Modeling factors related to earthquake preparedness: a structural equation modeling approach

Abstract Introduction Global evidence suggests that natural disasters are on the rise, and that earthquake harm disproportionally impacts developing countries. To mitigate these harms, disaster preparedness is an important behavioral strategy in earthquake risk mitigation. However, there is limited...

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Main Authors: Azadeh Fatehpanah, Elham Maraghi, Anthony Coetzer-Liversage, Mahmood Karimy, Amir H. Pakpour, Majed Maripour, Nematollah Jaafarzadeh Haghighi Fard, Marzieh Araban
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Language:English
Published: BMC 2025-02-01
Series:BMC Public Health
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Online Access:https://doi.org/10.1186/s12889-025-21568-z
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author Azadeh Fatehpanah
Elham Maraghi
Anthony Coetzer-Liversage
Mahmood Karimy
Amir H. Pakpour
Majed Maripour
Nematollah Jaafarzadeh Haghighi Fard
Marzieh Araban
author_facet Azadeh Fatehpanah
Elham Maraghi
Anthony Coetzer-Liversage
Mahmood Karimy
Amir H. Pakpour
Majed Maripour
Nematollah Jaafarzadeh Haghighi Fard
Marzieh Araban
author_sort Azadeh Fatehpanah
collection DOAJ
description Abstract Introduction Global evidence suggests that natural disasters are on the rise, and that earthquake harm disproportionally impacts developing countries. To mitigate these harms, disaster preparedness is an important behavioral strategy in earthquake risk mitigation. However, there is limited evidence about the levels of preparedness in developing countries, especially Iran. Therefore, this study aimed to investigate earthquake preparedness among the general public, using the Theory of Planned Behavior (TPB) as a theoretical framework. Method This methodological study was conducted in Iran in 2022, involving 302 participants selected through stratified random sampling. Data was collected using a valid and reliable questionnaire. Structural equation modeling (SEM) was employed to analyze TPB constructs, including attitudes, subjective norms, perceived behavioral control, and intentions, in relation to earthquake preparedness behaviors. The statistical analyses encompassed descriptive statistics, t-tests, ANOVA, correlation coefficients, confirmatory factor analysis, and structural equation modeling. Results Results show that attitudes toward disaster preparedness, subjective norms, and perceived behavioral control significantly (< 0.05) influenced residents’ disaster preparedness intentions. Additionally, there was good model fit of the TPB in explaining earthquake preparedness behavior. For confirmatory factor analysis (CFA) of TPB model the fit indices were CMin/df = 1.35 (< 3), RMSEA = 0.03 (< 0.05); CFI = 0.96 (> 0.95); TLI = 0.95 (= 0.95), and for SEM model they were CMin/df = 1.36 (< 3), RMSEA = 0.03 (< 0.05); CFI = 0.96 (> 0.95); TLI = 0.96 (> 0.95). Conclusion The overall fit indexes were acceptable indicating the TPB model is a valid and reliable measurement model for screening population-level readiness for earthquake preparedness, developing and/or implementing health promotion interventions. The findings also suggest that disaster education programs should emphasize the importance of attitudes, subjective norms, and perceived behavioral control in promoting disaster preparedness.
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spelling doaj-art-f65087bd108c4b87b7571b888d2385f02025-02-09T12:57:30ZengBMCBMC Public Health1471-24582025-02-012511910.1186/s12889-025-21568-zModeling factors related to earthquake preparedness: a structural equation modeling approachAzadeh Fatehpanah0Elham Maraghi1Anthony Coetzer-Liversage2Mahmood Karimy3Amir H. Pakpour4Majed Maripour5Nematollah Jaafarzadeh Haghighi Fard6Marzieh Araban7 Department of Health in Disaster and Emergencies, School of Public Health, Shahid Sadoughi University of Medical Sciences and Health ServicesDepartment of Biostatistics and Epidemiology, Ahvaz Jundishapur University of Medical SciencesDepartment of Psychology, University of Rhode IslandSocial Determinants of Health Research Center, Saveh University of Medical SciencesSocial Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical ScienceDepartment of Health Education and Promotion, School of Public Health, Ahvaz Jundishapur University of Medical SciencesEnvironmental Technologies Research Center, Medical Basic Sciences Research Institute, Ahvaz Jundishapur University of Medical SciencesMenopause Andropause Research Center, Ahvaz Jundishapur University of Medical SciencesAbstract Introduction Global evidence suggests that natural disasters are on the rise, and that earthquake harm disproportionally impacts developing countries. To mitigate these harms, disaster preparedness is an important behavioral strategy in earthquake risk mitigation. However, there is limited evidence about the levels of preparedness in developing countries, especially Iran. Therefore, this study aimed to investigate earthquake preparedness among the general public, using the Theory of Planned Behavior (TPB) as a theoretical framework. Method This methodological study was conducted in Iran in 2022, involving 302 participants selected through stratified random sampling. Data was collected using a valid and reliable questionnaire. Structural equation modeling (SEM) was employed to analyze TPB constructs, including attitudes, subjective norms, perceived behavioral control, and intentions, in relation to earthquake preparedness behaviors. The statistical analyses encompassed descriptive statistics, t-tests, ANOVA, correlation coefficients, confirmatory factor analysis, and structural equation modeling. Results Results show that attitudes toward disaster preparedness, subjective norms, and perceived behavioral control significantly (< 0.05) influenced residents’ disaster preparedness intentions. Additionally, there was good model fit of the TPB in explaining earthquake preparedness behavior. For confirmatory factor analysis (CFA) of TPB model the fit indices were CMin/df = 1.35 (< 3), RMSEA = 0.03 (< 0.05); CFI = 0.96 (> 0.95); TLI = 0.95 (= 0.95), and for SEM model they were CMin/df = 1.36 (< 3), RMSEA = 0.03 (< 0.05); CFI = 0.96 (> 0.95); TLI = 0.96 (> 0.95). Conclusion The overall fit indexes were acceptable indicating the TPB model is a valid and reliable measurement model for screening population-level readiness for earthquake preparedness, developing and/or implementing health promotion interventions. The findings also suggest that disaster education programs should emphasize the importance of attitudes, subjective norms, and perceived behavioral control in promoting disaster preparedness.https://doi.org/10.1186/s12889-025-21568-zDisaster preparednessTheory of planned behaviorStructural equation modelingEarthquake
spellingShingle Azadeh Fatehpanah
Elham Maraghi
Anthony Coetzer-Liversage
Mahmood Karimy
Amir H. Pakpour
Majed Maripour
Nematollah Jaafarzadeh Haghighi Fard
Marzieh Araban
Modeling factors related to earthquake preparedness: a structural equation modeling approach
BMC Public Health
Disaster preparedness
Theory of planned behavior
Structural equation modeling
Earthquake
title Modeling factors related to earthquake preparedness: a structural equation modeling approach
title_full Modeling factors related to earthquake preparedness: a structural equation modeling approach
title_fullStr Modeling factors related to earthquake preparedness: a structural equation modeling approach
title_full_unstemmed Modeling factors related to earthquake preparedness: a structural equation modeling approach
title_short Modeling factors related to earthquake preparedness: a structural equation modeling approach
title_sort modeling factors related to earthquake preparedness a structural equation modeling approach
topic Disaster preparedness
Theory of planned behavior
Structural equation modeling
Earthquake
url https://doi.org/10.1186/s12889-025-21568-z
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