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Impact of the Bam Earthquake, 26 December 2003, on Activities of Daily Living and Instrumental Activities of Daily Living of Older People
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.
Department of Neurobiology, Care Sciences and Society, Karolinska Institute; Faculty of Nursing and Midwifery, Tehran University of Medical Sciences, Iran.ORCID iD: 0000-0003-3589-318X
Harvard Humanitarian Initiative, Harvard University, Boston, Massachusetts USA; Department of Emergency Medicine, Boston University, Boston, Massachusetts USA.
Harvard Humanitarian Initiative, Harvard University, Boston, Massachusetts USA.
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2011 (English)In: Prehospital and Disaster Medicine, ISSN 1049-023X, E-ISSN 1945-1938, Vol. 26, no 2, 99-108 p.Article in journal (Refereed) Published
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Abstract [en]

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.

Place, publisher, year, edition, pages
2011. Vol. 26, no 2, 99-108 p.
Keyword [en]
activities of daily living, disaster, earthquake, elderly, instrumental activities of daily living, Iran
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:rkh:diva-2105DOI: 10.1017/S1049023X11000045PubMedID: 21888729OAI: oai:DiVA.org:rkh-2105DiVA: diva2:906771
Available from: 2016-02-25 Created: 2016-02-03 Last updated: 2016-02-25Bibliographically approved

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