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- Publisher Website: 10.1016/j.socscimed.2017.01.022
- Scopus: eid_2-s2.0-85009963282
- PMID: 28122269
- WOS: WOS:000395839900005
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Article: Predictors of decline in IADL functioning among older survivors following the Great East Japan earthquake: A prospective study
Title | Predictors of decline in IADL functioning among older survivors following the Great East Japan earthquake: A prospective study |
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Authors | |
Keywords | Natural experiment Independent living Japan Natural disaster |
Issue Date | 2017 |
Citation | Social Science and Medicine, 2017, v. 176, p. 34-41 How to Cite? |
Abstract | © 2017 Elsevier Ltd Introduction We described associations between the type of disaster experience and change in instrumental activities of daily living among older adult survivors before-after a terrible disaster. Methods The study took advantage of a “natural experiment” afforded by the Japan Gerontological Evaluation Study (JAGES), a nationwide cohort study established in 2010, seven months prior to the earthquake and tsunami. A follow-up survey was conducted in 2013. This study was conducted in Iwanuma, which was directly struck by tsunami. Our sample comprised community-dwelling aged survivors in Iwanuma who responded to questions about personal circumstances and functional status both before and after the disaster (N = 3547). Personal experiences of earthquake and tsunami damage was used as an exposure variable. The outcome was changes in self-reported 13-item instrumental activities of daily living (IADL), which was assessed both before and after the disaster. Results Among the participants, 931 reported losing family member(s) to the disaster, while a further 549 reported losing friend(s). More than half of the participants reported any damage to their houses while approximately 1 in 8 lost their car(s). The multivariable OLS regression revealed that complete house loss and disruption of internal medicine were associated with significantly worse IADL: −0.67 points (95%CI: −0.99, −0.34) for entirely destroyed homes; −0.40 points (95% CI: −0.71, −0.092) for disruption of internal medicine. By contrast, loss of family/friends/pets/cars and disruption to the other medical service were not associated with decline in IADL. Conclusion Complete house loss and disruption of access to internal medicine after a disaster were associated with significant adverse impact on decline in physical and cognitive functions 2.5 years after the disaster, while loss of family/friends was not. |
Persistent Identifier | http://hdl.handle.net/10722/264990 |
ISSN | 2023 Impact Factor: 4.9 2023 SCImago Journal Rankings: 1.954 |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Tsuboya, Toru | - |
dc.contributor.author | Aida, Jun | - |
dc.contributor.author | Hikichi, Hiroyuki | - |
dc.contributor.author | Subramanian, S. V. | - |
dc.contributor.author | Kondo, Katsunori | - |
dc.contributor.author | Osaka, Ken | - |
dc.contributor.author | Kawachi, Ichiro | - |
dc.date.accessioned | 2018-11-08T01:35:31Z | - |
dc.date.available | 2018-11-08T01:35:31Z | - |
dc.date.issued | 2017 | - |
dc.identifier.citation | Social Science and Medicine, 2017, v. 176, p. 34-41 | - |
dc.identifier.issn | 0277-9536 | - |
dc.identifier.uri | http://hdl.handle.net/10722/264990 | - |
dc.description.abstract | © 2017 Elsevier Ltd Introduction We described associations between the type of disaster experience and change in instrumental activities of daily living among older adult survivors before-after a terrible disaster. Methods The study took advantage of a “natural experiment” afforded by the Japan Gerontological Evaluation Study (JAGES), a nationwide cohort study established in 2010, seven months prior to the earthquake and tsunami. A follow-up survey was conducted in 2013. This study was conducted in Iwanuma, which was directly struck by tsunami. Our sample comprised community-dwelling aged survivors in Iwanuma who responded to questions about personal circumstances and functional status both before and after the disaster (N = 3547). Personal experiences of earthquake and tsunami damage was used as an exposure variable. The outcome was changes in self-reported 13-item instrumental activities of daily living (IADL), which was assessed both before and after the disaster. Results Among the participants, 931 reported losing family member(s) to the disaster, while a further 549 reported losing friend(s). More than half of the participants reported any damage to their houses while approximately 1 in 8 lost their car(s). The multivariable OLS regression revealed that complete house loss and disruption of internal medicine were associated with significantly worse IADL: −0.67 points (95%CI: −0.99, −0.34) for entirely destroyed homes; −0.40 points (95% CI: −0.71, −0.092) for disruption of internal medicine. By contrast, loss of family/friends/pets/cars and disruption to the other medical service were not associated with decline in IADL. Conclusion Complete house loss and disruption of access to internal medicine after a disaster were associated with significant adverse impact on decline in physical and cognitive functions 2.5 years after the disaster, while loss of family/friends was not. | - |
dc.language | eng | - |
dc.relation.ispartof | Social Science and Medicine | - |
dc.subject | Natural experiment | - |
dc.subject | Independent living | - |
dc.subject | Japan | - |
dc.subject | Natural disaster | - |
dc.title | Predictors of decline in IADL functioning among older survivors following the Great East Japan earthquake: A prospective study | - |
dc.type | Article | - |
dc.description.nature | link_to_subscribed_fulltext | - |
dc.identifier.doi | 10.1016/j.socscimed.2017.01.022 | - |
dc.identifier.pmid | 28122269 | - |
dc.identifier.scopus | eid_2-s2.0-85009963282 | - |
dc.identifier.volume | 176 | - |
dc.identifier.spage | 34 | - |
dc.identifier.epage | 41 | - |
dc.identifier.eissn | 1873-5347 | - |
dc.identifier.isi | WOS:000395839900005 | - |
dc.identifier.issnl | 0277-9536 | - |