The differences of poor SRH among municipalities in Iwate after the Great East Japan Earthquake

Abstract The health of communities has been observed to recover at differential rates in the wake of disasters. In the present study, the 5-year trends in poor self-rated health (SRH) in three municipalities of Iwate Prefecture following the 2011 Great East Japan Earthquake and Tsunami were compared...

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Autores principales:	Shuko Takahashi, Haruki Shimoda, Kiyomi Sakata, Akira Ogawa, Seiichiro Kobayashi, Ichiro Kawachi
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/d748cd0954a844fb88eeb350a2b1b48e
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spelling	oai:doaj.org-article:d748cd0954a844fb88eeb350a2b1b48e2021-12-02T18:53:08ZThe differences of poor SRH among municipalities in Iwate after the Great East Japan Earthquake10.1038/s41598-021-96237-32045-2322https://doaj.org/article/d748cd0954a844fb88eeb350a2b1b48e2021-08-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-96237-3https://doaj.org/toc/2045-2322Abstract The health of communities has been observed to recover at differential rates in the wake of disasters. In the present study, the 5-year trends in poor self-rated health (SRH) in three municipalities of Iwate Prefecture following the 2011 Great East Japan Earthquake and Tsunami were compared. Annual surveys were conducted from 2011 to 2015 in three municipalities (Otsuchi, Rikuzentakata, and Yamada) that were heavily damaged by the tsunami. We tracked the prevalence of poor SRH in 10,052 participants (mean age, 61.0 years; 39.0% men). Trends in the prevalence of poor SRH were analyzed using generalized linear mixed effect models with control for covariates. Immediately after the disaster (2011), all three municipalities reported similar prevalences of poor SRH (around 15%). Among people under the age of 65 years, there was a gradual improvement in health for residents of Rikuzentakata and Yamada, but the prevalence of poor SRH remained persistently high in Otsuchi. Among people over the age of 65 years, the prevalence of poor SRH remained constant in Rikuzentakata and Yamada but increased over a 5-year follow-up period in Otsuchi. The delayed health recovery in Otsuchi may be due to the characteristics of the local health system. Examination of the variations in health recovery may provide clues about the sources of disaster resilience.Shuko TakahashiHaruki ShimodaKiyomi SakataAkira OgawaSeiichiro KobayashiIchiro KawachiNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Shuko Takahashi Haruki Shimoda Kiyomi Sakata Akira Ogawa Seiichiro Kobayashi Ichiro Kawachi The differences of poor SRH among municipalities in Iwate after the Great East Japan Earthquake
description	Abstract The health of communities has been observed to recover at differential rates in the wake of disasters. In the present study, the 5-year trends in poor self-rated health (SRH) in three municipalities of Iwate Prefecture following the 2011 Great East Japan Earthquake and Tsunami were compared. Annual surveys were conducted from 2011 to 2015 in three municipalities (Otsuchi, Rikuzentakata, and Yamada) that were heavily damaged by the tsunami. We tracked the prevalence of poor SRH in 10,052 participants (mean age, 61.0 years; 39.0% men). Trends in the prevalence of poor SRH were analyzed using generalized linear mixed effect models with control for covariates. Immediately after the disaster (2011), all three municipalities reported similar prevalences of poor SRH (around 15%). Among people under the age of 65 years, there was a gradual improvement in health for residents of Rikuzentakata and Yamada, but the prevalence of poor SRH remained persistently high in Otsuchi. Among people over the age of 65 years, the prevalence of poor SRH remained constant in Rikuzentakata and Yamada but increased over a 5-year follow-up period in Otsuchi. The delayed health recovery in Otsuchi may be due to the characteristics of the local health system. Examination of the variations in health recovery may provide clues about the sources of disaster resilience.
format	article
author	Shuko Takahashi Haruki Shimoda Kiyomi Sakata Akira Ogawa Seiichiro Kobayashi Ichiro Kawachi
author_facet	Shuko Takahashi Haruki Shimoda Kiyomi Sakata Akira Ogawa Seiichiro Kobayashi Ichiro Kawachi
author_sort	Shuko Takahashi
title	The differences of poor SRH among municipalities in Iwate after the Great East Japan Earthquake
title_short	The differences of poor SRH among municipalities in Iwate after the Great East Japan Earthquake
title_full	The differences of poor SRH among municipalities in Iwate after the Great East Japan Earthquake
title_fullStr	The differences of poor SRH among municipalities in Iwate after the Great East Japan Earthquake
title_full_unstemmed	The differences of poor SRH among municipalities in Iwate after the Great East Japan Earthquake
title_sort	differences of poor srh among municipalities in iwate after the great east japan earthquake
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/d748cd0954a844fb88eeb350a2b1b48e
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The differences of poor SRH among municipalities in Iwate after the Great East Japan Earthquake

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