TY  - JOUR
PY  - 2022//
TI  - Association between social isolation and total mortality after the Great East Japan Earthquake in Iwate Prefecture: findings from the TMM CommCohort Study
JO  - International journal of environmental research and public health
A1  - Kotozaki, Yuka
A1  - Tanno, Kozo
A1  - Sakata, Kiyomi
A1  - Otsuka, Kotaro
A1  - Sasaki, Ryohei
A1  - Takanashi, Nobuyuki
A1  - Satoh, Mamoru
A1  - Shimizu, Atsushi
A1  - Sasaki, Makoto
SP  - e4343
EP  - e4343
VL  - 19
IS  - 7
N2  - This study aimed to investigate whether social isolation is associated with mortality, together with the effect of the Great East Japan Earthquake on mortality, due to the social isolation of community residents living in the affected areas, using data from the Tohoku Medical Megabank Project Community-Based Cohort Study. A total of 22,933 participants (8059 men and 14,874 women), who were free from cancer and cardiovascular disease, were followed up with death as an endpoint for five years. Social isolation was assessed using the Lubben Social Network Scale (cut-off, 11/12). Using Cox proportional hazards models, hazard ratios (HRs) of total mortality and 95% confidence intervals (CIs) associated with social isolation (no isolation as the reference) were estimated. The latter was significantly associated with an increased risk of total mortality (1.38 (1.04-1.83) in men and 1.49 (1.02-2.19) in women). Moreover, among those with social isolation, the risk of mortality was significantly higher, especially for women with house damage and men who had experienced a death in the family. The disaster may have raised the risk of mortality due to social isolation.<p />  <p>Language: en</p>
LA  - en
SN  - 1661-7827
UR  - http://dx.doi.org/10.3390/ijerph19074343
ID  - ref1
ER  -