The study underscores a critical gap in emergency preparedness between rural and urban areas in Oregon. Rural counties, which face higher risks of natural disasters, have embraced the OR-Alert system more robustly, while urban areas like Portland remain under-enrolled. This disparity leaves a significant portion of the urban population vulnerable to emergencies. Additionally, the underutilization of push notifications, which are crucial for rapid alerts such as earthquake warnings, poses a challenge to effective risk mitigation. The researchers emphasize the need for improved institutional coordination to enhance public trust and engagement with emergency systems.