Risk of mortality during and after the 2011 Great East Japan Earthquake and Tsunami among older coastal residents.
Risk of mortality during and after the 2011 Great East Japan Earthquake and Tsunami among older coastal residents.
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DOI：
10.1038/s41598-017-16636-3
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发表时间：
2017-11-29
影响因子：
4.6
通讯作者：
Kawachi I
中科院分区：
文献类型：
--
作者：
Aida J;Hikichi H;Matsuyama Y;Sato Y;Tsuboya T;Tabuchi T;Koyama S;Subramanian SV;Kondo K;Osaka K;Kawachi I
日本老年学评估研究是一项针对65岁及以上老年人的全国性队列研究，成立于2010年7月。7个月后，其中一个研究地点正好位于2011年东日本大地震和海啸的发生地线上。尽管地震和海啸之间有1小时的预警间隔，许多沿海居民还是失去了生命。我们分析了灾难发生当天以及灾难发生后38个月的全因死亡率风险。在860名参与者中，33人（3.8%）直接死于海啸，另有95人在38个月的随访期间死亡。有抑郁症状的个体在灾难发生当天的死亡风险较高（优势比= 3.90 [95% CI: 1.13, 13.47]）。社会关系越密切的人也面临着更高的死亡风险，尽管这些估计在统计上并不显著。相比之下，灾难发生后，频繁的社会互动又回到了预测生存率提高的水平（风险比= 0.46 (95% CI: 0.26, 0.82)）。抑郁症状和更强的社会联系与灾难当天死亡风险增加有关。灾难发生后，社会互动与存活率的提高有关。
The Japan Gerontological Evaluation Study is a nationwide cohort study of individuals aged 65 years and older established in July 2010. Seven months later, one of the study field sites was directly in the line of the 2011 Great East Japan Earthquake and Tsunami. Despite the 1-hour warning interval between the earthquake and tsunami, many coastal residents lost their lives. We analyzed the risk of all-cause mortality on the day of the disaster as well as in the 38-month interval after the disaster. Among 860 participants, 33 (3.8%) died directly because of the tsunami and an additional 95 people died during the 38-month follow-up period. Individuals with depressive symptoms had elevated risk of mortality on the day of the disaster (odds ratio = 3.90 [95% CI: 1.13, 13.47]). More socially connected people also suffered increased risk of mortality, although these estimates were not statistically significant. In contrast, after the disaster, frequent social interactions reverted back to predicting improved survival (hazard ratio = 0.46 (95% CI: 0.26, 0.82)). Depressive symptoms and stronger social connectedness were associated with increased risk of mortality on the day of the disaster. After the disaster, social interactions were linked to improved survival.
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影响因子：
3.2
作者：
Aldrich, Daniel P.;Meyer, Michelle A.
通讯作者：
Meyer, Michelle A.
DOI：
10.1038/npp.2010.164
发表时间：
2011-01
期刊：
Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology
影响因子：
--
作者：
通讯作者：
--
影响因子：
13.6
作者：
Hikichi H;Sawada Y;Tsuboya T;Aida J;Kondo K;Koyama S;Kawachi I
通讯作者：
Kawachi I
影响因子：
2.7
作者：
Greenberg, Sherry A.
通讯作者：
Greenberg, Sherry A.
影响因子：
15.8
作者：
Holt-Lunstad J;Smith TB;Layton JB
通讯作者：
Layton JB