Abstract

Although much of the health emergency and disaster risk management (Health-EDRM) literature evaluates methods to protect health assets and mitigate health risks from disasters, there is a lack of research into those who have taken high-risk behaviour during extreme events. The study’s main objective is to examine the association between engaging in high-risk behaviour and factors including sociodemographic characteristics, disaster risk perception and household preparedness during a super typhoon. A computerized randomized digit dialling cross-sectional household survey was conducted in Hong Kong, an urban metropolis, two weeks after the landing of Typhoon Mangkhut. Telephone interviews were conducted in Cantonese with adult residents. The response rate was 23.8% and the sample was representative of the Hong Kong population. Multivariable logistic regressions of 521 respondents adjusted with age and gender found education, income, risk perception and disaster preparedness were insignificantly associated with risk-taking behaviour during typhoons. This suggests that other factors may be involved in driving this behaviour, such as a general tendency to underestimate risk or sensation seeking. Further Health-EDRM research into risk-taking and sensation seeking behaviour during extreme events is needed to identify policy measures.

Highlights

  • Asia is at risk of tropical cyclones, known as typhoons in the western Pacific, with around half of worldwide tropical cyclones recorded and more than 90% of cyclone-related deaths being from this region [1]

  • The objectives of the current study are to expand on these findings and investigate other factors that may be related to risk-taking behaviour during typhoons (RBDT), namely (1) to identify the sociodemographic characteristics of those who left their homes when the storm was at its height of strength; and (2) to explore the associations between sociodemographic factors other than age and gender, risk perception, household preparedness, and RBDT for non-essential purposes

  • This study investigates the associations between non-essential RBDT and the sociodemographic factors of education and income; indicators of risk perception including perception of Hong Kong being susceptible to disasters, perception of the impact of Typhoon Mangkhut compared to expectations and concern for the safety of oneself and family members; indicators of household preparedness including food and water reserves prepared routinely or for Typhoon Mangkhut

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Summary

Introduction

Asia is at risk of tropical cyclones, known as typhoons in the western Pacific, with around half of worldwide tropical cyclones recorded and more than 90% of cyclone-related deaths being from this region [1]. In Hong Kong, tropical cyclone warning signal No 10 Hong Kong) was hoisted for 10 h, with the highest wind speed exceeding 150 km/h, just lower than the respective records held by Typhoon York in 1999 and Typhoon Ellen in 1983 [4]. There were no deaths reported directly due to the typhoon, more than 60,000 trees had reportedly fallen and around 13,500 households experienced a power outage for more than 24 h in Hong Kong [5]. Public Health 2020, 17, 4150; doi:10.3390/ijerph17114150 www.mdpi.com/journal/ijerph

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