Suchergebnisse

Abstract
During peak disease transmission in 2021, the compounding threat posed by the pandemic and hurricane season required coastal states to understand evacuation behaviors during a major hurricane to inform the planning process. While research relating to hurricane evacuation behavior and perceptions of risk has increased since the start of the pandemic, there is minimal understanding of how perceptions have changed now the COVID-19 vaccine is available. A total of 1075 individuals across seven U.S. coastal states participated in a study on evacuation intentions postvaccine availability. Findings revealed that most survey participants (50.9%) preferred to stay home if a major hurricane threatened their area, and only 3.9% would evacuate to a public shelter. Approximately half (56.2%) of individuals viewed the risk of being in a shelter as more dangerous than enduring hurricane hazards. When considering shelter use, nearly half of respondents (49.4%) stated they would evacuate to a shelter before the pandemic; now, only one-third (34.3%) would consider evacuating to a shelter during the pandemic. Statistically significant findings include the relationship between those who lived in evacuation zones A or B (25.5%) and the choice to shelter in place at home (40.5%) or evacuate to a hotel (36.9%). There was a statistically significant relationship between the level of education and choosing to evacuate to a hotel. Additionally, the influence of pet ownership on evacuation decision-making was found to be statistically significant. Officials can use the results of this study to strengthen community preparedness and planning strategies across diverse populations.

Background: Fuse was established in 2008 as one of five public health research centres of excellence in the UK funded by the UK Clinical Research Centres collaboration. The centre works across five universities in the North East of England. This is an innovative collaboration and enables the pooling of research expertise. A prime focus of the centre is not just the production of excellent research, but also its translation into usable evidence, a dual focus that remains uncommon.
Aims/objectives: This practice paper outlines Fuse's approach to knowledge exchange (KE) by reflecting on ten years of collaborative research between academics and policy and practice partners in the North East of England. We will describe the principles and assumption underlying our approach and outline a conceptual model of four steps in Fuse's KE process to develop collaborative research and achieve meaningful impact on policy and practice.
Key conclusions: Our model describes a fluid and dynamic approach to knowledge exchange broken down in four steps in the KE process that are concurrent, iterative and vary in intensity over time: awareness raising; knowledge sharing; making evidence fit for purpose; and supporting uptake and implementation of evidence. These steps support the relational context of KE. Relationship building and maintenance is essential for all stages of KE to develop trust and explore the meaning and usefulness of evidence in a multi-directional information flow that supports the co-creating and application of evidence.

Abstract
This study examines risk perceptions and evacuation planning for those residents affected by Hurricane Laura—the first major hurricane evacuation during the COVID-19 pandemic—and Hurricane Sally, prior to the widespread availability of vaccines. Research on hurricane evacuation behavior and risk perceptions during a pandemic is critical for quantifying the intersect of these compounding threats. Analyses captured how people perceive public shelters and whether evacuation choices changed in light of the pandemic. Many study participants considered themselves vulnerable to COVID-19 (39.4%), and two-thirds believed it would be "very serious" if they or their loved ones contracted COVID-19, but this had no impact on their actual evacuation decision-making. Approximately 75% of the sample stayed at home during Hurricanes Laura or Sally, and, of these, just over 80% indicated that COVID-19 was a somewhat important deciding factor. This reflects the partial role that COVID-19 played in balancing individual and household protective action decision-making during complex disasters, whereas 15.5% wanted to evacuate but waited until it was too late. For those who evacuated to a hotel, many found that staff and guests wore masks and socially distanced in common spaces. Of particular interest is that individuals have a continued negative perception of public shelters' ability to safeguard against COVID-19 that was coupled with a significant decrease in the number of respondents that would potentially use shelters in 2020 as compared with before the COVID-19 pandemic. These results have informed and will inform future hazard mitigation planning during the current pandemic or future pandemics or infectious disease outbreaks.