Does Type of Residential Housing Matter for Depressive Symptoms in the Aftermath of a Disaster? Insights From the Great East Japan Earthquake and Tsunami.

Does Type of Residential Housing Matter for Depressive Symptoms in the Aftermath of a Disaster? Insights From the Great East Japan Earthquake and Tsunami.
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DOI:
10.1093/aje/kwx274
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发表时间:
2018-03-01
影响因子:
5
通讯作者:
Kawachi I
Kawachi I
中科院分区:
医学2区
文献类型:
--
作者:
Sasaki Y;Aida J;Tsuji T;Miyaguni Y;Tani Y;Koyama S;Matsuyama Y;Sato Y;Tsuboya T;Nagamine Y;Kameda Y;Saito T;Kakimoto K;Kondo K;Kawachi I

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2011 年东日本大地震和海啸造成大面积财产破坏,超过 25 万居民流离失所。我们试图研究受影响受害者可获得的住房安排类型是否与抑郁症状的不同发生率相关。作为日本老年学评估研究的一部分,这项前瞻性队列研究由岩沼市 65 岁以上的参与者组成,我们获得了 2010 年灾难前和灾难后 2.5 年居民心理健康的信息。使用老年抑郁量表。灾后住宿类型分为5类:不动、活动板房(临时住房)、现有私人住宿(临时公寓)、新建住房、其他。采用泊松回归分析,有或没有多重插补。在 2,242 名参与者中,16.2% 的人在随访时报告有抑郁症状。与未入住预制房屋的人相比,搬进预制房屋的人的抑郁症状调整后比率为 2.07(95% 置信区间:1.45、2.94)。搬进现有的私人住所或其他类型的住所与抑郁症无关。灾难恢复规划应考虑居住环境与长期心理健康之间的关系。
The 2011 Great East Japan Earthquake and Tsunami resulted in widespread property destruction and over 250,000 displaced residents. We sought to examine whether the type of housing arrangement available to the affected victims was associated with a differential incidence of depressive symptoms. In this prospective cohort study, which comprised participants aged ≥65 years from Iwanuma as a part of the Japan Gerontological Evaluation Study, we had information about the residents’ mental health both before the disaster in 2010 and 2.5 years afterward. The Geriatric Depression Scale was used. Type of accommodation after the disaster was divided into 5 categories: no move, prefabricated housing (temporary housing), existing private accommodations (temporary apartment), newly established housing, and other. Poisson regression analysis was adopted, with and without multiple imputation. Among the 2,242 participants, 16.2% reported depressive symptoms at follow-up. The adjusted rate ratio for depressive symptoms among persons moving into prefabricated housing, compared with those who did not, was 2.07 (95% confidence interval: 1.45, 2.94). Moving into existing private accommodations or other types of accommodations was not associated with depression. The relationship between living environment and long-term mental health should be considered for disaster recovery planning.
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