3. Results
The demographic composition of the 45 study participants shows the diversity of the sample. Participants were predominantly female (57.8%, n=26), while slightly more than one-third (35.6%, n=16) identified as male. A smaller group of participants self-identified as transgender male (4.4%, n=2) and non-binary (2.2%, n=1). In terms of age distribution, approximately half of the participants were young adults, including ages between 18 and 25 (24.4%, n=11) and 26 and 30 (24.4%, n=11). The largest segments of the participants were holding bachelor's (35.6%, n=16) and associate (24.4%, n=11) degrees at the time of the interview. From a racial and ethnic perspective, those self-identifying as Black/African American (26.7%, n=12) and White/European American (20%, n=9) were the two largest racial groups, followed by Asian Americans (15.6%, n=7), Latinx/Hispanics (13.3%, n=6), and multi-racial (11.1%, n=5) participants (
Table 1).
Four main themes emerged from the analysis of the qualitative data based on the transcribed interviews: (1) An earthquake could exacerbate service gaps for specific groups; (2) The privilege of mobility: Uneven paths of access to emergency services; (3) Delays in recovery can harm specific groups more than others; and (4) Concerns about the inclusiveness and trust.
Natural Disasters May Exacerbate Existing Service Gaps for Specific Groups
Several participants in our study highlighted pre-existing service gaps in the region, with housing being a primary concern. Interviewees expressed fears that the current challenges, including the houseless crisis, could escalate rapidly in the aftermath of an earthquake. A key informant noted, “If we had a lot of people displaced from their homes with needs to accommodate, I think it's definitely beyond our current capacity in the region." She elaborated on the city’s existing struggles to provide shelter for the houseless population, stating, “It's a stretch for us even now if you look just a few weeks ago with the winter weather that hit during the holidays. The ability to not only find facilities but find enough equipment supplies and staff to meet the needs and that's predominantly to meet the needs of the houseless, the existing houseless population." Another community member expressed deep concerns about the housing situation in Portland, explaining:
“Any large earthquake will devastate the housing situation in the area, which is already very much strained, so, you know, we don't have additional capacity, people are struggling to find rental space even if they can pay, and so that's going to make a long-term impact for people who see Portland, Oregon as their home, because housing crisis will explode. It's already kind of popping up, but it will explode basically.”
Participants also voiced concerns that gaps in service provision for groups with specific needs, including older adults, individuals on the autism spectrum, and vulnerable groups needing health care services, may worsen in the event of an emergency. A key informant working with older adults said, “I had an experience just last week where I was helping one of our folks who was going through the Medicaid Long-Term Care application process... it was a nightmare because she didn't really understand what the person was asking on the phone.” Another key informant explained: “We often just use very high-level words when we're creating messaging that it's just not going to work for certain disabilities... when you're talking about say someone with autism in an earthquake situation, the earthquake itself is going to put people in a very escalated state of crisis.”
A further concern was the existing gaps in healthcare, with one informant remarking, “There are significant gaps in care, and so in part, because of those gaps in care, people are cycling through hospitals pretty regularly to get some of those needs met.” They further expressed concern that in the event of an emergency vulnerable populations who currently rely on services from multiple sources to survive might not receive the same level of attention and explained, “I just think there's a lot of people that struggle to take care of themselves as it is, and the laws basically allow things to happen to continue to stay the way they are for those folks, and they are going to continue to be sort of struggling to get by, especially folks with, like, severe mental illness, and- and there's not going to be folks there that are necessarily going to be able to be that support.”
The Privilege of Mobility Creates Unequal Access to Emergency Services
Narratives of participants presented mobility as a privilege. Several interviewees mentioned that their first choice in an emergency would be to leave the state and stay with family members or friends outside of the earthquake-impact areas. Participants also frame the ability to leave the state or fly out as a privilege. For instance, one of the interviewees said “It would, it be cool if I could fly out. I mean I try to save money for that, but I don't know what it would be like.” They further explained that plane tickets could be expensive and wondered if there would be additional support for low-income individuals: “Please try to prioritize those who can't even afford- I don't know if it's even possible for them to prioritize getting people low-income out or bringing aid to them first.” Another interviewee told us that they will consider going to Mexico in case of an earthquake as the situation in the United States might be hard and in Mexico, they will have a support network:
“My family is in- is from Mexico as well, so maybe even just go over there if I lost my home, because over there we also have a house. My family- my family has a house and I have a lot of support over there, but in this state, I don't know. If everyone was impacted from my family, I don't feel like we would make it, we would be okay. It would be hard.”
