As global demographic trends shift toward an increasingly aging population, disaster preparedness for older adults has become a major public health concern. This study comprehensively analyzed community-based disaster preparedness targeting older adults in Dusit District, Bangkok, Thailand. The primary objective was to identify and address the specific vulnerabilities of older adults, such as chronic illnesses, mobility impairments, and sensory decline, which amplify their susceptibility during disaster events. Conducted between October 2021 and September 2023, this study employed a cross-sectional descriptive design. A total of 500 participants aged 60 years and above were recruited. This study evaluates disaster preparedness in four critical stages: emergency response, prevention and mitigation, rehabilitation, and preparedness. The findings suggest that although preparedness measures are moderately implemented, the provision of customized support and the development of age-appropriate shelters for older individuals are of paramount importance. Moreover, this study underscores the essential role of community involvement and interagency coordination in enhancing disaster resilience. Therefore, a holistic and integrative approach is required to advance disaster preparedness for older adults. This approach should include personalized support systems, optimized resource allocation, and specialized training programs. Enhancing community disaster preparedness mitigates vulnerability among older adults, thereby improving their safety and overall well-being in disaster scenarios.

1. [1] World Health Organization (WHO), “Ageing and health,” 2023. https://www.who.int/health-topics/ageing#tab=tab_1 [Accessed January 9, 2024]
2. [2] W. Muenboonme, P. Nunthaitaweekul, and B. Rattakul, “Health literacy of the elderly during the COVID-19 Pandemic: A cross-sectional study,” J. Disaster Res., Vol.18, No.8, pp. 924-931, 2023. https://doi.org/https://doi.org/10.20965/jdr.2023.p0924
3. [3] Department of Older Persons, “Older statistics,” 2024 (in Thai). https://www.dop.go.th/th/statistics_page?cat=1&id=2 [Accessed January 9, 2024]
4. [4] Department of Health, “Registered population by gender, fiscal year 2023,” 2024 (in Thai). http://dashboard.anamai.moph.go.th/population/pop-all/changwat?year=2023&cw=10 [Accessed January 9, 2024]
5. [5] The World Bank, “Aging and public health: Addressing the challenges for elderly populations,” 2019.
6. [6] M. A. Tongtham, “Disaster risk reduction for older people,” Thai Red Cross Nursing J., Vol.13, No.1, pp. 76-89, 2020 (in Thai).
7. [7] Federal Emergency Management Agency (FEMA), “Preparing your organization for an earthquake: A guide for older adults and caregivers,” 2020. https://www.ready.gov/earthquakes [Accessed January 9, 2024]
8. [8] United Nations Office for Disaster Risk Reduction, “Sendai framework for disaster risk reduction 2015–2030,” 2022. https://www.undrr.org/implementing-sendai-framework/sendai-framework-disaster-risk-reduction-2015-2030 [Accessed January 9, 2024]
9. [9] J. K. Smith et al., “Enhancing community disaster resilience for the elderly through engagement and education,” J. of Emergency Management, 2019.
10. [10] Centers for Disease Control and Prevention (CDC), “Emergency preparedness and response,” 2022. https://www.cdc.gov/cpr/readiness/ [Accessed January 9, 2024]
11. [11] Disaster Emergency Committee, “Preparing for emergencies: A guide for older adults and their caregivers,” 2021. https://www.dec.org.uk/prepare-for-emergencies [Accessed January 9, 2024]
12. [12] FEMA, “Community preparedness,” 2021. https://www.ready.gov/community-preparedness [Accessed January 9, 2024]
13. [13] T. Yamane, “Statistic: An introductory analysis (2nd Ed.),” Harper & Row, 1967.
14. [14] L. Smith and H. Jones, “Disaster response and vulnerable populations: The role of community networks,” Disaster Management J., Vol.15, No.4, pp. 89-102, 2020.
15. [15] A. White, P. Williams, and R. Thompson, “Emergency management and elderly care: Ensuring safety in times of crisis,” J. of Emergency Preparedness, Vol.7, No.2, pp. 120-135, 2018.
16. [16] R. Hughes and Y. Zhao, “Mitigating the impact of natural disasters on at-risk populations,” Int. J. of Disaster Science, Vol.22, No.4, pp. 67-84, 2019.
