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A special issue of the Journal of Applied Gerontology brings together 12 studies on how disasters affect older adults across the United States, Puerto Rico and China. The research examines risks before, during and after emergencies, including interruptions to health care and caregiving, and points to resilience, reliable information and stronger institutional planning as protective factors.

A new special issue of the Journal of Applied Gerontology brings together 12 studies examining how overlapping hazards, health needs and care systems shape disaster risks for older adults before, during and after emergencies. The research spans the United States, Puerto Rico and China, and considers people aging at home as well as residents of assisted living and nursing homes.

The collection, titled Complex Emergencies and the Effect on Older Populations, covers hurricanes, floods, wildfires, extreme heat and other hazards. Its central finding is that older adults’ exposure to disaster harm can reflect several interacting conditions, including chronic illness, limited mobility, social isolation and pressure on care services. Repeated emergencies can add to those challenges, especially when a new hazard arrives before a community has recovered from an earlier one.

The studies examine effects that may begin well before an evacuation or emergency alert. Topics include childhood adversity, heat, air pollution and losses accumulating after hurricanes. The report also says that disasters can interrupt essential health services beyond the hardest-hit areas. Previous experience with emergencies, or regular management of a chronic condition, does not necessarily mean someone has a plan for obtaining medication, keeping medical equipment working or reaching health care providers during a disruption.

The editors point to potential protective factors, including resilience, self-efficacy, supportive caregiving relationships and access to reliable information. The special issue’s authors call for planning to be built into routine clinical care, stronger preparedness capacity and staffing in long-term care facilities, regulations that reflect facilities’ different risks, and community programs suited to older adults’ circumstances, including in rural areas.

At a glance
reportWhen: Special issue reported October 2, 2026
The developmentA new Journal of Applied Gerontology special issue presents 12 studies of disaster risks and protective factors for older adults.

Care Plans Must Include Disasters

The findings put disaster readiness in the same frame as everyday health and care planning. If medication access, powered medical equipment, transportation or communication with a clinician fails during an emergency, an older person may face problems even outside the area with the most visible damage. The report describes disruptions to health services that can extend beyond the communities most directly affected.

Preparedness also depends on people and systems around an older adult. Family caregivers, home-care workers, assisted living staff, nursing homes, health providers and emergency managers can all affect whether support continues. The editors argue that plans should address not only physical safety but also caregiver support, mental health and the loss of routines and relationships that may persist into recovery.

The collection does not establish that every older adult faces the same level of risk or that one intervention will prevent harm. Rather, its value is in showing how varied needs and hazards can combine, giving planners and care providers evidence to consider when designing local preparedness and recovery efforts.

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What the 12 Studies Cover

The special issue focuses on the full disaster timeline: conditions that shape vulnerability beforehand, disruptions during an emergency and effects that can continue afterward. It includes research across different geographic settings and forms of long-term care, rather than concentrating on a single event or population group.

The editors describe emergencies as increasingly complex when hazards are severe, frequent or overlap with incomplete recovery. Their account links disaster preparedness to ordinary systems of health care and caregiving, since older adults may rely on ongoing treatment, medical devices, assistance with daily activities or established support networks. The report presents the special issue as research that can inform future planning, not as a single evaluation of a specific response or policy.

“Motivation alone is not enough.”

— Lindsay Peterson, Ph.D., University of South Florida School of Aging Studies and special issue editor

Limits of the Findings

The source report summarizes the special issue but does not provide study-by-study methods, participant numbers, effect sizes or detailed results for each hazard and setting. It is therefore not possible from the report alone to compare the strength of evidence across the 12 studies or determine how widely any individual finding applies.

The material also does not specify which preparedness programs have been tested, how much they reduce harm, or what funding and policy changes will follow the editors’ recommendations. Risks and available services can differ among older adults and communities; the report does not offer a single plan suited to every person or facility.

Turning Evidence Into Preparedness

The editors call for disaster planning to be incorporated into routine clinical care and for stronger preparedness capacity in assisted living and nursing homes. They also urge planning rules that account for differences in facility risks and expanded community-based programs, particularly in rural areas.

The special issue’s research may inform work by health providers, emergency planners, long-term care organizations and families, but the source does not announce a specific implementation schedule or policy decision. Further detail on individual studies and on how institutions respond to the recommendations will be needed to assess what changes are adopted and whether they improve continuity of care.

Key Questions

What is the new development?

The Journal of Applied Gerontology has published a special issue titled Complex Emergencies and the Effect on Older Populations, covering 12 studies of disasters and older adults.

Which places and care settings are represented?

The studies span the United States, Puerto Rico and China. They include older adults aging at home and people living in assisted living communities and nursing homes.

What risks does the report describe?

It discusses how hazards can interact with chronic illness, mobility limitations, weak social support and strained care systems. It also describes potential interruptions to medication, medical equipment and health care access.

What protective factors do the editors identify?

The report identifies resilience, self-efficacy, supportive caregiving relationships and reliable information as factors that can help older adults cope with emergencies.

Does the report say which preparedness program works best?

No specific program is named as the best, and the source summary does not provide comparative results or detailed methods for all 12 studies. The editors call for better integration of planning into health care, long-term care and community services.

Source: rss

This article is for informational purposes only and is not medical advice. Always consult a qualified healthcare professional about your specific situation.
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