Participants also highlighted the challenges related to personal mobility, emphasizing that not everyone can easily leave their familiar living spaces and stay elsewhere, including a shelter. An interviewee living with cerebral palsy explained that they rely on caregivers and would prefer to stay with their boyfriend rather than in a shelter if an earthquake occurred. They further explained, “Disabled folks, we have a history of being left behind when there's- when there's emergency preparedness issues.” A key informant working on disability equity with the government explained that the city does not have the resources necessary to evacuate people with limited mobility. She said: “Buses [which] have spots for people with mobility disabilities [are limited]. So, if we had to do a mass evacuation, earthquake or even like [evacuation due to] fire, we really wouldn't be able to provide evacuation vehicles for people with mobility disabilities." Another key informant working with vulnerable groups in Portland explained that it is vital for their clients to be able to reach them regularly, she told our interviewer: “The first question people usually ask me when I call them is are you guys open and are you going to be opening soon?” She also added that most of the clients they serve do not drive and rely on public transportation to reach them and receive services; she said: “Many of our folks don’t drive and so you're entirely reliant on public transportation.” She added that in emergency planning it is important to make sure that help is reaching these people. She also expressed concerns that “those communities that have historically been marginalized” ended up having limited access to “information” about services or resources.
Participants in our study also discussed the emotional toll of being separated from loved ones with limited mobility and the fear of not being able to reach them in times of need. Several interviewees expressed concern about older adults in their families or social networks who have limited mobility and may require assistance. One participant expressed concern for her grandmother, who lives with her aunt: “My grandmother who is not physically can- she cannot walk because she's 98 years old and my aunt can’t carry her.” She added that she commutes regularly to provide care for her mother, aunt, and grandmother. She explained, “So, not seeing them [my mother, aunt, and grandmother] having that devastation will be really- impact a lot because they're very vulnerable.” Similarly, another community member expressed concerns about older adults in her social network, fearing they may not be able to leave their homes, find help, or stay in a shelter in case of an earthquake:
“I don’t think my mom could [live in a shelter]. She’s a little bit older, …, and I know, like, my grandma would need, like, her medicine to be refrigerated… she has a hard time, like, walking, …She takes, like, different medicine, … I have a friend, like, family friend, … her mom doesn't speak a lot of English, so if something like an earthquake were to happen, like, she would struggle to, like, find help around.”
Delays in Recovery Efforts Disproportionately Impact Vulnerable Populations
When answering a question about the aftermath of a major seismic event, participants discussed how an earthquake can have far-reaching and disproportionate impacts on certain segments of the population, exacerbating existing vulnerabilities and inequities. For instance, an interviewee living with disability expressed concern about access to services being impacted for a while similar to the situation during the COVID-19. He said: “With COVID, you know, your- the offices shut down for a while, too, so those would be my concerns, is like the government welfare systems for people and myself... A lot of the disabled people in my community and myself, in general we joke that, like, being disabled is, like, a job because we have a lot of chronic pain and- and different things.” A community member working with children with specific needs explained that many parents are not trained or well-equipped to support the learning needs of their children with specific needs. She compared the situation with the lockdown during the COVID-19 pandemic and explained that while some children could catch up with their education online with support from parents, delays in recovery after an earthquake will put the growth and progress of children with specific needs at risk. She further added:
“The kiddos that I work with, the families that I work with, they will be impacted … especially the disability kids that they…they have to have this particular kind of education, because we modify everything … the parents are not qualified to do so. It's not like a normal neurotypical kid where the mom and the dad will be able to educate them. We have special tools. We are trained to teach them … So that would worry me, too, I would say, “oh what's going to happen to my—my—the kids that I serve?”
