Association between continued residence in temporary prefabricated housing and musculoskeletal pain in survivors of the Great East Japan Earthquake: a longitudinal study

Objective Prolonged periods of living in prefabricated houses (PHs) may increase the risk of musculoskeletal (MSK) symptoms; however, the association is not clear. This study aimed to investigate the association between continued residence in PHs and MSK pain in a population affected by a natural di...

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Main Authors: Takuya Sekiguchi, Yoshihiro Hagiwara, Yumi Sugawara, Yutaka Yabe, Eiji Itoi, Ichiro Tsuji, Yasuhito Sogi, Masahiro Tsuchiya, Masashi Koide, Nobuyuki Itaya, Shinichirou Yoshida, Toshihisa Yano
Format: Article
Language:English
Published: BMJ Publishing Group 2019-10-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/9/10/e030761.full
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author Takuya Sekiguchi
Yoshihiro Hagiwara
Yumi Sugawara
Yutaka Yabe
Eiji Itoi
Ichiro Tsuji
Yasuhito Sogi
Masahiro Tsuchiya
Masashi Koide
Nobuyuki Itaya
Shinichirou Yoshida
Toshihisa Yano
author_facet Takuya Sekiguchi
Yoshihiro Hagiwara
Yumi Sugawara
Yutaka Yabe
Eiji Itoi
Ichiro Tsuji
Yasuhito Sogi
Masahiro Tsuchiya
Masashi Koide
Nobuyuki Itaya
Shinichirou Yoshida
Toshihisa Yano
author_sort Takuya Sekiguchi
collection DOAJ
description Objective Prolonged periods of living in prefabricated houses (PHs) may increase the risk of musculoskeletal (MSK) symptoms; however, the association is not clear. This study aimed to investigate the association between continued residence in PHs and MSK pain in a population affected by a natural disaster, the Great East Japan Earthquake (GEJE) survivors.Design, setting and participants A panel study was conducted including 1059 and 792 survivors at 2 and 4 years, respectively, after the GEJE, using a self-reported questionnaire. Those with no response on living status and those who did not live in a PH were excluded. Participants were classified into two groups by living status: continued residence in a PH (lived in a PH during both periods) or moving out of a PH (lived in a PH in the first period and did not live in a PH in the second).Primary outcome measure MSK pain included lower back, shoulder, knee, hand or foot, and neck pain. Changes in the occurrence of MSK pain during the two periods were assessed and defined as ‘new-onset’ and ‘continuing’ MSK pain. Multiple logistic regression analysis was used to examine the influence of continued residence in a PH on new-onset and continuing MSK pain.Results Continued residence in a PH was significantly associated with new-onset MSK pain, even after adjustment for covariates (adjusted OR 2.18, 95% CI 1.25 to 3.79, p=0.006). Participants who continued living in a PH had higher rates of continuing MSK pain than those who moved out; however, the difference was not significant (adjusted OR 1.69, 95% CI 0.94 to 3.05, p=0.079).Conclusion Continued residence in a PH was associated with new-onset MSK pain among survivors. Public support should be provided to such people to ensure a more comfortable life.
