Hamid Reza Khankeh - Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Shokoufeh Ahmadi - Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Robab Sahaf - Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Asghar Dalvandi - Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Seyed Ali Hosseini - Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.

Background: The growth of the elderly population, on the one hand, and the increase in exposure to accidents and disasters, on the other hand, have highlighted the attention on the issues of the older adults in disasters. This study aimed to investigate the changes in the lives of the elderly after the earthquake. Materials and Methods: The present qualitative study was conducted using the content analysis method. The study data were collected through in-depth and semi-structured interviews. In total, ۲۶ participants were interviewed in this study, including ۴ specialists (an accident and disaster specialist, an elderly specialist, a psychologist, a social worker), ۱۸ older adults, and ۴ caregivers of the older adults. The data collection and data analysis process were performed simultaneously, and the Granheim and Lundman approach was used in this regard. Results: In this study, two main categories were found about changes in the lives of the elderly after the earthquake: re-victimization and post-accident growth. Re-victimization category consisted of the subcategories of “increased dependency”, “declining physical and mental health”, “poverty and deprivation”, and “avoidance of work and family activities”, and post-accident growth included the subcategories of “individual growth”, “self-regulatory behaviors”, and “reinforcing the houses”. Conclusion: Clarifying the nature and life changes of the elderly after the earthquake can enhance the knowledge of service providers. This information helps them make the necessary plans to prevent and reduce the problems that the elderly face after the earthquake.

Accidents, Disasters, Elderly, Earthquake, Qualitative study