TY  - JOUR
PY  - 2019//
TI  - Persistent impact of housing loss on cognitive decline after the 2011 Great East Japan earthquake and tsunami: evidence from a 6-year longitudinal study
JO  - Alzheimer's and dementia
A1  - Hikichi, Hiroyuki
A1  - Aida, Jun
A1  - Kondo, Katsunori
A1  - Kawachi, Ichiro
SP  - 1009
EP  - 1018
VL  - 15
IS  - 8
N2  - 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>
LA  - en
SN  - 1552-5260
UR  - http://dx.doi.org/10.1016/j.jalz.2019.04.016
ID  - ref1
ER  -