Parentsʼ awareness of disaster plans in childrenʼs early learning settings
DOI:
https://doi.org/10.5055/ajdm.2018.0290Keywords:
child care, disaster plan, pediatrics, TrainingAbstract
Objective: Children in early learning settings are vulnerable to site-specific emergencies because of physical and developmental limitations. We examined parents’ knowledge of disaster plans in their child’s early learning settings.
Methods: In May 2015, we conducted a nationally representative online household survey, including parents of children ages 0-5 years in child care settings. Parents were asked about their center’s disaster plans and key components: evacuation, special needs children, and disaster supplies. Bivariate analyses and logistic regression were conducted to identify factors associated with parental awareness of disaster plans.
Results: Overall, 1,413 of 2,550 parents responded (rate = 55 percent). Sample included 1,119 parents of children 0-5 years old, with 24 percent (n = 264) requiring child care. Parents’ reported knowledge of five types of disaster plans: evacuation (66 percent), power outage (63 percent), severe weather (62 percent), lock-down (57 percent), and delayed parent pick-up (57 percent). Only 21 percent reported if plans included all four key components of evacuation (child identification, parent identification, rapid communication, and extra car seats). One-third (36 percent) reported plans accommodating special needs children. Parents’ knowledge of disaster supplies varied: generator (31 percent), radio (42 percent), water (57 percent), food (60 percent), and first aid (82 percent). Parents attending any disaster training events (34 percent) were more likely to be aware of all five types of disaster plans compared with parents who had not attended.
Conclusions: Many parents were unaware of disaster plans at their children’s early learning settings. Although few parents attended training events, such participation was associated with higher levels of parental awareness.
References
Ablah E, Tinius AM, Konda K: Pediatric emergency preparedness training: Are we on a path toward national dissemination? J Trauma. 2009; 67: S152-S158.
American Academy of Pediatrics: The youngest victims: Disaster preparedness to meet children’s needs. American Academy of Pediatrics Web site. 2002. Available at http://www.aap.org/en-us/advocacy-and-policy/aap-health-initiatives/Children-and-Disasters/Documents/Youngest-Victims-Final.pdf. Accessed October 13, 2013.
Cicero MX, Baum C: Pediatric disaster preparedness: Best planning for the worst-case scenario. Pediatr Emerg Care. 2008; 24: 478-481; quiz 82-84.
Ginter PM, Wingate MS, Rucks AC, et al.: Creating a regional pediatric medical disaster preparedness network: Imperative and issues. Matern Child Health J. 2006; 10: 391-396.
Graham J, Shirm S, Liggin R, et al.: Mass-casualty events at schools: A national preparedness survey. Pediatrics. 2006; 117: e8-e15.
Hohenhaus SM: Practical considerations for providing pediatric care in a mass casualty incident. Nurs Clin North Am. 2005; 40: 523-533, ix.
Markenson D, Redlener I: Pediatric terrorism preparedness national guidelines and recommendations: Findings of an evidenced-based consensus process. Biosecur Bioterror. 2004; 2: 301-319.
Shirm S, Liggin R, Dick R, et al.: Prehospital preparedness for pediatric mass-casualty events. Pediatrics. 2007; 120: e756-e761.
Copeland KA, Duggan AK, Shope TR: Knowledge and beliefs about guidelines for exclusion of ill children from child care. Ambul Pediatr. 2005; 5: 365-371.
Shope TR, Aronson S: Improving the health and safety of children in nonparental early education and child care. Pediatr Rev. 2005; 26: 86-95.
Liu M, Anderson SG: Neighborhood effects on working mothers’ child care arrangements. Child Youth Serv Rev. 2012; 34: 740-747.
Laughlin L: Who’s minding the kids? Child care arrangements: Spring 2011. U.S. Census Bureau Web site. 2011. Available at http://www.census.gov/prod/2013pubs/p70-135.pdf. Accessed October 30, 2013.
Martin SD, Bush AC, Lynch JA: A national survey of terrorism preparedness training among pediatric, family practice, and emergency medicine programs. Pediatrics. 2006; 118: e620-e626.
Olympia RP, Wan E, Avner JR: The preparedness of schools to respond to emergencies in children: A national survey of school nurses. Pediatrics. 2005; 116: e738-e745.
Olympia RP, Rivera R, Heverley S, et al.: Natural disasters and mass-casualty events affecting children and families: A description of emergency preparedness and the role of the primary care physician. Clin Pediatr (Phila). 2010; 49: 686-698.
Olympia RP, Brady J, Kapoor S, et al.: Compliance of child care centers in Pennsylvania with national health and safety performance standards for emergency and disaster preparedness. Pediatr Emerg Care. 2010; 26: 239-247.
