Pre-disaster social support is protective for onset of post-disaster depression: Prospective study from the Great East Japan Earthquake &amp; Tsunami

Sasaki, Y.; Aida, Jun; Tsuji, Taishi; Koyama, Shihoko; Tsuboya, Toru; Saito, Tami; Kondo, Katsunori; Kawachi, Ichiro

doi:10.1038/s41598-019-55953-7

Cited by 38 publications

(38 citation statements)

References 57 publications

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“…Second, our measurement of depressive symptoms was based only on the GDS scores, without corroborating clinical evaluation may not be very accurate. However, the GDS is a validated instrument for assessing depressive symptoms and is used widely [ 38 , 40 , 41 , 48 , 70 ]. Third, it is unknown whether these findings are generalizable beyond the Yangon and Bago regions of Myanmar.…”

Section: Discussionmentioning

confidence: 99%

“…For these questions, the possible responses were: 1. none; 2. spouse; 3. children living with them; 4. children or relatives living apart; 5. neighbor; 6. friend; and, 7. other. Based on their responses, participants were categorized as “having no social support” (i.e., answering with ‘none’) or “having social support” (answering with any of the choices between 2 and 7) [ 48 ].…”

Section: Methodsmentioning

confidence: 99%

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Association between depressive symptoms and objective/subjective socioeconomic status among older adults of two regions in Myanmar

et al. 2021

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Low objective socioeconomic status (SES) has been correlated with poor physical and mental health among older adults. Some studies suggest that subjective SES is also important for ensuring sound physical and mental health among older adults. However, few studies have been conducted on the impact of both objective and subjective SES on mental health among older adults. This study examines whether objective or subjective SES is associated with depressive symptoms in older adults in Myanmar. This cross-sectional study, conducted between September and December, 2018, used a multistage sampling method to recruit participants from two regions of Myanmar, for face-to-face interviews. The Geriatric Depression Scale (GDS) was used to evaluate the depressive symptoms. Participants were classified as having no depressive symptom (GDS score <5) and having depressive symptoms (GDS score ≥5). Objective and subjective SES were assessed using the wealth index and asking participants a multiple-choice question about their current financial situation, respectively. The relationship between objective/subjective SES and depressive symptoms was examined using a multivariable logistic regression analysis. The mean age of the 1,186 participants aged 60 years and above was 69.7 (SD: 7.3), and 706 (59.5%) were female. Among them, 265 (22.3%) had depressive symptoms. After adjusting for objective SES and other covariates, only low subjective SES was positively associated with depressive symptoms (adjusted odds ratio, AOR: 4.18, 95% confidence interval, CI: 2.98–5.87). This association was stronger among participants in the rural areas (urban areas, AOR: 2.10, 95% CI: 1.08–4.05; rural areas, AOR: 5.65, 95% CI: 3.69–8.64). Subjective SES has a stronger association with depressive symptoms than objective SES, among older adults of the two regions in Myanmar, especially in the rural areas. Interventions for depression in older adults should consider regional differences in the context of subjective SES by reducing socioeconomic disparities among the communities.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Association between depressive symptoms and objective/subjective socioeconomic status among older adults of two regions in Myanmar

et al. 2021

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“…The assessment based on self-report may have caused social desirability bias, resulting in misreporting of depressive symptoms. However, the GDS is a well validated instrument for assessing depressive symptoms and used widely in international research [43,[45][46][47]51,65]. Furthermore, reverse causality could have occurred because of the nature of the cross-sectional design and further longitudinal studies are required to resolve this issue.…”

Section: Discussionmentioning

confidence: 99%

Rural–Urban Differences in the Factors Affecting Depressive Symptoms among Older Adults of Two Regions in Myanmar

Sasaki

Shobugawa

Nozaki

et al. 2021

IJERPH

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The aim of the study was to investigate rural–urban differences in depressive symptoms in terms of the risk factors among older adults of two regions in Myanmar to provide appropriate intervention for depression depending on local characteristics. This cross-sectional study, conducted between September and December, 2018, used a multistage sampling method to recruit participants from the two regions, for face-to-face interviews. Depressive symptoms were assessed using the 15-item version of the Geriatric Depression Scale (GDS). Depressive symptoms were positively associated with living in rural areas (B = 0.42; 95% confidence interval (CI): 0.12,0.72), female (B = 0.55; 95% CI: 0.31,0.79), illness during the preceding year (B = 0.68; 95% CI: 0.45,0.91) and non-Buddhist religion (B = 0.57; 95% CI: 0.001,1.15) and protectively associated with education to middle school level or higher (B = −0.61; 95% CI: −0.94, −0.28) and the frequency of visits to religious facilities (B = −0.20; 95% CI: −0.30, −0.10). In women in urban areas, depressive symptoms were positively associated with illness during the preceding year (B = 0.78; 95% CI: 0.36, 1.20) and protectively associated with education to middle school level or higher (B = −0.67; 95% CI: −1.23, −0.11), middle or high wealth index (B = −0.92; 95% CI: −1.59, −0.25) and the frequency of visits to religious facilities (B = −0.20; 95% CI: −0.38, −0.03). In men in rural areas, illness during the preceding year was positively associated with depressive symptoms (B = 0.87; 95% CI: 0.33, 1.42). In women in rural areas, depressive symptoms were positively associated with illness during the preceding year (B = 0.83; 95% CI: 0.36, 1.30) and protectively associated with primary education (B = −0.62; 95% CI: −1.12, −0.12) and the frequency of visits to religious facilities (B = −0.44; 95% CI: −0.68, −0.21). Religion and wealth could have different levels of association with depression between older adults in the urban and rural areas and men and women. Interventions for depression in older adults should consider regional and gender differences in the roles of religion and wealth in Myanmar.

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“…Responses were dichotomized into presence or absence of each type of social support based on whether participants responded "none" or other than "none." Finally, participants were segregated on the basis of the presence or absence of all four dimensions of social support (Sasaki et al, 2019).…”

Section: Measured Itemsmentioning

confidence: 99%

Association of Perceived Environment and Physical Activity in Older Adults After the Great East Japan Earthquake

Moriyama¹,

Iwasa²,

Yasumura³

2021

Journal of Aging and Physical Activity

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The aim of this study was to examine the association between perceived environment and physical activity among older adults in Fukushima Prefecture after the 2011 Great East Japan Earthquake and the impact of evacuation. Questionnaires were distributed to individuals aged 65 years and older from October to November 2018. Perceived environment was assessed using a five-item questionnaire on home fitness equipment, access to facilities, neighborhood safety, enjoyable scenery, and frequency of observing others exercising. Physical activity, assessed via the Physical Activity Questionnaire for Elderly Japanese, was segregated into levels based on the median score. Data from 249 participants (74.2 ± 6.9 years) were analyzed. A logistic regression analysis found that the unenjoyable Scenery × Residing in restoration public housing interaction (odds ratio = 3.87, 95% confidence interval = [1.20, 12.46]) was significant. The association between enjoyable scenery and physical activity varied according to whether the participants had experienced evacuation or not.

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Pre-disaster social support is protective for onset of post-disaster depression: Prospective study from the Great East Japan Earthquake & Tsunami

Cited by 38 publications

References 57 publications

Association between depressive symptoms and objective/subjective socioeconomic status among older adults of two regions in Myanmar

Association between depressive symptoms and objective/subjective socioeconomic status among older adults of two regions in Myanmar

Rural–Urban Differences in the Factors Affecting Depressive Symptoms among Older Adults of Two Regions in Myanmar

Association of Perceived Environment and Physical Activity in Older Adults After the Great East Japan Earthquake

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