Assisted Living Communities During Hurricane Irma: The Decision to Evacuate or Shelter in Place and Resident Acuity.

Journal of the American Medical Directors Association
Lindsay J PetersonKathryn Hyer

Abstract

To investigate the factors associated with whether assisted living communities (ALCs) in Florida evacuated or sheltered in place for Hurricane Irma in 2017, focusing on license type as a proxy for acuity of care. Cross-sectional study using data collected by the state through its emergency reporting system and a post-hurricane survey. Analyses included all 3112 ALCs in the emergency reporting system. A subset of 1880 that completed the survey provided supplementary data. χ2 tests were used to examine differences between ALC characteristics (license type, size, payment, profit status, rural location, geographical region, and being under an evacuation order) and whether they evacuated. Logistic regression was used to test associations between characteristics and evacuation status. Of 3112 ALCs, 560 evacuated and 2552 sheltered in place. Bivariate analysis found significant associations between evacuation status and evacuation order, license type (mental health care), payment, and region. In the adjusted analysis, medium and larger ALCs were 43% (P < .001) and 53% (P < .001) less likely to evacuate than ALCs with fewer than 25 beds. Compared with ALCs in the Southeast, nearly every region was more likely to evacuate, with the high...Continue Reading

References

Mar 14, 2007·Journal of the American Medical Directors Association·David M DosaVincent Mor
Jan 4, 2008·American Journal of Public Health·Sarah B LaditkaJane V E Richter
Aug 13, 2008·Geriatric Nursing·Jacqueline Rhoads, Andrea Clayman
Aug 22, 2008·Journal of Gerontological Nursing·Carmen CastroStanley Cron
Dec 17, 2008·Journal of the American Medical Directors Association·David M DosaVincent Mor
Sep 3, 2011·Journal of the American Medical Directors Association·David DosaVincent Mor
Aug 30, 2012·American Journal of Alzheimer's Disease and Other Dementias·Lisa M BrownVincent Mor
Sep 26, 2012·Journal of the American Geriatrics Society·Kali S ThomasVincent Mor
Aug 12, 2016·Disaster Medicine and Public Health Preparedness·J Rush PierceLaura Banks
Apr 17, 2017·Journal of the American Medical Directors Association·Melissa WilloughbyJoseph Elias Ibrahim

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Citations

Jun 5, 2020·Journal of Aging & Social Policy·Debra DobbsKathryn Hyer
Nov 26, 2020·Journal of the American Medical Directors Association·Cassandra L HuaDavid M Dosa
May 13, 2021·Journal of the American Geriatrics Society·Dylan J JesterKathryn Hyer

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