title: Seeking help for disaster services after a flood.
abstract: OBJECTIVE
  This article describes how the frequency of exposure to a flood is associated with the probability of seeking help from agencies (eg, Federal Emergency Management Agency, Red Cross) that provide disaster-related services. The article also describes the population characteristics for the people who are most likely to seek help for disaster services.
  
  
  METHODS
  Prospective cohort data from 1735 respondents of the Iowa Health Poll were used. Multivariate logistic regression was used to model the odds of seeking help from any agency for flood-related problems.
  
  
  RESULTS
  Overall, most people, regardless of flood exposure, did not seek help from disaster service agencies. Disaster services were sought by 23% of respondents who experienced 1 flood, 31% who have experienced 2 floods, and 26% who have experienced 3 or more floods. Multivariate adjusted odds of seeking help were associated with number of flood experiences (odds ratio [OR] 1.58), white race (OR 0.24), economic hardship (OR 1.43), urban residence (OR 0.43), and social support (OR 0.55).
  
  
  CONCLUSIONS
  On average, the probability of seeking disaster relief services increases with the number of flood experiences. Racial/ethnic minorities, rural residents, economically challenged individuals, and people with low levels of perceived social support may be more likely than people without these characteristics to seek services.
authors.affiliation: Department of Social and Behavioral Sciences, University of North Texas Health Science Center, Fort Worth, TX 76107-2699, USA. jstimpso@hsc.unt.edu
authors.forename: Jim P
authors.initials: JP
authors.lastname: Stimpson
authors.forename: Fernando A
authors.initials: FA
authors.lastname: Wilson
authors.forename: Shawn K
authors.initials: SK
authors.lastname: Jeffries
mesh_terms: D015331:Cohort Studies; D004190:Disasters / Q000706:statistics & numerical data*; D005260:Female; D055868:Floods / Q000706:statistics & numerical data*; D006077:Government Agencies; D006306:Health Surveys; D006801:Humans; D007407:Interviews as Topic; D007484:Iowa; D008297:Male; D011446:Prospective Studies; D012066:Relief Work / Q000706:statistics & numerical data*; D012944:Social Support; D014837:Voluntary Health Agencies