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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 disrupted health care and social support, and identifies planning and caregiving resources that may help.

The Journal of Applied Gerontology has published 12 studies examining how disasters affect older adults before, during and after emergencies, according to a report by Medical Xpress on October 2. The research spans the United States, Puerto Rico and China, and looks at risks across settings from aging at home to assisted living and nursing homes.

The special issue, titled Complex Emergencies and the Effect on Older Populations, examines how hazards interact with chronic illness, limited mobility, social support and the capacity of care systems. Its studies cover hurricanes, floods, wildfires, extreme heat and air pollution, as well as accumulating losses after hurricanes and the effects of childhood adversity on later outcomes.

The report says disasters can interrupt essential health services beyond the areas that suffer the most direct damage. Older adults who have managed previous emergencies or chronic conditions may still lack plans for maintaining care during a crisis, including how to obtain medications, keep medical equipment operating or reach health care providers.

The research also identifies factors that may help people cope, including resilience, confidence in their ability to act, strong caregiving relationships and access to reliable information. The issue’s editors call for preparedness to account for mental health and disruptions to routines, relationships and caregiving networks, as well as physical safety.

At a glance
reportWhen: Special issue reported October 2, 2026
The developmentThe Journal of Applied Gerontology has published a special issue of 12 studies examining how complex emergencies affect older adults.

Care Disruptions Can Outlast Impact

The findings frame disaster vulnerability as a problem that can build before an emergency and persist through recovery. A power outage, for example, can affect medical equipment; disrupted transport or communications can make it harder to obtain prescriptions or contact clinicians. The report says such service interruptions may reach older adults outside the hardest-hit areas, making preparedness relevant across a wider region than the immediate disaster zone.

Disruption can also affect caregivers and the everyday relationships older adults rely on. Editors Lisa M. Brown and Lindsay Peterson argue that plans should include mental health, caregiver support and information suited to people’s circumstances. That broadens preparedness beyond evacuation and immediate medical response to include continuity of care and support during recovery.

These implications matter to health care providers, emergency managers, care facilities, families and local communities. The special issue calls for disaster planning in routine clinical care, stronger preparation and staffing capacity in long-term care, and community programs that reflect local conditions, especially in rural areas. The report describes these as recommendations from the authors, not as already adopted policies.

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Twelve Studies Across Care Settings

The special issue brings together research from three settings: the United States, Puerto Rico and China. Its studies cover older adults aging at home as well as residents of assisted living communities and nursing homes, giving the collection a view across different living and care arrangements.

The report places the collection against a backdrop of repeated and overlapping emergencies, including hurricanes, floods, wildfires and heat waves. It says communities may face a new hazard before they have fully recovered from an earlier one. The studies consider not only immediate exposure but also cumulative impacts, including losses after hurricanes and effects that may emerge later in life.

The collection’s scope is broader than a single event or hazard. According to Medical Xpress, its findings address interactions among health, environmental exposure, care access and social support. The report does not provide a single numerical estimate of older adults’ overall disaster risk or compare outcomes across every hazard and location.

““Motivation alone is not enough.””

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

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Evidence Does Not Set One Risk Level

The report summarizes the collection’s themes but does not provide study-by-study methods, sample sizes or effect estimates. It is therefore unclear from the available material how strongly particular factors predict outcomes, how findings compare among locations, or which interventions have been tested and shown to work.

The report also does not specify how many older adults were affected, quantify the scale of health-service disruption, or identify a common preparedness standard for every type of facility. The editors’ recommendations describe areas for action; the article does not say whether governments or care providers have adopted them.

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Planning Across Care Networks

The special issue’s authors call for disaster planning to become part of routine clinical care, for assisted living communities and nursing homes to strengthen staffing and preparedness, and for regulations to reflect facilities’ differing risks. They also call for expanded community programs, particularly in rural areas, tailored to older adults’ circumstances.

The report does not announce a policy deadline or a formal next step for the journal. For now, the collection offers research for health care providers, emergency planners, care facilities and families to consider as they prepare for future emergencies; how its recommendations will be put into practice remains undetermined.

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Key Questions

What is the new development?

The Journal of Applied Gerontology published a special issue containing 12 studies on how complex emergencies affect older adults.

Which places and care settings are covered?

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

What risks does the report describe?

It describes interacting challenges such as chronic illness, limited mobility, strained care systems and weak social support. It also says emergencies can disrupt access to medications, medical equipment, health care providers and caregiving relationships.

What preparedness steps do the authors recommend?

The authors call for disaster planning in routine clinical care, stronger preparation and staffing in long-term care facilities, rules tailored to facility risks, and community-based programs that reflect older adults’ circumstances.

Does the report quantify how effective those steps are?

The Medical Xpress report does not provide a single estimate of risk or quantify the effectiveness of the recommended steps. It summarizes research themes and recommendations from the special issue.

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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