{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T16:28:33Z","timestamp":1755793713654,"version":"3.44.0"},"reference-count":20,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T00:00:00Z","timestamp":1755216000000},"content-version":"unspecified","delay-in-days":226,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Disaster med. public health prep."],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:sec id=\"S1935789325100967_sec1\">\n\t    <jats:title>Objectives<\/jats:title>\n\t    <jats:p>Emergency supply kits (ESKs) may support disaster-related self-sufficiency and may be important for people with chronic health conditions (CHCs). However, evidence of ESK\u2019s effectiveness in supporting self-sufficiency is lacking. This study examined associations between households possessing ESKs and 1) household members leaving home for medicine and 2) individuals with CHCs seeking medical care.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1935789325100967_sec2\" sec-type=\"methods\">\n\t    <jats:title>Methods<\/jats:title>\n\t    <jats:p>Data were collected through a survey distributed to southwest Florida after Hurricane Ian\u2019s impact (<jats:italic>n<\/jats:italic> = 1342). Associations were assessed using logistic regression models.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1935789325100967_sec3\" sec-type=\"results\">\n\t    <jats:title>Results<\/jats:title>\n\t    <jats:p>ESK possession was more common among households with members with CHCs (63%) than households without such members (56%). Overall, regression models revealed no clear association between ESK possession and leaving home for medicine (adjusted Odds Ratio (aOR)=1.27; CI = 0.81-2.02). Analyses restricted to households with individuals with CHCs revealed no clear associations between ESK possession and leaving the home for medicine (aOR= 1.35; CI = 0.81-2.25) or seeking medical care (aOR = 1.07; CI = 0.68-1.68).<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1935789325100967_sec4\" sec-type=\"conclusions\">\n\t    <jats:title>Conclusions<\/jats:title>\n\t    <jats:p>This study did not provide evidence that ESKs promote medical self-sufficiency. However, it did not characterize the medication in households\u2019 ESKs or the type, duration, and severity of CHCs, and could have had uncontrolled confounding. Characterization of such factors would be important in future studies of ESKs and self-sufficiency among people with CHCs.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1017\/dmp.2025.10096","type":"journal-article","created":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T06:18:41Z","timestamp":1755238721000},"source":"Crossref","is-referenced-by-count":0,"title":["Emergency Supply Kits and Medical Self-Sufficiency: Lessons from Hurricane Ian"],"prefix":"10.1017","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2082-6355","authenticated-orcid":false,"given":"Jelonia Tasha","family":"Rumph","sequence":"first","affiliation":[{"name":"US Centers for Disease Control and Prevention"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephanie","family":"Kieszak","sequence":"additional","affiliation":[{"name":"National Center for Environmental Health, US Centers for Disease Control and Prevention"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Winquist","sequence":"additional","affiliation":[{"name":"National Center for Environmental Health, US Centers for Disease Control and Prevention"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2774-7767","authenticated-orcid":false,"given":"Arianna","family":"Hanchey","sequence":"additional","affiliation":[{"name":"National Center for Environmental Health, US Centers for Disease Control and Prevention"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"DiGrande","sequence":"additional","affiliation":[{"name":"RTI International"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amy Helene","family":"Schnall","sequence":"additional","affiliation":[{"name":"National Center for Environmental Health, US Centers for Disease Control and Prevention"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2025,8,15]]},"reference":[{"key":"S1935789325100967_r4","unstructured":"4. United States Department of Homeland Security. Planning Considerations: Evacuation and Shelter-in-Place. 2019. Accessed November 22, 2024. https:\/\/www.fema.gov\/sites\/default\/files\/2020-07\/planning-considerations-evacuation-and-shelter-in-place.pdf#:~:text=When%20sheltering-in-place%2C%20individuals%20should%20ensure%20they%20have%20enough,72%20hours%20and%20a%20maximum%20of%2014%20days."},{"key":"S1935789325100967_r3","unstructured":"3. Smith, AB . 2022 U.S. Billion-dollar Weather and Climate Disaster in Historical Context. Accessed November 20, 2024. https:\/\/www.climate.gov\/news-features\/blogs\/beyond-data\/2022-us-billion-dollar-weather-and-climate-disasters-historical"},{"key":"S1935789325100967_r2","unstructured":"2. United States Environmental Protection Agency. Climate Change Indicators: Tropical Cyclone Activity. Published June 2024. 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Updated August 4, 2023. Accessed May 20, 2024. https:\/\/www.ready.gov\/kit"},{"key":"S1935789325100967_r11","doi-asserted-by":"publisher","DOI":"10.2337\/dc07-9926"},{"key":"S1935789325100967_r20","unstructured":"20. Federal Emergency Management Agency. Disasters and Other Declarations. Accessed May 20, 2024. https:\/\/www.fema.gov\/disaster\/declarations?field_dv2_declaration_date_value%5Bmin%5D=2000&field_dv2_declaration_date_value%5Bmax%5D=2023&field_dv2_declaration_type_value=All&field_dv2_incident_type_target_id_selective=All"},{"key":"S1935789325100967_r1","unstructured":"1. National Center for Environmental Health Information. Annual 2022 Tropical Cyclones Report. Published 2022. 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