Author:
Kotozaki Yuka,Tanno Kozo,Sakata Kiyomi,Takusari Eri,Otsuka Kotaro,Tomita Hiroaki,Sasaki Ryohei,Takanashi Nobuyuki,Mikami Takahiro,Hozawa Atsushi,Nakaya Naoki,Tsuchiya Naho,Nakamura Tomohiro,Narita Akira,Taki Yasuyuki,Shimizu Atsushi,Hitomi Jiro,Satoh Mamoru,Sasaki Makoto
Abstract
Abstract
Background
Social isolation and mental health issues have become a severe problem in disaster areas in the Great East Japan Earthquake. This study examined whether the combination of the house damage and social isolation or the combination of the death of family members and social isolation is associated with depressive symptoms among survivors using the baseline study data of the Tohoku Medical Megabank Project Community-Based Cohort Study (TMM CommCohort Study).
Methods
We used cross-sectional data from a baseline survey of 48,958 participants (18,423 males, 30,535 females; aged 60.1 ± 11.2 years) to examine the association between social isolation measured by the Lubben social network scale 6 (LSNS-6) and depressive symptoms measured by the Center for Epidemiological Studies-Depressive Scale (CES-D). The presence of social isolation and depressive symptoms was defined by an LSNS-6 score of < 12 and a CES-D score of ≥16, respectively. We performed a logistic regression analysis to determine the multivariable-adjusted odds ratio (95% confidence interval) [AOR (95% CI)] for depressive symptoms according to sex in the social isolation in comparison to without social isolation, and the associations of the combination of the house damage or the death of family members and social isolation and depressive symptoms.
Results
Social isolation was significantly associated with depressive symptoms (males: OR = 1.87; 95% CI = 1.72–2.04, females: OR = 2.13; 95% CI = 2.00–2.26). Both males and females respondents with severe house damage and social isolation had a greater risk of depressive symptoms in comparison to those with an undamaged house and without social isolation (males: OR = 3.40; 95% CI = 2.73–4.24, females: OR = 2.92; 95% CI = 2.46–3.46). The risk of depressive symptoms was also higher in both males and females respondents with the death of family members and social isolation in comparison to those without the death of family members and without social isolation (males: OR = 2.18; 95% CI = 1.90–2.50, females: OR = 2.60; 95% CI = 2.35–2.88).
Conclusion
The findings suggested that a combination of social isolation and severe house damage and the death of family members caused by a large-scale natural disaster was associated with a higher risk of depressive symptoms although the interaction was not statistically significant.
Publisher
Springer Science and Business Media LLC
Subject
Public Health, Environmental and Occupational Health
Reference46 articles.
1. Reconstruction Design Council in response to the Great East Japan Earthquake. Towards Reconstruction: Hope beyond the Disaster: report to the Prime Minister of the Reconstruction Design Council in response to the Great East Japan Earthquake. 2011. Available at: https://warp.da.ndl.go.jp/info:ndljp/pid/3508860/www.reconstruction.go.jp/topics/%E6%8F%90%E8%A8%80%EF%BC%88%E8%8B%B1%E8%AA%9E%EF%BC%89.pdf.
2. Furukawa K, Arai H. Earthquake in Japan. Lancet. 2011;377(9778):1652. https://doi.org/10.1016/S0140-6736(11)60671-5.
3. National Police Agency. Police measures and damage caused by the Great East Japan earthquake of 2011. Available at: https://www.npa.go.jp/news/other/earthquake2011/pdf/higaijokyo.pdf. 2021.
4. Lubben JE, Gironda ME. Centrality of social ties to the health and well-being of older adults. In: Social work and health care in an aging world. New York: Springer Press; 2003. p. 319–50.
5. Lubben JE. Assessing social networks among elderly populations. Fam Commun Health. 1988;11(3):42–52. https://doi.org/10.1097/00003727-198811000-00008.
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