Subjective Physical Health Research Articles

Relationship between types of activity and subjective well-being in older adults living alone: Secondary analysis of the 2014 survey of attitudes towards older people living alone

Objective: In the contemporary aging society, subjective well-being is an important determinant of quality of life for older adults living alone. Although the association between improved health and subjective well-being in this population is well documented, the types of activities associated with subjective well-being are unclear.Methods: This study assessed the relationship between subjective well-being and activity types among older adults living alone based on a secondary analysis of the 2014 Survey of Attitudes Towards Older People Living Alone data. We conducted a Poisson regression analysis to determine the association between activity and subjective well-being.Results: After adjustment for age, sex, subjective physical health, subjective mental health, and income, higher levels of subjective well-being were significantly associated with spending time with family, meeting friends, playing with pets, eating, hiking, traveling, and watching sports.Conclusion: Going out and interactive activities, as well as individual activities outside the home, are associated with higher levels of subjective well-being. Promoting these activities has the potential to increase the subjective well-being of older adults.

Subjective Deterioration of Physical and Psychological Health during the COVID-19 Pandemic in Taiwan: Their Association with the Adoption of Protective Behaviors and Mental Health Problems.

This study aimed to determine the proportion of individuals who reported the deterioration of physical and psychological health during the coronavirus disease 2019 (COVID-19) pandemic in Taiwan. Moreover, the related factors of deterioration of physical and psychological health and the association between deterioration of health and adoption of protective behavior against COVID-19 and mental health problems were also examined. We recruited participants via a Facebook advertisement. We determined the subjective physical and psychological health states, cognitive and affective construct of health belief, perceived social support, mental health problems, adoption of protective behavior and demographic characteristics among 1954 respondents (1305 women and 649 men; mean age: 37.9 years with standard deviation 10.8 years). In total, 13.2% and 19.3% of respondents reported deteriorated physical and psychological health during the COVID-19 pandemic, respectively. Participants with higher perceived harm from COVID-19 compared with severe acute respiratory syndrome (SARS) were more likely to report the subjective deterioration of physical and psychological health, whereas respondents who were older and perceived a higher level of social support were less likely to report a deterioration of physical and psychological health. The subjective deterioration of psychological health was significantly associated with avoiding crowded places and wearing a mask. Both subjective deteriorations of physical and psychological health positively related to general anxiety.

여성노인의 자산이 주관적 신체건강에 미치는 영향: 경제활동참여여부의 조절효과 검증

본 연구는 여성노인을 대상으로 자산(금융자산과 부동산자산)이 신체건강(주관적 신체건강으로 측정)에 미치는 영향을 분석하고 있다. 추가적으로 본 연구는 자산과 주관적 신체건강과의 관계가 경제활동상태에 따라 차이가 있는지를 분석하였다. 이러한 분석을 위해 본 연구는 국민노후보장패널 6차년도 조사 자료의 60세 이상 여성노인 6258명을 연구대상으로 이용하였다. 실증 분석결과, 금융자산은 여성노인의 주관적 신체건강과 양적관계를 갖는 것으로 나타났다. 반면, 부동산자산은 여성노인의 주관적 신체건강에 유의미한 영향을 미치지 않았다. 또한 경제활동상태에 따라 여성노인의 금융자산이 주관적 신체건강에 미치는 영향이 다르게 나타나 조절효과가 유의미하였다. 보다 구체적으로 경제활동에 참여하는 경우, 금융자산이 주관적 신체건강에 미치는 영향력의 차이는 감소하는 것으로 나타났다. 이러한 연구결과를 바탕으로 본 연구는 여성노인의 경제활동참여지원정책과 자산형성지원정책에 관한 함의점들을 제시하고 있다.

