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Article: Can community social cohesion prevent posttraumatic stress disorder in the aftermath of a disaster? A natural experiment from the 2011 Tohoku Earthquake and Tsunami
Title | Can community social cohesion prevent posttraumatic stress disorder in the aftermath of a disaster? A natural experiment from the 2011 Tohoku Earthquake and Tsunami |
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Authors | |
Keywords | community social cohesion spatial Durbin model posttraumatic stress disorder Japan disaster resilience disaster |
Issue Date | 2016 |
Citation | American Journal of Epidemiology, 2016, v. 183, n. 10, p. 902-910 How to Cite? |
Abstract | © The Author 2016. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. In the aftermath of a disaster, the risk of posttraumatic stress disorder (PTSD) is high. We sought to examine whether the predisaster level of community social cohesion was associated with a lower risk of PTSD after the earthquake and tsunami in Tohoku, Japan, on March 11, 2011. The baseline for our natural experiment was established in a survey of older community-dwelling adults who lived 80 kilometers west of the epicenter 7 months before the earthquake and tsunami. A follow-up survey was conducted approximately 2.5 years after the disaster. We used a spatial Durbin model to examine the association of community-level social cohesion with the individual risk of PTSD. Among our analytic sample (n = 3,567), 11.4% of respondents reported severe PTSD symptoms. In the spatial Durbin model, individual- and community-level social cohesion before the disaster were significantly associated with lower risks of PTSD symptoms (odds ratio = 0.87, 95% confidence interval: 0.77, 0.98 and odds ratio = 0.75, 95% confidence interval: 0.63, 0.90, respectively), even after adjustment for depression symptoms at baseline and experiences during the disaster (including loss of loved ones, housing damage, and interruption of access to health care). Community-level social cohesion strengthens the resilience of community residents in the aftermath of a disaster. |
Persistent Identifier | http://hdl.handle.net/10722/264970 |
ISSN | 2023 Impact Factor: 5.0 2023 SCImago Journal Rankings: 0.837 |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Hikichi, Hiroyuki | - |
dc.contributor.author | Aida, Jun | - |
dc.contributor.author | Tsuboya, Toru | - |
dc.contributor.author | Kondo, Katsunori | - |
dc.contributor.author | Kawachi, Ichiro | - |
dc.date.accessioned | 2018-11-08T01:35:27Z | - |
dc.date.available | 2018-11-08T01:35:27Z | - |
dc.date.issued | 2016 | - |
dc.identifier.citation | American Journal of Epidemiology, 2016, v. 183, n. 10, p. 902-910 | - |
dc.identifier.issn | 0002-9262 | - |
dc.identifier.uri | http://hdl.handle.net/10722/264970 | - |
dc.description.abstract | © The Author 2016. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. In the aftermath of a disaster, the risk of posttraumatic stress disorder (PTSD) is high. We sought to examine whether the predisaster level of community social cohesion was associated with a lower risk of PTSD after the earthquake and tsunami in Tohoku, Japan, on March 11, 2011. The baseline for our natural experiment was established in a survey of older community-dwelling adults who lived 80 kilometers west of the epicenter 7 months before the earthquake and tsunami. A follow-up survey was conducted approximately 2.5 years after the disaster. We used a spatial Durbin model to examine the association of community-level social cohesion with the individual risk of PTSD. Among our analytic sample (n = 3,567), 11.4% of respondents reported severe PTSD symptoms. In the spatial Durbin model, individual- and community-level social cohesion before the disaster were significantly associated with lower risks of PTSD symptoms (odds ratio = 0.87, 95% confidence interval: 0.77, 0.98 and odds ratio = 0.75, 95% confidence interval: 0.63, 0.90, respectively), even after adjustment for depression symptoms at baseline and experiences during the disaster (including loss of loved ones, housing damage, and interruption of access to health care). Community-level social cohesion strengthens the resilience of community residents in the aftermath of a disaster. | - |
dc.language | eng | - |
dc.relation.ispartof | American Journal of Epidemiology | - |
dc.rights | This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. | - |
dc.subject | community social cohesion | - |
dc.subject | spatial Durbin model | - |
dc.subject | posttraumatic stress disorder | - |
dc.subject | Japan | - |
dc.subject | disaster resilience | - |
dc.subject | disaster | - |
dc.title | Can community social cohesion prevent posttraumatic stress disorder in the aftermath of a disaster? A natural experiment from the 2011 Tohoku Earthquake and Tsunami | - |
dc.type | Article | - |
dc.description.nature | published_or_final_version | - |
dc.identifier.doi | 10.1093/aje/kwv335 | - |
dc.identifier.pmid | 27026337 | - |
dc.identifier.scopus | eid_2-s2.0-84971525410 | - |
dc.identifier.volume | 183 | - |
dc.identifier.issue | 10 | - |
dc.identifier.spage | 902 | - |
dc.identifier.epage | 910 | - |
dc.identifier.eissn | 1476-6256 | - |
dc.identifier.isi | WOS:000376378700004 | - |
dc.identifier.issnl | 0002-9262 | - |