@article{ref1,
title="Persistent impact of housing loss on cognitive decline after the 2011 Great East Japan earthquake and tsunami: evidence from a 6-year longitudinal study",
journal="Alzheimer's and dementia",
year="2019",
author="Hikichi, Hiroyuki and Aida, Jun and Kondo, Katsunori and Kawachi, Ichiro",
volume="15",
number="8",
pages="1009-1018",
abstract="INTRODUCTION: We previously established that housing loss and residential dislocation in the 2011 Japan earthquake and tsunami was a risk factor for cognitive decline among older survivors. The present study extends the follow-up of survivors out to 6 years. <br><br>METHODS: The baseline for our natural experiment was established in a survey of older community-dwelling adults who lived 80 km west of the epicenter 7 months before the earthquake and tsunami. Two follow-up surveys were conducted approximately 2.5 years and 5.5 years after the disaster to ascertain the housing status and cognitive decline from 2810 older individuals (follow-up rate through three surveys: 68.4%). <br><br>RESULTS: The experience of housing loss was persistently associated with cognitive disability (coefficient = 0.14, 95% confidence interval: 0.04 to 0.23). <br><br>DISCUSSION: Experiences of housing loss continued to be significantly associated with cognitive disability even six years after the disaster.<br><br>Copyright © 2019 the Alzheimer's Association. Published by Elsevier Inc. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="1552-5260",
doi="10.1016/j.jalz.2019.04.016",
url="http://dx.doi.org/10.1016/j.jalz.2019.04.016"
}