Evacuation and Transportation Barriers Among Vulnerable Populations in Natural Hazard-Related Disasters: A Scoping Review

Yuriko Matsuo, Kathryn Kietzman, Ron D. Hays and Yeonsu Song ()
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Yuriko Matsuo: Joe C. Wen School of Nursing, University of California, Los Angeles, CA 90095, USA
Kathryn Kietzman: Center for Health Policy Research, University of California, Los Angeles, CA 90024, USA
Ron D. Hays: David Geffen School of Medicine, University of California, Los Angeles, CA 90095, USA
Yeonsu Song: Joe C. Wen School of Nursing, University of California, Los Angeles, CA 90095, USA

IJERPH, 2025, vol. 22, issue 11, 1-29

Abstract: Background and Aim: Natural hazard-related disasters such as wildfires, hurricanes, earthquakes, and floods pose significant risks to older adults, individuals with disabilities, and those with chronic health conditions. Transportation-related challenges during and after evacuation can severely impact their safety, mobility, and recovery. This scoping review examines the current evidence to identify research gaps and inform strategies to improve evacuation outcomes and long-term resilience for these at-risk groups. The STEPS framework (Spatial, Temporal, Economic, Physiological, Social) was applied to guide the analysis and interpretation of findings. Methods: This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) guidelines and searched five databases, including PubMed, APA PsycINFO, CINAHL Complete, EMBASE, and Web of Science for primary studies on transportation and disaster evacuation among vulnerable populations. Results: Twenty studies were included. Four key areas of concern were identified: (1) immediate transportation barriers during evacuation, (2) prolonged transportation disruptions post-disaster, (3) anticipated logistical challenges in future evacuation planning, and (4) inconsistent and inaccessible communication of transportation-related information during emergencies. These challenges intersected with all five STEPS dimensions. Conclusions: Transportation barriers remain a persistent and under-addressed risk factor in disaster contexts for vulnerable groups. The STEPS framework helped reveal the multidimensional nature of these issues, emphasizing the need for integrated planning, assistive transport options, inclusive communication systems, and stronger public–private coordination. Future research should focus on collecting disaggregated data, evaluating interventions, and supporting inclusive policy reforms tailored to each type of disaster.

Keywords: natural disaster; evacuation; transportation; aging; disabilities; chronic disease (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2025
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