergency Medicine 2011

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References

Ardalan, A, Mazaheri, M, Rezaie, M, Holakouie Naieni, K, Teimouri, F, Pourmalek, F: Older people's needs following major disasters: A qualitative study of Iranian elders' experiences of the Bam earthquake. Ageing & Society 2009;1(13):1123.Google Scholar
Cherniack, EP: The impact of natural disasters on the elderly. Am J Disaster Med 2008;3(3):133139.CrossRefGoogle ScholarPubMed
Fernandez, LS, Byard, D, Lin, CC, Barbera, JA: Frail elderly as disaster victims: Emergency management strategies. Prehosp Disaster Med 2002;17(2):6774.CrossRefGoogle ScholarPubMed
Lamb, K, O'Brien, C, Fenza, PJ: Elders at risk during disasters. Home Healthcare Nurse 2008;26(1):3038.CrossRefGoogle ScholarPubMed
Lin, MR, Huang, W, Huang, CH, Hwang, HF, Tsai, LW, Chiu, YN: The impact of the Chi-Chi earthquake on quality of life among elderly survivors in Taiwan—A before and after study. Qual Life Res 2002;11:379388.CrossRefGoogle ScholarPubMed
Mudur, G: People after tsunami: Aid agencies ignored special needs of elderly. BMJ 2005;331(7514):422.CrossRefGoogle ScholarPubMed
Plouffe, L, Kang, I: Older Persons in Emergencies: An Active Aging Perspective. Geneva: World Health Organization, 2008.Google Scholar
Sanders, S, Bowie, SL, Bowie, YD: Lessons learned on forced relocation of older adults: The impact of Hurricane Andrew on health, mental eealth, and social support of public housing residents. J Gerontol Soc Work 2003;40(4):2346.CrossRefGoogle Scholar
United Nations: Socioeconomic Characteristics of the Older Population. World Population Aging: 1950–2050. 2007. Available at http://www.un.org/esa/population/publications/worldaging19502050/. Accessed 09 March 2010.Google Scholar
Stuck, AE, Walter, JM, Nikolaous, T, Bu¨la, CJ, Hohmann, C, Beck, JC: Risk factors for functional status decline in community living elderly people: A systematic literature review. Soc Sci Med 1999;48(4):455469.CrossRefGoogle ScholarPubMed
Milán-Calenti, JC, Pita-Fernández, S, González-Abraldes, I, Lorenzo, T, Fernández-Arruty, T, Maseda, A: Prevalence of functional disability in activities of daily living (ADL), instrumental activities of daily living (IADL) and associated factors, as predictors of morbidity and mortality. Arch Gerontol Geriatr 2009. doi:10.1016/j.archger.2009.04.017.CrossRefGoogle Scholar
World Health Organization (WHO): International Classification of Functioning, Disability and Health (ICF). Geneva: World Health Organization, 2001. Available from: http://www.who.int/classifications/icf/en/. Accessed 09 March 2010.Google Scholar
Katz, S, Ford, A, Moskowitz, R: The index of ADL: A standardized measure of biological and psychosocial function. JAMA 1963;185:914919.CrossRefGoogle Scholar
Lawton, MP, Brody, EM: Assessment of older people: Self-maintaining and instrumental activities of daily living. Gerontologist 1969;9:179186.CrossRefGoogle ScholarPubMed
Ardalan, A, Holakouie Naieni, K, Aflatounian, MR, Nekouie, M, LaPorte, RE, Noji, EK: Experience of a population-based study on needs and health status of affected people in Bam. Iranian J Epidemiol 2005;1(1):3346.Google Scholar
Habibi-Sula, A, Nikpour, S, Rezaie, M, Haghani, H: Assessing the relationship between health promoting behaviours and level of activities of daily living and instrumental activities of daily living among elders in west Tehran. Iranian Aging J 2007;2(5):332339.Google Scholar
Letts, L, Bosch, J: Measuring occupational performance in basic activities of daily living. Measuring occupational performance: Supporting best practice in occupational therapy. SLACK Incorporated; 2005.Google Scholar
Krause, N: Exploring the impact of a natural disaster on the health and psychological well-being of older adults. J Human Stress 1987;13(2):6169.CrossRefGoogle ScholarPubMed
Judge, JO, Schechtman, K, Cress, E: The relationship between physical performance measures and independence in instrumental activities of daily living. J Am Geriatric Soc 1996;44(11):13321341.CrossRefGoogle ScholarPubMed
Seidel, D, Jagger, C, Brayne, C: Recovery in instrumental activities of daily living (IADLs): Findings from the Medical Research Council Cognitive Function and Aging Study (MRC CFAS). Age Aging. 2009. doi:10.1093/aging/afp128.CrossRefGoogle Scholar
Jeong, SK: Factors Associated with Korean Version of Instrumental Activities of Daily Living (K-IA) in a Community Dwelling Elderly Population. J Korean Neurol Assoc 2005;23(1):1520.Google Scholar
Shetterly, SM, Baxter, J, Morgenstern, NE, Grigsby, J, Hamman, RF: Higher instrumental activities of daily living disability in Hispanics compared with non-Hispanic whites in rural Colorado. Am J Epidemiol 1998;147(11):10191027.CrossRefGoogle ScholarPubMed
Akbari, ME, Asadilari, M, Montazeri, A, Aflatunian, MR, Farshad, AA: Evaluation of Health System Responsiveness to the 2003 Bam, Iran, Earthquake. Earthquake Spectra 2005;21(S1):469474.CrossRefGoogle Scholar
Tanida, N: What happened to elderly people in the great Hanshin earthquake? Br Med J 1996;313(7065):11331135.CrossRefGoogle ScholarPubMed