ArticleBMJ open2019
Association between earthquake experience and depression 37 years after the Tangshan earthquake: a cross-sectional study.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 34 citations in OpenAlex.
- Mental Health Impact of the Kahramanmaraş Earthquake: An Analysis of Acute Stress, Depression, and Anxiety Indicators.Journal of clinical practice and research · 2025Article
- Health-Related Quality of Life and Bereavement in the 2019 Georgia Behavioral Risk Factor Surveillance System.Behavioral sciences (Basel, Switzerland) · 2024Article
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- Symptoms of acute stress, anxiety, and depression following Türkiye-Syria earthquake among Syrian population: national survey during the acute phase.European journal of psychotraumatology · 2024Article
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- Deepening Depression in Women Balancing Work-Life Responsibilities and Caregiving during the COVID-19 Pandemic: Findings from Gender-Specific Face-to-Face Street Interviews Conducted in Italy.Behavioral sciences (Basel, Switzerland) · 2023Article
- Earthquake exposure during adolescence and later-life depressive symptoms: A national cross-sectional survey.SSM - population health · 2023Article
- Food insecurity in Piura, Peru, in the context of post-earthquake and the COVID-19 pandemic.Frontiers in public health · 2023Article
- Biological, Psychological, and Social Determinants of Depression: A Review of Recent Literature.Brain sciences · 2021Review
- Determinants of Positive and Negative Affect among Adolescents and Young Adults in Indonesia: A Population-Based Survey.International journal of environmental research and public health · 2021Article
- Assessment of earthquake casualties and comparison of accuracy of five injury triage methods: evidence from a retrospective study.BMJ open · 2021Article
- Mental Health Symptoms Unexpectedly Increased in Students Aged 11-19 Years During the 3.5 Years After the 2016 Fort McMurray Wildfire: Findings From 9,376 Survey Responses.Frontiers in psychiatry · 2021Article
- Psychological distress and sleep problems when people are under interpersonal isolation during an epidemic: A nationwide multicenter cross-sectional study.European psychiatry : the journal of the Association of European Psychiatrists · 2020Article
- Impact of Indirect Trauma and Disaster Media Exposure on Psychological States and Temporal Processes: The Case of 2023 Turkey Earthquakes.Clinical psychology & psychotherapyArticle
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo investigate the association between the Tangshan earthquake and depression after 37 years. DESIGN AND
settingA cross-sectional study conducted in Tangshan from 2013 to 2014.
participantsThe sample included 5024 participants born before 28 July 1976 the date of the Tangshan earthquake, with available data on their earthquake experiences and depression 37 years post-earthquake. OUTCOMES AND VARIABLES: The outcome was depression measured using the Center for Epidemiological Study and Depression Scale. The independent variable was earthquake experience, which was classified into three groups: no earthquake experience, earthquake experience without bereavement and earthquake experience with bereavement. Multivariable logistic regression analysis was used to evaluate the association between earthquake experience and depression after adjusting for gender, age at the time of the earthquake, smoking status, drinking status, education, income, residence in Tangshan 1 to 2 years post-earthquake, hypertension, diabetes and dyslipidaemia.
resultsOf the 5024 participants, 641 experienced the Tangshan earthquake, and 98 experienced bereavement due to the earthquake. 37 years after the earthquake, survivors who had lost relatives during the earthquake were nearly three times (OR 2.82, 95% CI 1.24 to 6.39) as likely to have depression as those who had not experienced the earthquake, while those who had not lost relatives were 1.69 times as likely (OR 1.69, 95% CI 0.93 to 3.08). Stratified analyses showed that earthquake was significantly associated with depression in women with (OR 3.51, 95% CI 1.21 to 10.16) or without bereavement (OR 3.07, 95% CI 1.44 to 6.56) but not in men; this association was also significant in individuals over 18 years old at the time of the earthquake with (OR 13.16, 95% CI 3.08 to 56.3) or without bereavement (OR 3.39, 95% CI 1.31 to 8.87) but not in individuals less than 18 years old.
conclusions37 years after the Tangshan earthquake, earthquake experience was associated with depression among bereaved survivors, women and individuals over 18 years old at the time of the earthquake.
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