Cultural differences in the association between subjective age and health: evidence from the Israeli component of the Survey of Health, Ageing and Retirement in Europe (SHARE-Israel)

AbstractResearch has demonstrated that holding a young subjective age (i.e. feeling younger than one's chronological age) has been associated with various positive aspects of physical and psychological health. However, little is known about how such associations differ between cultural sub-groups within a given society. Accordingly, the current study focused on the Israeli component of the Survey of Health, Ageing and Retirement in Europe (SHARE-Israel) and aimed to explore the moderating role of culture on the association between subjective age and objective physical health, subjective physical health and psychological health. Data were collected from 1,793 respondents, who were classified into three groups: veteran Israeli Jews, immigrants from the former Soviet Union and Israeli Arab citizens. Age ranged from 50 to 105 (mean = 69.65, standard deviation = 9.49). All participants rated their subjective age and filled out scales examining six dimensions covering psychological health, as well as objective and subjective physical health. Across all examined dimensions, an older subjective age was associated with unfavourable health outcomes. For the majority of health dimensions, the subjective age–health links were most prominent among Israeli Arabs. Results are discussed from both a general societal standpoint (i.e. group differences in access to health services), as well as from the individual's specific role in his or her culture and society.

Dimensionality and Psychometric Properties of the PTSD Checklist-5 (PCL-5) among Korean Vietnam War Veterans

The Post-traumatic Stress Disorder Checklist for DSM-5 (PCL-5) has been found to consist of various subscales in U.S. Veterans. The current study replicated the dimensional structure of the PCL-5 and examined the associations of PTSD symptoms with combat exposure, mental health, subjective physical health, and eudaimonic well-being among Korean Veterans. The sample included 345 Korean male Veterans who were deployed to the Vietnam War. Confirmatory factor analyses of the PCL-5 supported the superiority of the 7-factor hybrid model consisting of re-experiencing, avoidance, negative affect, anhedonia, externalizing behaviors, anxious arousal, and dysphoric arousal. The subscales showed high internal consistencies, ranging from .80 to .93, and were significantly correlated with each other. PTSD symptoms were significantly and positively associated with combat exposure and negative mental health outcomes (depressive symptoms, anxiety symptoms, and hostility), and inversely associated with emotional well-being, and self-rated health. Conversely, significant relationships between total PTSD symptoms and eudaimonic well-being were not found in this sample. Overall, the current results demonstrate the psychometric adequacy of the PCL-5 translated in Korean. However, further research is needed to ascertain the relationships between PTSD symptoms and eudaimonic well-being among Korean Veterans.

The effect of retirement on biomedical and behavioral risk factors for cardiovascular and metabolic disease

Retirement is a major life event potentially associated with changes in relevant risk factors for cardiovascular and metabolic conditions. This study analyzes the effect of retirement on behavioral and biomedical risk factors for chronic disease, together with subjective health parameters using Southern German epidemiological data. We used panel data from the KORA cohort study, consisting of 11,168 observations for individuals 45–80 years old. Outcomes included health behavior (alcohol, smoking, physical activity), biomedical risk factors (body-mass-index (BMI), waist-to-hip ratio (WHR), glycosylated hemoglobin (HbA1c), total cholesterol/HDL quotient, systolic/diastolic blood pressure), and subjective health (SF12 mental and physical scales, self-rated health). We applied a parametric regression discontinuity design based on age thresholds for pension eligibility. Robust results after p-value corrections for multiple testing showed an increase in BMI in early retirees (at the age of 60) [β = 1.11, corrected p-val. < 0.05] and an increase in CHO/HDL in regular retirees (age 65) [β = 0.47, corrected p-val. < 0.05]. Stratified analyses indicate that the increase in BMI might be driven by women and low educated individuals retiring early, despite increasing physical activity. The increase in CHO/HDL might be driven by men retiring regularly, alongside an increase in subjective physical health. Blood pressure also increased, but the effect differs by retirement timing and sex and is not always robust to sensitivity analysis checks. Our study indicates that retirement has an impact on different risk factors for chronic disease, depending on timing, sex and education. Regular male, early female, and low educated retirees should be further investigated as potential high-risk groups for worsening risk factors after retirement. Future research should investigate if and how these results are linked: in fact, especially in the last two groups, the increase in leisure time physical activity might not be enough to compensate for the loss of work-related physical activity, leading thus to an increase in BMI.