There were also concerns about people working in service sectors or the transportation industry and how far and long their work would be impacted by a major earthquake. An Asian American woman self-identifying as living in an immigrant low-income family expressed concern about finding a job after an earthquake and said, “I mean, how long it would take for the whole city to recover … where can I find a job or what type of job opportunities are there if I lost the current one?” A community member working in the transportation industry emphasized the importance of a functional airport for the survival of businesses after an earthquake. He noted, “businesses will not survive” without a functional airport after an earthquake. He explained, “the airport is not earthquake resistant, it could really affect economy, because the airport is an avenue for goods moving in and out of the Port … it will directly affect the economy in an event after of an earthquake.”
Small business owners also voiced concern about delays in recovery after an earthquake. In this context, an African American woman self-identifying as a refugee explained “I do a lot of trading online … and it—airport do bring those goods to me too, so it [an earthquake] will affect me a lot, I will not be able to cater for my children anymore like that, and financially I’ll not be okay.” A single mother with a part-time job as a hairdresser said “I think it really affects me… I do home services I go to people's houses and do their hair… I'm a single mother. So, in this situation [after an earthquake], if I'm unable to travel that distance it hinders my business and it will affect me- it's been a really hard providing for the two children.” She further explained:
“Firstly, I don't really earn a lot. Okay, my income is very small. When the situation is like this if I'm unable to go out for businesses, I might start experiencing starvation—I told you earlier I am a single mother... the disadvantages I will have in that situation is that I won't be able to go my—do my normal work schedule like normal, and this will bring a great effect in me not being able to take care for my two kids. So, I think it really affects me, that one of the more important disadvantages is that it will affect me financially.”
Persistent Concerns Exist Around Inclusiveness and Trust in Disaster Management
Several interviewees expressed concerns about potential racial discrimination in disaster planning and management. A key informant explained that disaster management planning and the design of governmental services are typically led by middle-class Whites, adding that is why, “It's very hard for people from a different cultural background to always access government services.”
In this context, a community member participant voiced concerns about equity in healthcare services during emergencies, stating: “Concerning healthcare… considering my Black origin I might have issues with discrimination, and I don’t have enough money to get the best and proper healthcare so I think will be a little bit separation and segregation so that will be the first thing I would look out for and that will be the first issue I'll have.” Another community participant shared with our interviewer: “I am a Black American and my wife is Latino so first of all I think staying in the camp won't be that easy because already we are not in the camp and we already facing discrimination so imagine being in a place that you are being controlled. And I feel they'll be little bit biased in of operation which I'm very sure that should occur.”
A participant working in a manufacturing company remarked: “You know discrimination applies to us as well. So having to, you know, get shelter or get preferential treatment during a situation like that [earthquake] would quite be difficult for me as a Black American.” Similarly, another participant noted: “Well I'm a Black lady and... there's gonna be discrimination. Even when items have been shared you won't get equal compared to what the Whites get.”
Concerns about the immigration status and language access were also discussed. One participant candidly shared their apprehension, stating, “I'm an immigrant I'm a Muslim-born I'm married to my husband... If an earthquake happens based on my social position my race my religion, I'm a little bit afraid that I might be discriminated because I'm an immigrant.” A participant from the immigrant community mentioned: “It will be very important to have people who be able to speak other languages other than English. I know-Yes, I know a lot of- you know, we can use our kids or, you know, some people can- you know, their kids can help them, but, you know, in some situations, like, you need to know what to do, it’s important you have- do it in your own language.”
Trust to seek assistance during crises was also discussed by participants. Key informants talked about hesitancy to share personal information or accept assistance among immigrant communities, often stemming from fears of ulterior motives or future consequences. One of the key informants wondered if having recognized legal documents by the government would matter in accessing services. She said “The fear of leaving if they're undocumented… They're not going to want to be at any list because of that and so those are the people that are also going to stay behind and struggle.” The following remark from one of the key informants also attests to this concern: “Even in this pandemic, you know as we tried to offer client assistance particularly those that... there was still that fear of like well but if I accept the money is there a tracking kind of system in the end.” Related to the topic of trust, another participant articulated:
“I think there's a critically important key piece here to say- when those tried and true kind of pathways between government and the community are not meeting everybody where and how do we kind of reach out to folks who either aren't in the system don't trust the system are getting misinformation about the system- you know or really just have a need for education and training around what services and what supports are there for them.”