Elderly’s Perception of the Concept of Preparedness for Disasters and Accidents: A Qualitative Study

Document Type : Original Article

Authors

1 iran/shirazStudent Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran

2 Department of Health in Disasters and Emergencies, Health Human Resources Research Center, School of Health Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran

3 Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran

4 English Department, Faculty of Paramedical Sciences, Shiraz University of Medical Sciences, Shiraz, Iran

5 MSc Student in Gerontology, School of Behavioral Sciences and Mental Health (Tehran Psychiatric Institute), Iran University of Medical Sciences, Tehran, Iran

10.30476/jhmi.2026.110557.1357

Abstract

Accidents and disasters pose a significant public health challenge, with older adults being particularly vulnerable due to diminished physical and mental capacities. As the elderly population grows globally and in Iran, understanding the factors influencing their preparedness is crucial. This qualitative study, conducted in Fars province in 2025, explored how the elderly perceive their readiness for such events.



Using content analysis, researchers employed purposive and snowball sampling to select 15 individuals aged over 65 from a senior center and a hospital. Data were gathered via semi-structured interviews and meticulously analyzed through manual reading, note-taking, and theme extraction.



Findings revealed that the awareness, recognition, and preparedness of the elderly are shaped by multiple factors. Facilitators included continuous education, psychosocial support, and injury prevention strategies. However, significant barriers were identified: inadequate scene management during emergencies, cultural differences among immigrant populations, and fear or panic exacerbated by rumors—especially regarding earthquakes. Systemic challenges, such as a shortage of trained personnel and the absence of effective warning systems, further hindered preparedness.



The study concluded that while continuous training and psychological support can reduce vulnerability, their impact is limited by a lack of educational resources and weak alert mechanisms. The elderly perceived their readiness as a complex interplay of training, support, management, and cultural context. Given that disasters persistently threaten human development, these insights highlight the need for tailored, multidimensional strategies to enhance resilience among the aging population.

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