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Behavioral Consequences of Disasters: A Five-Stage Model of Population Behavior

Published online by Cambridge University Press:  20 November 2014

Sasha Rudenstine  and
Sandro Galea
Sasha Rudenstine*
Affiliation:
Department of Epidemiology, Columbia University, New York, New York.
Sandro Galea
Affiliation:
Department of Epidemiology, Columbia University, New York, New York.
*
Correspondence and reprint requests to Sasha Rudenstine, PhD, Columbia University, Mailman School of Public Health, 722 West 168th Street, RM 1505, New York, NY 10031 (e-mail: sr2863@columbia.edu).
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Abstract

Objective

We propose a model of population behavior in the aftermath of disasters.

Methods

We conducted a qualitative analysis of an empirical dataset of 339 disasters throughout the world spanning from 1950 to 2005.

Results

We developed a model of population behavior that is based on 2 fundamental assumptions: (i) behavior is predictable and (ii) population behavior will progress sequentially through 5 stages from the moment the hazard begins until is complete.

Conclusions

Understanding the progression of population behavior during a disaster can improve the efficiency and appropriateness of institutional efforts aimed at population preservation after large-scale traumatic events. Additionally, the opportunity for population-level intervention in the aftermath of such events will improve population health. (Disaster Med Public Health Preparedness. 2014;8:497-504)

Keywords

disastersepidemiologic methodsemergency preparednesspublic healthprimary prevention
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 8 , Issue 6 , December 2014 , pp. 497 - 504
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2014 

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