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One of the great challenges facing human systems today is how to prepare for, manage, and adapt successfully to the profound and rapid changes wreaked by disasters. Wellington, New Zealand, is a capital city at significant risk of devastating earthquake and tsunami, potentially requiring mass evacuations with little or short notice. Subsequent hardship and suffering due to widespread property damage and infrastructure failure could cause large areas of the Wellington Region to become uninhabitable for weeks to months. Previous research has shown that positive health and well-being are associated with disaster-resilient outcomes. Preventing adverse outcomes before disaster strikes, through developing strengths-based skill sets in health-protective attitudes and behaviours, is increasingly advocated in disaster research, practise, and management. This study hypothesised that well-being constructs involving an affective heuristic play vital roles in pathways to resilience as proximal determinants of health-protective behaviours. Specifically, this study examined the importance of health-related quality of life and subjective well-being in motivating evacuation preparedness, measured in a community sample (n=695) drawn from the general adult population of Wellington’s isolated eastern suburbs. Using a quantitative epidemiological approach, the study measured the prevalence of key quality of life indicators (physical and mental health, emotional well-being or “Sense of Coherence”, spiritual well-being, social well-being, and life satisfaction) using validated psychometric scales; analysed the strengths of association between these indicators and the level of evacuation preparedness at categorical and continuous levels of measurement; and tested the predictive power of the model to explain the variance in evacuation preparedness activity. This is the first study known to examine multi-dimensional positive health and global well-being as resilient processes for engaging in evacuation preparedness behaviour. A cross-sectional study design and quantitative survey were used to collect self-report data on the study variables; a postal questionnaire was fielded between November 2008 and March 2009 to a sampling frame developed through multi-stage cluster randomisation. The survey response rate was 28.5%, yielding a margin of error of +/- 3.8% with 95% confidence and 80% statistical power to detect a true correlation coefficient of 0.11 or greater. In addition to the primary study variables, data were collected on demographic and ancillary variables relating to contextual factors in the physical environment (risk perception of physical and personal vulnerability to disaster) and the social environment (through the construct of self-determination), and other measures of disaster preparedness. These data are reserved for future analyses. Results of correlational and regression analyses for the primary study variables show that Wellingtonians are highly individualistic in how their well-being influences their preparedness, and a majority are taking inadequate action to build their resilience to future disaster from earthquake- or tsunami-triggered evacuation. At a population level, the conceptual multi-dimensional model of health-related quality of life and global well-being tested in this study shows a positive association with evacuation preparedness at statistically significant levels. However, it must be emphasised that the strength of this relationship is weak, accounting for only 5-7% of the variability in evacuation preparedness. No single dimension of health-related quality of life or well-being stands out as a strong predictor of preparedness. The strongest associations for preparedness are in a positive direction for spiritual well-being, emotional well-being, and life satisfaction; all involve a sense of existential meaningfulness. Spiritual well-being is the only quality of life variable making a statistically significant unique contribution to explaining the variance observed in the regression models. Physical health status is weakly associated with preparedness in a negative direction at a continuous level of measurement. No association was found at statistically significant levels for mental health status and social well-being. These findings indicate that engaging in evacuation preparedness is a very complex, holistic, yet individualised decision-making process, and likely involves highly subjective considerations for what is personally relevant. Gender is not a factor. Those 18-24 years of age are least likely to prepare and evacuation preparedness increases with age. Multidimensional health and global well-being are important constructs to consider in disaster resilience for both pre-event and post-event timeframes. This work indicates a need for promoting self-management of risk and building resilience by incorporating a sense of personal meaning and importance into preparedness actions, and for future research into further understanding preparedness motivations.

Question Time for 18 August 2011

Audio, Radio New Zealand

Questions to Ministers 1. CHRIS AUCHINVOLE to the Minister of Commerce: What legislative and regulatory steps has he taken to help restore investor confidence in the financial markets? 2. Hon ANNETTE KING to the Minister for Social Development and Employment: Does she stand by her reported statement that it would be pre-emptive to rule anything out because the Government was still working its way through extensive recommendations by the Welfare Working Group? 3. TE URUROA FLAVELL to the Minister of Transport: Ka aha ia ki te whakapaipai ake i te āhua o ngā rori i te tuawhenua, he hapori Māori nei te nuinga o ngā tāngata ki reira, ā, e kiia nei e ētahi, he pērā aua rori ki ngā mea o ngā ao pōhara rawa atu? * Translation: What will he do to improve the conditions of roads in rural, predominately Māori communities, some of which have been described as of third world status? 4. Hon TREVOR MALLARD to the Prime Minister: Does he stand by his answer to Oral Question No 1 yesterday in relation to unemployed 15 to 19-year-olds, "If we look at the household labour force survey, we see that there are 26,700 people in the 15 to 19-year-old category"? 5. TIM MACINDOE to the Minister of Health: What progress are district health boards making in providing faster cancer radiation treatment for patients? 6. GRANT ROBERTSON to the Minister of Health: Are district health boards being funded sufficiently to maintain the level of services they provided in 2010/11? 7. KEVIN HAGUE to the Minister of Labour: When will the new chief inspector for mining and additional inspectors in the planned High Hazards Unit become operational? 8. CHARLES CHAUVEL to the Minister of Justice: Does he agree with the Chief Justice that the scheme for disclosure by the defence in criminal cases contained in the Criminal Procedure (Reform and Modernisation) Bill is "inconsistent with the defendant's right to have the prosecution prove its case beyond reasonable doubt" and with the late Chief District Court Judge that punishment at sentencing for procedural non-compliance "is conceptually incoherent and therefore arbitrary"? 9. Hon TAU HENARE to the Minister for Social Development and Employment: What is the Government doing to help teen parents get ahead? 10. Hon LIANNE DALZIEL to the Minister for Canterbury Earthquake Recovery: How many letters of offer from the Crown will be sent to insured residential red zone property owners this week? 11. NIKKI KAYE to the Minister of Internal Affairs: What announcements has he made today on improving flexibility for community groups receiving grants from gaming societies? 12. DARIEN FENTON to the Minister of Labour: Does she stand by her statement about making changes to mine safety that "until the royal commission of inquiry makes its findings, we will wait accordingly"?