The paradox of aging and health-related quality of life in Asian Chinese: results from the Healthy Aging Longitudinal Study in Taiwan

BackgroundDeclines in health, physical, cognitive, and mental function with age suggest a lower level of health-related quality of life (HRQoL) in late life; however, previous studies found that the associations were weak and varied, depending on the study designs and cohort characteristics.MethodsThe present study examined the paradox of aging in an East Asian context by regressing the age patterns of objective health indicators (physical, cognitive, and mental function), and subjective HRQoL (12-item Short Form, SF-12), on the independent and interactive effects of age and physical function in a cohort study of 5022 community-dwelling adults aged 55 and older in Taiwan.ResultsAge patterns differed across measures. The SF-12 mental health score (MCS) showed a slight positive association with age and this effect remained stable after controlling for various age-related covariates. The SF-12 physical health score (PCS), in turn, was negatively associated with age. Age differences in PCS were fully explained by age decrements in objective physical health. However, consistent with the so-called paradox of aging, the association between objective and subjective physical health weakened with age.ConclusionThese findings add to prior evidence indicating that — in spite of objective health decrements — subjective HRQoL is maintained in later life among Asian Chinese. Also, these paradoxical patterns appear to vary for mental and physical components of HRQoL, and future research is needed to explore the underlying mechanism.Trial registrationHealthy Aging Longitudinal Study in Taiwan (HALST) is retrospectively registered at ClinicalTrials.gov on January 24, 2016 with trial registration number NCT02677831.

DON’T JUST GO THROUGH LIFE, GROW THROUGH LIFE: RESILIENCE AND ITS EFFECT ON SUCCESSFUL AGING

Resilience is commonly recognized as a protective factor that increases an individual’s ability to adapt positively to adversity or change. Given the rates of change, which occur in mid and late life, understanding resilience within this population is of particular importance. Yet to date, the direct mechanisms through which resiliency functions remains underexplored in this population. As such, the current investigation seeks to examine the mechanism through which lifelong resiliency may affect the lives of older adults in order to promote successful aging. Data including assessments of lifelong resiliency (measured by an individual’s opinion that life has been a continuous process of learning/changing/growing), environmental mastery (Ryff, 1989), instrumental activities of daily living (IADLs), mood (e.g. depression and self-rated emotional health), and subjective physical health were derived from the Survey of Midlife in the US Database (MIDUS 3). Participants were primarily White/Caucasian (88.7%) and female (54.9%); with a mean age of 63.64 years (SD=11.35). A series of hierarchical multiple linear regressions revealed that resiliency predicted better physical (F=43.448,p<0.001) and emotional health (emotional health (F=46.515,p<0.001), depression (F=17.665,p<0.011)), as well as increased environmental control (IADLs (F=109.992,p<0.001), and Environmental Mastery (F=64.686,p<0.001)) in models adjusted for known correlates (i.e. age, sex, race, marital status, education). The present findings suggest that high levels of resilience increase not only perceptions of the world (subjective environmental mastery, physical and mental health) but also direct outcomes (IADLs). Implications of the current finding include elucidation of the concept of resiliency, as well as, recommendations for increasing resiliency in late life.

Use of Masquelet technique in treatment of septic and atrophic fracture nonunion

BackgroundTreatment of atrophic non-unions and large bone defects or infections remains a challenging task for the treating surgeon. In the herein study, we present our experience of the 'Masquelet technique' according to the 'diamond concept' for the treatment of complex long bone reconstruction procedures. MethodsBetween February 2010 and March 2015, 150 patients (mean age 51.4) with atrophic and- /or infected non-unions were included in this prospective study. All patients received autologous bone graft, a graft expander (TCP (tricalcium phosphate)) and BMP (bone morphogenic protein). Clinical and radiological parameters were assessed at 6 weeks, and at 3, 6 and 12 months. The SF-12 questionnaire was used to evaluate the subjective health of patients. ResultsA successful bony consolidation of the non-unions was observed in 120 (80%) cases with a median healing time of 12.1 months. The mean defect gap was 4.4cm. Initial infection was documented in 54 cases. The most frequently identified pathogen was staphylococcus epidermidis and staphylococcus aureus. A successful removal of microorganisms with subsequent healing was achieved in 39 cases (72%). The SF-12 scores of subjective physical and mental health increased from PCS 31.5 preoperatively to 36.7 one year postoperatively, while MCS increased from 45.5 to 48.7. ConclusionsOur study showed that the Masquelet technique according to the 'diamond concept' is a valid method to treat complex atrophic non-unions with large bone defects and associated infection. Following the principles of the 'diamond concept' (targeted optimization of tissue engineering and bone regeneration) a high rate of success can be expected in these difficult reconstruction cases.

