{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T08:15:12Z","timestamp":1789805712655,"version":"4.0.1"},"reference-count":21,"publisher":"Walter de Gruyter GmbH","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,1,23]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"j_med-2026-1537_abs_001\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To describe earthquake-preparedness behaviors and earthquake-related anxiety responses in emergency department patients and examine associated factors and the relationship between the two composites.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_med-2026-1537_abs_002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This cross-sectional study included 3,964 adults presenting to an emergency department in an earthquake-prone region between July and December 2025. A structured questionnaire assessed sociodemographic and housing characteristics, 15 binary preparedness behaviors, and five earthquake-related anxiety items. Preparedness was summarized as a behavioral composite (0\u201315) and anxiety as an exploratory composite (5\u201325). Nonparametric tests, effect sizes, false discovery rate adjustment, exploratory internal-structure analyses, and multivariable regression were\u00a0used.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_med-2026-1537_abs_003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Median preparedness was 9 (IQR, 7\u201312) and median anxiety was 13 (IQR, 7\u201318). Knowledge-based behaviors were common, whereas practical measures were less frequent. Most group differences had small effect sizes. Preparedness showed a multidimensional structure, whereas anxiety showed a single-dimension exploratory structure. The inverse correlation was very weak (Spearman\u2019s \u03c1=\u22120.107; 95\u202f% CI,\u00a0\u22120.140 to\u00a0\u22120.070). After adjustment, higher anxiety was associated with lower preparedness (B=\u22120.074; 95\u202f% CI,\u00a0\u22120.090 to\u00a0\u22120.059), and higher preparedness with lower anxiety (B=\u22120.241; 95\u202f% CI,\u00a0\u22120.289 to\u00a0\u22120.193).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_med-2026-1537_abs_004\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Practical preparedness remained incomplete. Preparedness and anxiety were weakly associated; findings are exploratory and should not be interpreted causally or diagnostically.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1515\/med-2026-1537","type":"journal-article","created":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T07:56:27Z","timestamp":1789804587000},"source":"Crossref","is-referenced-by-count":0,"title":["Earthquake preparedness and earthquake-related anxiety among emergency department patients: a cross-sectional study"],"prefix":"10.1515","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6658-7260","authenticated-orcid":false,"given":"Burak","family":"Demirci","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine , Istanbul Ba\u011fc\u0131lar Training and Research Hospital, Health Sciences University , Istanbul , T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2515-5482","authenticated-orcid":false,"given":"Burak","family":"Ak\u0131n","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine , Istanbul Ba\u011fc\u0131lar Training and Research Hospital, Health Sciences University , Istanbul , T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5747-5398","authenticated-orcid":false,"given":"Enes","family":"Ferhatlar","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine , Istanbul Ba\u011fc\u0131lar Training and Research Hospital, Health Sciences University , Istanbul , T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9795-8087","authenticated-orcid":false,"given":"Selman","family":"G\u00fcndo\u011fan","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine , Istanbul Ba\u011fc\u0131lar Training and Research Hospital, Health Sciences University , Istanbul , T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-1623-1634","authenticated-orcid":false,"given":"\u00d6mer","family":"Kilim","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine , Istanbul Ba\u011fc\u0131lar Training and Research Hospital, Health Sciences University , Istanbul , T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4824-7021","authenticated-orcid":false,"given":"Abuzer","family":"Coskun","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine , Istanbul Ba\u011fc\u0131lar Training and Research Hospital, Health Sciences University , Istanbul , T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2026,9,21]]},"reference":[{"key":"2026091907562039858_j_med-2026-1537_ref_001","unstructured":"United Nations Office for Disaster Risk Reduction. 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