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Long-Term Associations Between Disaster Experiences and Cardiometabolic Risk: A Natural Experiment From the 2011 Great East Japan Earthquake and Tsunami

Shiba, Koichiro ; Hikichi, Hiroyuki ; Aida, Jun ; Kondo, Katsunori ; Kawachi, Ichiro

American journal of epidemiology, 2019-06, Vol.188 (6), p.1109-1119 [Periódico revisado por pares]

United States: Oxford Publishing Limited (England)

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Título:
Long-Term Associations Between Disaster Experiences and Cardiometabolic Risk: A Natural Experiment From the 2011 Great East Japan Earthquake and Tsunami
Autor: Shiba, Koichiro ; Hikichi, Hiroyuki ; Aida, Jun ; Kondo, Katsunori ; Kawachi, Ichiro
Assuntos: Aged ; Aged, 80 and over ; Biomarkers ; Blood Pressure ; Body mass ; Body Mass Index ; Body size ; Body Weights and Measures ; Cardiovascular Diseases - epidemiology ; Cholesterol ; Confidence intervals ; Disasters ; Disasters - statistics & numerical data ; Dyslipidemias - epidemiology ; Earthquake damage ; Earthquakes ; Female ; Health Behavior ; Health risks ; Health Status ; Housing ; Humans ; Japan - epidemiology ; Lipids - blood ; Male ; Medical records ; Mental Health ; Natural disasters ; Original Contributions ; Polls & surveys ; Risk analysis ; Risk Factors ; Seismic activity ; Socioeconomic Factors ; Statistical analysis ; Survivors - statistics & numerical data ; Tsunamis
É parte de: American journal of epidemiology, 2019-06, Vol.188 (6), p.1109-1119
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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Descrição: We investigated the association between disaster experience and the cardiometabolic risk of survivors 2.5 years after disaster onset, adjusting for health information predating the disaster, using natural experiment data stemming from the 2011 Great East Japan Earthquake and Tsunami. We used data from a cohort of adults aged 65 years or older in Iwanuma City, Japan, located 80 km (128 miles) west of the earthquake epicenter. The baseline survey was completed 7 months before the disaster, and the follow-up survey was performed among survivors approximately 2.5 years after the disaster. The survey data were linked to medical records with information on objectively measured cardiometabolic risk factors (n = 1,195). The exposure of interest was traumatic disaster experiences (i.e., housing damage and loss of loved ones). Fixed-effects regression showed that complete housing destruction was significantly associated with a 0.81-unit greater change in body mass index (weight (kg)/height (m)2; 95% confidence interval (CI): 0.24, 1.38), a 4.26-cm greater change in waist circumference (95% CI: 1.12, 7.41), and a 4.77-mg/dL lower change in high-density lipoprotein cholesterol level (95% CI: -7.96, -1.58) as compared with no housing damage. We also observed a significant association between major housing damage and decreased systolic blood pressure. Continued health checkups and supports for victims who lost homes should be considered to maintain their cardiometabolic health.
Editor: United States: Oxford Publishing Limited (England)
Idioma: Inglês

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Long-Term Associations Between Disaster Experiences and Cardiometabolic Risk: A Natural Experiment From the 2011 Great East Japan Earthquake and Tsunami

Shiba, Koichiro ; Hikichi, Hiroyuki ; Aida, Jun ; Kondo, Katsunori ; Kawachi, Ichiro

United States: Oxford Publishing Limited (England)

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