Causal effect of deteriorating socioeconomic circumstances on new-onset arthritis and the moderating role of access to medical care: A natural experiment from the 2011 great east Japan earthquake and tsunami
Ikeda, T., et al.; Social Science & Medicine
Socioeconomic disadvantage is a risk factor for arthritis, but its causal relationship remains unclear. This study examined the causal relationship between socioeconomic circumstances and new-onset arthritis by taking advantage of the “natural experiment” that resulted from the Great East Japan Earthquake and Tsunami. As part of the Japan Gerontological Evaluation Study (JAGES), self-reported questionnaires were mailed to all eligible residents of Iwanuma City in August 2010, 7 months before the disaster. The earthquake and tsunami occurred on March 11, 2011. The follow-up survey was conducted in October 2013, as well as the gathering of information about disaster damage (housing damage and subjective deterioration of economic circumstances) and health-related information. The authors of the study found that both the subjective deterioration of economic circumstances and housing damage were associated with the development of arthritis. In addition, they found the disruption of access to orthopedics was associated with the development of arthritis.
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