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spelling doaj-art-ee6c9fdaf1c04ef4b7105c0a5e68b9922024-12-14T03:55:09ZengBMJ Publishing GroupBMJ Open2044-60552019-10-0191010.1136/bmjopen-2019-030761Association between continued residence in temporary prefabricated housing and musculoskeletal pain in survivors of the Great East Japan Earthquake: a longitudinal studyTakuya Sekiguchi0Yoshihiro Hagiwara1Yumi Sugawara2Yutaka Yabe3Eiji Itoi4Ichiro Tsuji5Yasuhito Sogi6Masahiro Tsuchiya7Masashi Koide8Nobuyuki Itaya9Shinichirou Yoshida10Toshihisa Yano111 Department of Orthopaedic Surgery, Tohoku University Graduate School of Medicine, Sendai, JapanDepartment of Emergency Medicine and Critical Care Medicine, Saiseikai Utsunomiya Hospital, Utsunomiya, JapanDivision of Epidemiology, Department of Public Health and Forensic Medicine, Tohoku University Graduate School of Medicine, Sendai, JapanDepartment of Orthopaedic Surgery, Tohoku University School of Medicine, Sendai, JapanDepartment of Orthopaedic Science, Tohoku Rosai Hospital, Sendai, JapanDivision of Epidemiology, Department of Public Health and Forensic Medicine, Tohoku University Graduate School of Medicine, Sendai, Japan1 Department of Orthopaedic Surgery, Tohoku University Graduate School of Medicine, Sendai, Japan4 Department of Nursing, Tohoku Fukushi University, Sendai, Japan1 Department of Orthopaedic Surgery, Tohoku University Graduate School of Medicine, Sendai, Japan1 Department of Orthopaedic Surgery, Tohoku University Graduate School of Medicine, Sendai, Japan1 Department of Orthopaedic Surgery, Tohoku University Graduate School of Medicine, Sendai, Japan1 Department of Orthopaedic Surgery, Tohoku University Graduate School of Medicine, Sendai, JapanObjective Prolonged periods of living in prefabricated houses (PHs) may increase the risk of musculoskeletal (MSK) symptoms; however, the association is not clear. This study aimed to investigate the association between continued residence in PHs and MSK pain in a population affected by a natural disaster, the Great East Japan Earthquake (GEJE) survivors.Design, setting and participants A panel study was conducted including 1059 and 792 survivors at 2 and 4 years, respectively, after the GEJE, using a self-reported questionnaire. Those with no response on living status and those who did not live in a PH were excluded. Participants were classified into two groups by living status: continued residence in a PH (lived in a PH during both periods) or moving out of a PH (lived in a PH in the first period and did not live in a PH in the second).Primary outcome measure MSK pain included lower back, shoulder, knee, hand or foot, and neck pain. Changes in the occurrence of MSK pain during the two periods were assessed and defined as ‘new-onset’ and ‘continuing’ MSK pain. Multiple logistic regression analysis was used to examine the influence of continued residence in a PH on new-onset and continuing MSK pain.Results Continued residence in a PH was significantly associated with new-onset MSK pain, even after adjustment for covariates (adjusted OR 2.18, 95% CI 1.25 to 3.79, p=0.006). Participants who continued living in a PH had higher rates of continuing MSK pain than those who moved out; however, the difference was not significant (adjusted OR 1.69, 95% CI 0.94 to 3.05, p=0.079).Conclusion Continued residence in a PH was associated with new-onset MSK pain among survivors. Public support should be provided to such people to ensure a more comfortable life.https://bmjopen.bmj.com/content/9/10/e030761.full
spellingShingle Takuya Sekiguchi
Yoshihiro Hagiwara
Yumi Sugawara
Yutaka Yabe
Eiji Itoi
Ichiro Tsuji
Yasuhito Sogi
Masahiro Tsuchiya
Masashi Koide
Nobuyuki Itaya
Shinichirou Yoshida
Toshihisa Yano
Association between continued residence in temporary prefabricated housing and musculoskeletal pain in survivors of the Great East Japan Earthquake: a longitudinal study
BMJ Open
title Association between continued residence in temporary prefabricated housing and musculoskeletal pain in survivors of the Great East Japan Earthquake: a longitudinal study
title_full Association between continued residence in temporary prefabricated housing and musculoskeletal pain in survivors of the Great East Japan Earthquake: a longitudinal study
title_fullStr Association between continued residence in temporary prefabricated housing and musculoskeletal pain in survivors of the Great East Japan Earthquake: a longitudinal study
title_full_unstemmed Association between continued residence in temporary prefabricated housing and musculoskeletal pain in survivors of the Great East Japan Earthquake: a longitudinal study
title_short Association between continued residence in temporary prefabricated housing and musculoskeletal pain in survivors of the Great East Japan Earthquake: a longitudinal study
title_sort association between continued residence in temporary prefabricated housing and musculoskeletal pain in survivors of the great east japan earthquake a longitudinal study
url https://bmjopen.bmj.com/content/9/10/e030761.full
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