17. [17] International Federation of Red Cross, “Disaster preparedness and community resilience: A guide,” Int. Federation of Red Cross, 2017.
18. [18] World Health Organization, “Mental health and psychosocial support in disaster recovery: A guide for humanitarian agencies,” WHO, 2019.
19. [19] P. Carter, T. Norris, and L. Evans, “Post-disaster mental health: The role of community-based interventions,” Global Health and Rehabilitation, 8, No.1, pp. 113-130, 2016.
20. [20] J. Anderson and C. Wood, “Community participation in disaster preparedness: A key to resilience,” J. of Disaster Risk Management, Vol.12, No.3, pp. 45-58, 2017.
21. [21] A. Khan, M. Raza, and S. Fernandez, “Elderly care and disaster preparedness: A participatory approach to community resilience,” J. of Aging and Disaster Studies, Vol.14, No.2, pp. 29-40, 2021.
22. [22] R. Tuohy, C. Stephens, and D. Johnston, “Older adults’ disaster preparedness in the context of the September 2010–December 2012 Canterbury earthquake sequence,” Int. J. of Disaster Risk Reduction, Vol.9, pp. 194-203, 2014. https://doi.org/10.1016/j.ijdrr.2014.05.010
23. [23] L. S. Fernandez, D. Byard, C. C. Lin, S. Benson, and J. A. Barbera, “Frail elderly as disaster victims: Emergency management strategies,” Prehospital and Disaster Medicine, Vol.17, Issue 2, pp. 67-74, 2002. https://doi.org/10.1017/s1049023x00000200
24. [24] CDC, “News from the centers for disease control and prevention,” 2020. https://jamanetwork.com/journals/jama/article-abstract/1842994 [Accessed January 9, 2024]
25. [25] T. M. Al-Rousan, L. M. Rubenstein, and R. B. Wallace, “Preparedness for natural disasters among older US adults: A nationwide survey,” American J. of public health, Vol.104, No.3, pp. 506-511, 2014. https://doi.org/10.2105/AJPH.2013.301559
26. [26] N. Aldrich and W. F. Benson, “Disaster preparedness and the chronic disease needs of vulnerable older adults,” Preventing Chronic Disease, Vol.5, No.1, Article No.A27, 2008.
27. [27] F. H. Norris, S. P. Stevens, B. Pfefferbaum, K. F. Wyche, and R. L. Pfefferbaum, “Community resilience as a metaphor, theory, set of capacities, and strategy for disaster readiness,” American J. of Community Psychology, Vol.41, pp. 127-150, 2008. https://doi.org/10.1007/s10464-007-9156-6
28. [28] H. John Heinz III Center for Science (Ed.), “The state of the nation’s ecosystems: Measuring the lands, waters, and living resources of the United States,” Cambridge University Press, 2002.
29. [29] V. Pekovic, L. Seff, and M. Rothman, “Planning for and responding to special needs of elders in natural disasters,” Generations, Vol.31, No.4, pp. 37-41, 2007.
30. [30] H. Kim and M. Zakour, “Disaster preparedness among older adults: Social support, community participation, and demographic characteristics,” J. of Social Service Research, Vol.43, Issue 4, pp. 498-509, 2017. https://doi.org/10.1080/01488376.2017.1321081
31. [31] American Red Cross, “Disaster Preparedness for Seniors,” 2021. https://www.redcross.org/get-help/how-to-prepare-for-emergencies/seniors.html
32. [32] U.S. “Department of Health and Human Services, Administration for Community Living (ACL) 2019,” 2019. https://oig.hhs.gov/reports-and-publications/oas/aoa.asp
33. [33] Centers for Disease Control and Prevention, “Public health preparedness capabilities: National standards for state and local planning,” 2020.
34. [34] WHO, “World report on ageing and health,” 2015.
35. [35] W. Muenboonme, P. Nunthaitaweekul, and B. Rattakul, “Health literacy of the elderly during the COVID-19 Pandemic: A cross-sectional study,” J. Disaster Res., Vol.18, No.8, pp. 924-931, 2023.