{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,14]],"date-time":"2026-03-14T14:59:13Z","timestamp":1773500353496,"version":"3.50.1"},"reference-count":56,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,5,3]],"date-time":"2024-05-03T00:00:00Z","timestamp":1714694400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100009619","name":"Japan Agency for Medical Research and Development","doi-asserted-by":"publisher","award":["JP21tm0424601"],"award-info":[{"award-number":["JP21tm0424601"]}],"id":[{"id":"10.13039\/100009619","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009619","name":"Japan Agency for Medical Research and Development","doi-asserted-by":"publisher","award":["JP22tm0124005"],"award-info":[{"award-number":["JP22tm0124005"]}],"id":[{"id":"10.13039\/100009619","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001700","name":"Ministry of Education, Culture, Sports, Science and Technology","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001700","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Geriatrics Gerontology Int"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>To evaluate the association between housing and psychological damage caused by the Great East Japan Earthquake (GEJE) and modifiable risk factors (MRFs) of dementia for general population of older adults.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This cross\u2010sectional study enrolled 29\u2009039 community\u2010dwelling older adults (mean age 69.1\u2009\u00b1\u20092.9\u2009years, 55.5% women). We evaluated disaster\u2010related damage (by complete or not complete housing damage) and psychological damage (by post\u2010traumatic stress reaction [PTSR]) after the GEJE using a self\u2010report questionnaire. MRFs encompassed the presence of depression, social isolation, physical inactivity, smoking, and diabetes. We examined the association between disaster\u2010related damage and MRFs using ordinary least squares and modified Poisson regression models adjusted for sociodemographic and health status variables.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Complete housing damage and PTSR were identified in 2704 (10.0%) and 855 (3.2%) individuals, respectively. The number of MRFs was significantly larger for the individuals with complete housing damage (\u03b2\u2009=\u20090.23; 95% confidence interval [CI]: 0.19\u20130.27) and PTSR (\u03b2\u2009=\u20090.60; 95% CI: 0.53\u20130.67). Prevalence ratios (PRs) for depression and physical inactivity were higher in individuals with complete housing damage. The PRs for all domains of the MRFs were significantly higher in individuals with PTSR.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Housing and psychological damage caused by the GEJE were associated with an increased risk factor of dementia. To attenuate the risk of dementia, especially among older victims who have experienced housing and psychological damage after a disaster, multidimensional support across various aspects of MRFs is required. <jats:bold>Geriatr Gerontol Int 2024; 24: 509\u2013516<\/jats:bold>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ggi.14867","type":"journal-article","created":{"date-parts":[[2024,5,3]],"date-time":"2024-05-03T06:58:05Z","timestamp":1714719485000},"page":"509-516","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Associations between housing and psychological damage by earthquake and modifiable risk factors for dementia in general older adults: Tohoku Medical Megabank community\u2010based cohort study"],"prefix":"10.1111","volume":"24","author":[{"given":"Ippei","family":"Chiba","sequence":"first","affiliation":[{"name":"Tohoku Medical Megabank Organization Tohoku University  Sendai Japan"},{"name":"Graduate School of 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