Chang MT, Bradin S, Hashikawa AN: Disaster preparedness among Michigan’s licensed child care programs. Pediatr Emerg Care. 2018; 34(5): 349-356.
Save the Children: Unaccounted for: A national report card on protecting children in disasters. Save the Children Web site. 2013. Available at http://http://www.savethechildrenweb.org/getready/report/Disaster-Report-2013.pdf. Accessed October 30, 2013.
American Public Health Association, American Academy of Pediatrics: Caring for Our Children: National Health and Safety Performance Standards: Guidelines for Early Care and Education Programs. 3rd ed. Washington, DC: American Public Health Association, 2011.
Save the Children: What are you waiting for?. 2014 National report card on protecting children in disasters. Save the Children Web site. 2014. Available at http://www.savethechildren.org/atf/cf/%7B9def2ebe-10ae-432c-9bd0-df91d2eba74a%7D/SC-2014_DISASTERREPORT.PDF. Accessed December 18, 2015.
Tarini BA, Singer D, Clark SJ, et al.: Parents’ concern about their own and their children’s genetic disease risk: Potential effects of family history vs genetic test results. Arch Pediatr Adolesc Med. 2008; 162: 1079-1083.
Dempsey AF, Singer DD, Clark SJ, et al.: Adolescent preventive health care: What do parents want? J Pediatr. 2009; 155: 689-94.e1.
Freed GL, Clark SJ, Butchart AT, et al.: Parental vaccine safety concerns in 2009. Pediatrics. 2010; 125: 654-659.
Hashikawa AN, Brousseau D, Singer DC, et al.: Emergency department and urgent care for children excluded from child care. Pediatrics. 2014; 134: e120-e127.
Walters N, McQuaid E, Dickstein S: Asthma knowledge, awareness, and training among head start and early head start staff. J School Health. 2004; 74: 32-34.
Nystad W, Skrondal A, Magnus P: Day care attendance, recurrent respiratory tract infections and asthma. Int J Epidemiol. 1999; 28: 882-887.
Leo HL, Clark NM: Addressing food allergy issues within child care centers. Curr Allergy Asthma Rep. 2012; 12: 304-310.
Food Allergy Facts and Statistics for the U.S. Food Allergy Research and Education: Food Allergy Research and Education Web site. 2016. Available at https://www.foodallergy.org/file/facts-stats.pdf. Accessed January 5, 2017.
Gupta RS, Springston MR, Warrier BS, et al.: The prevalence, severity, and distribution of childhood food allergy in the United States. Pediatrics. 2011; 128: e9-e17.
Sicherer SH, Furlong TJ, DeSimone J, et al.: The US peanut and tree nut allergy registry: Characteristics of reactions in schools and day care. J Pediatr. 2001; 138(4): 560-565.
Burns R: The day we lost Atlanta. Politico Web site. 2014. Available at http://www.politico.com/magazine/story/2014/01/atlanta-snow-storm-102839. Accessed January 25, 2015.
Broughton DD, Allen EE, Hannemann RE, et al.: Getting 5000 families back together: Reuniting fractured families after a disaster: The role of the National Center for Missing & Exploited Children. Pediatrics. 2006; 117: S442-S445.
Save the Children: Still at risk: U.S. children 10 years after Hurricane Katrina. 2015 National report card on protecting children in disasters. Save the Children Web site. 2015. Available at http://www.savethechildren.org/atf/cf/%7B9def2ebe-10ae-432c-9bd0-df91d2eba74a%7D/DISASTERREPORT_2015.PDf?v=5. Accessed January 21, 2016.
Administration for Children and Families, U.S. Department of Health and Human Services: CCDF Health and safety requirements brief 5: Building and physical premises safety. Office of Child Care Web site. 2016. Available at https://childcareta.acf.hhs.gov/sites/default/files/public/brief_5_building_safety_final.pdf. Accessed January 5, 2017.
Administration for Children and Families, U.S. Department of Health and Human Services: CCDF reauthorization. Office of Child Care Web site. 2016. Available at http://www.acf.hhs.gov/occ/ccdfreauthorization. Accessed September 23, 2016.
Administration for Children and Families, U.S. Department of Health and Human Services: CCDF health and safety requirements brief 6: Emergency preparedness and response planning. Office of Child Care Web site. 2016. Available at https://childcareta.acf.hhs.gov/resource/ccdf-health-and-safety-requirements-brief-6-emergencypreparedness-and-response-planning. Accessed September 23, 2016.
Published
How to Cite
Issue
Section
License
Copyright 2007-2023, Weston Medical Publishing, LLC
All Rights Reserved