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Distance to retail stores and risk of being homebound among older adults in a city severely affected by the 2011 Great East Japan Earthquake
Background: after the Great East Japan Earthquake in 2011, inactivity and the homebound status of older victims in affected areas have been a serious public health concern owing to the victims' prolonged existence as evacuees in mountainous areas. Objective: to evaluate the association between...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4411219/ https://www.ncbi.nlm.nih.gov/pubmed/25315229 http://dx.doi.org/10.1093/ageing/afu146 |
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author | Hirai, Hiroshi Kondo, Naoki Sasaki, Ryohei Iwamuro, Shinya Masuno, Kanako Ohtsuka, Rika Miura, Hisayuki Sakata, Kiyomi |
author_facet | Hirai, Hiroshi Kondo, Naoki Sasaki, Ryohei Iwamuro, Shinya Masuno, Kanako Ohtsuka, Rika Miura, Hisayuki Sakata, Kiyomi |
author_sort | Hirai, Hiroshi |
collection | PubMed |
description | Background: after the Great East Japan Earthquake in 2011, inactivity and the homebound status of older victims in affected areas have been a serious public health concern owing to the victims' prolonged existence as evacuees in mountainous areas. Objective: to evaluate the association between distances to retail stores and risks of being homebound. Design: secondary analysis of cross-sectional interview survey data with a geographical information analysis. Setting: Rikuzentakata, Iwate, a municipality seriously damaged by the 2011 earthquake and tsunami. Subjects: all Rikuzentakata residents aged 65 or older except for those living in temporary housing (n = 2,327). Methods: we calculated road distances between each residential address and retail stores, hawker sites and shopping bus stops, accounting for the extra load caused by walking on slopes. The prevalence ratio of being homebound adjusted for age, source of income and morbidity by road distance was estimated using Poisson regression with a generalised estimating equation. Results: those living at distances of 1,200 m or more were 1.78 (95% confidence intervals, 1.03–3.08) times more likely to be homebound (going out only every 4 or more days a week) among men and 1.85 (1.13-3.02) among women, compared with those residing in places <400 m from retail stores or shopping bus stops. The distances were reduced by new hawker and shopping bus services, but the improvements varied greatly across the districts. Conclusions: access to daily needs is essential to prevent homebound status. Post-disaster community diagnosis in terms of the built environment is important for strategic community restoration. |
format | Online Article Text |
id | pubmed-4411219 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-44112192015-04-30 Distance to retail stores and risk of being homebound among older adults in a city severely affected by the 2011 Great East Japan Earthquake Hirai, Hiroshi Kondo, Naoki Sasaki, Ryohei Iwamuro, Shinya Masuno, Kanako Ohtsuka, Rika Miura, Hisayuki Sakata, Kiyomi Age Ageing Research Papers Background: after the Great East Japan Earthquake in 2011, inactivity and the homebound status of older victims in affected areas have been a serious public health concern owing to the victims' prolonged existence as evacuees in mountainous areas. Objective: to evaluate the association between distances to retail stores and risks of being homebound. Design: secondary analysis of cross-sectional interview survey data with a geographical information analysis. Setting: Rikuzentakata, Iwate, a municipality seriously damaged by the 2011 earthquake and tsunami. Subjects: all Rikuzentakata residents aged 65 or older except for those living in temporary housing (n = 2,327). Methods: we calculated road distances between each residential address and retail stores, hawker sites and shopping bus stops, accounting for the extra load caused by walking on slopes. The prevalence ratio of being homebound adjusted for age, source of income and morbidity by road distance was estimated using Poisson regression with a generalised estimating equation. Results: those living at distances of 1,200 m or more were 1.78 (95% confidence intervals, 1.03–3.08) times more likely to be homebound (going out only every 4 or more days a week) among men and 1.85 (1.13-3.02) among women, compared with those residing in places <400 m from retail stores or shopping bus stops. The distances were reduced by new hawker and shopping bus services, but the improvements varied greatly across the districts. Conclusions: access to daily needs is essential to prevent homebound status. Post-disaster community diagnosis in terms of the built environment is important for strategic community restoration. Oxford University Press 2015-05 2014-10-14 /pmc/articles/PMC4411219/ /pubmed/25315229 http://dx.doi.org/10.1093/ageing/afu146 Text en © The Author 2014. Published by Oxford University Press on behalf of the British Geriatrics Society. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Research Papers Hirai, Hiroshi Kondo, Naoki Sasaki, Ryohei Iwamuro, Shinya Masuno, Kanako Ohtsuka, Rika Miura, Hisayuki Sakata, Kiyomi Distance to retail stores and risk of being homebound among older adults in a city severely affected by the 2011 Great East Japan Earthquake |
title | Distance to retail stores and risk of being homebound among older adults in a city severely affected by the 2011 Great East Japan Earthquake |
title_full | Distance to retail stores and risk of being homebound among older adults in a city severely affected by the 2011 Great East Japan Earthquake |
title_fullStr | Distance to retail stores and risk of being homebound among older adults in a city severely affected by the 2011 Great East Japan Earthquake |
title_full_unstemmed | Distance to retail stores and risk of being homebound among older adults in a city severely affected by the 2011 Great East Japan Earthquake |
title_short | Distance to retail stores and risk of being homebound among older adults in a city severely affected by the 2011 Great East Japan Earthquake |
title_sort | distance to retail stores and risk of being homebound among older adults in a city severely affected by the 2011 great east japan earthquake |
topic | Research Papers |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4411219/ https://www.ncbi.nlm.nih.gov/pubmed/25315229 http://dx.doi.org/10.1093/ageing/afu146 |
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