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The purpose of this research is to understand how people living with chronic illness understand their healthcare needs, particularly as they can be disrupted by natural hazards events (e.g. earthquakes, flooding and landslides), which can result in chronic health conditions becoming acute. Research has shown that, because of such disruption, people with chronic illness face the greatest risk of adverse health outcomes during a disaster, placing significant demand on healthcare systems.

The research draws on a narrative analysis of in-depth, semi-structured interviews with eight people who have a chronic illness and live in a hazard-prone location, namely Petone, Lower Hutt, Aotearoa New Zealand.

Two major narrative themes were identified: “Social Capital”, which included the three subthemes of community, social connection and support and family and friends. Tellers also experienced a strong sense of “Independence”, as demonstrated through seven subthemes that included declaration, defiance, rules, experience, acceptance, responsibility, self-surveillance and self-management.

Practice output from this research includes the development of fit for purpose emergency management policies and other educational resources to ensure equity, access and choice for people with a chronic illness and their communities.

This research produces in-depth knowledge and insight into the preparedness and response needs of people who live with a chronic illness. This is an under-research area in disaster management in Aotearoa New Zealand.

Routine medical treatment for people living with chronic illness can be disrupted by natural hazard events (e.g. earthquakes, flooding and landslides), which can result in chronic health conditions becoming acute. Research has shown that, because of such disruption, the chronically ill face the greatest risk of adverse health outcomes during a disaster, placing significant demand on healthcare. This research investigates how people living with chronic illness experience disaster preparedness and response while residing in a hazard-prone location, namely Petone, Lower Hutt, Aotearoa New Zealand. The study argues that it is imperative to acknowledge the experiences of people with chronic illness as they provide specific insights into their needs during a disaster.

The study addresses gaps in sustainable luxury consumption research by analyzing the role of social norms in different cultural settings. It investigates how social norms, self-control, conspicuousness and future orientation shape sustainable luxury consumption in individualistic (UK) versus collectivist (China) national cultures.

The study was based on survey data from British and Chinese luxury product consumers collected through online panels. The final sample included 452 valid responses from the UK and 414 from China. Hypotheses were tested using structural equation modeling.

The study found that descriptive norms positively influence sustainable luxury consumption in individualistic (UK) and collectivist (China) cultures. Injunctive norms affect sustainable consumption only in the UK. Future consequences universally impact sustainable consumption. Conspicuous consumption negatively affects preferences for sustainable luxury brands. Self-control enhances the impact of descriptive norms in the UK but reduces the impact of injunctive norms in China.

This study uniquely explores how social norms and cultural influences impact sustainable luxury consumption in individualistic and collectivistic societies. It highlights the moderating role of national culture, providing actionable insights for luxury brands to enhance sustainable consumption with culturally tailored strategies. The research challenges the universality of the theory of normative social behavior, advocating for its refined application across different cultures.