Evidence map›Paper›PMID 29726979›Full record

ArticleSleep2018

Predictors of persistent sleep problems among older disaster survivors: a natural experiment from the 2011 Great East Japan earthquake and tsunami.

Xiaoyu Li, Orfeu M Buxton, Hiroyuki Hikichi, Sebastien Haneuse, Jun Aida, Katsunori Kondo, Ichiro Kawachi

Open access · bronzeAbstract read
In one paragraph

Article in Sleep, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
5.0field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 51 citations in OpenAlex.

  1. Pooled it
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  16. Sleep Problems among Disaster Victims: A Long-Term Survey on the Life Changes of Disaster Victims in Korea.International journal of environmental research and public health · 2021
    Article
  17. Observational
  18. Article
  19. Google Trends reveals increases in internet searches for insomnia during the 2019 coronavirus disease (COVID-19) global pandemic.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2021
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 2 countries.

Xiaoyu LiDepartment of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA.
Orfeu M BuxtonDepartment of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA.
Hiroyuki HikichiDepartment of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA.
Sebastien HaneuseDepartment of Biostatistics, Harvard T.H. Chan School of Public Health, Boston, MA.
Jun AidaDepartment of International and Community Oral Health, Tohoku University Graduate School of Dentistry, Sendai, Miyagi, Japan.
Katsunori KondoCenter for Preventive Medical Sciences, Chiba University, Chiba-shi, Chiba, Japan.
Ichiro KawachiDepartment of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA.
Harvard University · USBrigham and Women's Hospital · USChiba University · JPTohoku University · JP

Funding

Impact of social cohesion on functional recovery after earthquake and tsunamiR01AG042463 · NIA · HARVARD SCHOOL OF PUBLIC HEALTH · PI KAWACHI, ICHIRO · 2013 to 2022
$4.9M
NIA NIH HHS R01 AG042463
6 · The paper itself

Abstract

Study Objectives: To examine prospectively the associations of disaster experiences and social support with sleep problems in older adults. Methods: Data came from a natural experiment caused by the 2011 Great East Japan earthquake and tsunami. Participants in an ongoing prospective cohort (3547 Japanese individuals aged 65 years or older) were inadvertently exposed to the disaster due to their residential location (Iwanuma city) after the 2010 baseline survey. We conducted a follow-up survey in 2013 to inquire about disaster-related experiences and short sleep duration, sleep insufficiency, poor sleep quality, insomnia symptoms, and sleep medication use. Poisson regression models adjusted for baseline socio-demographic and lifestyle covariates. Results: Financial hardship predicted increased risks of short sleep duration (relative risk [RR] = 1.40; 95% confidence interval [CI] [1.03, 1.90]), sleep insufficiency (RR = 1.29; 95% CI [1.01, 1.66]), poor sleep quality (RR = 1.47; 95% CI [1.26, 1.70]), and insomnia symptoms (RR = 1.13; 95% CI [1.01, 1.28]). Home destruction predicted sleep medication use while health care disruption predicted poor sleep quality. Loss of close relatives or friends did not predict any sustained sleep problems. Additionally, having instrumental support reduced risks of all sleep problems while having emotional support reduced risk of poor sleep quality. Conclusions: Approximately 2.5 years after the disaster, older survivors' sleep problems were more durably linked to material aspects of disaster damage than to loss of loved ones. Findings could inform targeted recovery efforts for groups with greatest need to promote older survivors' sleep health and overall well-being.

Indexed as

BereavementDisastersEarthquakesHousingSocial SupportTsunamisAgedCohort StudiesFemaleHumansJapanLife StyleLongitudinal StudiesMaleProspective StudiesRegression AnalysisSleep Aids, Pharmaceutical

Identifiers

PMID29726979
PMCPMC6047443
OpenAlexW2802387696

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.