Loneliness and subjective physical health among war veterans: Long term reciprocal effects

RationalePoor subjective physical health and loneliness are among the most detrimental ramifications of trauma. Indeed, substantial research has examined the link between subjective physical health and loneliness, mainly focusing on how loneliness leads to poorer physical health. However, the effects of poor subjective physical health on loneliness, as well as the reciprocal effects of these two factors, have scarcely been examined. Even less is known regarding the course of these mutual effects among individuals who have been exposed to trauma. ObjectiveThe current investigation examines the reciprocal effects of subjective physical health and loneliness among a group of war veterans over four decades. MethodsTwo-hundred and seventy-four Israeli veterans from the 1973 Yom- Kippur War reported self-rated health (SRH), somatization and loneliness at 1991 (T1), 2003 (T2), 2008 (T3) and 2015 (T4). An autoregressive cross-lagged (ARCL) modeling strategy was employed to test the bidirectional relationship between subjective health and loneliness. ResultsThe results showed that from T1 to T2, loneliness predicted subjective physical health. However, from T2 to T3, and from T3 to T4, subjective physical health predicted loneliness. PTSD moderated the association between loneliness and subjective physical health. ConclusionThe findings show a novel pattern of influences, demonstrating that the reciprocal effects of subjective physical health and loneliness change over time. The findings imply that subjective health and interpersonal experiences are inherently connected.

“Exergames”: exuberant or just exaggeration? (response to Semina Nani et al. (2019). Can 10 weeks intervention with exergames contribute to better subjective vitality and physical health?)

“Exergames”: exuberant or just exaggeration? (response to Semina Nani et al. (2019). Can 10 weeks intervention with exergames contribute to better subjective vitality and physical health?)

Gratitude reception and physical health: Examining the mediating role of satisfaction with patient care in a sample of acute care nurses

ABSTRACTLiterature examining well-being benefits of gratitude experiences is currently thriving in psychological science. However, evidence of the physical health benefits of gratitude remains limited. Research and theory in affective science suggests an indirect relationship between gratitude and physical health. This study examines how receiving expressions of gratitude predicts physical health outcomes in a sample of acute care nurses over time. Registered nurses (N = 146) practicing in Oregon completed weekly surveys over 12 consecutive weeks describing their positive and negative events, health, and work-related experiences. Multilevel mediation models revealed that being thanked more often at work was positively related to a nurse’s satisfaction with the care they provided within that week, which subsequently predicted sleep quality, sleep adequacy, headaches, and attempts to eat healthy. These findings contribute to literature demonstrating the health benefits of gratitude by indicating that benefactors may experience improvements in subjective physical health through positive domain-relative satisfaction.

135. Social Support Partially Mediates The Relationship Between Stress Management And Self-Rated Health In Low-Income Adolescents

Effective stress management and strong social support are important to both the emotional wellbeing and physical health of adolescents. The purpose of this study was to evaluate the potential mediating effect of social support on the relationship between stress management and self-rated health among low-income adolescents. This was a cross-sectional secondary analysis of IRB approved survey data collected from 205 adolescents ages 14-19 years old. Adolescents completed the Adolescent Lifestyle Questionnaire, which contained a stress management subscale and a social support subscale, along with the Personal Assessment of General Health, which measured self-reported health. Mediation was tested using linear regression analysis and SPSS 24 software. Our findings indicate social support partial mediated the relationship between stress management and self-reported health. Regression analyses indicated that stress management was associated with self-reported health (N = 205; b = .223; p <0.01) and social support (b = .519; p <0.01), meeting the first two criteria for mediation. Social support was significantly related to self-reported health (b = .228; p < 0.01), meeting the third criteria. Finally, when stress management and social support were entered into the same model predicting self-reported health, the relationship between stress management and self-reported health was reduced (b = .147; p = .06) indicating that social support was a mechanism of action in the relationship between stress management and self-reported health. Our findings provide evidence that social support serves as a mechanism of action in the relationship between stress management and self-reported health in low-income adolescents. This study adds to the literature social support as a mechanism of action between emotional wellbeing strategies and subjective physical health. Study findings reinforce the need for policies encouraging social support for adolescents, as well as confirming the ongoing need for adolescent healthcare providers to assess social support as part of biopsychosocial approach to adolescent health. Future research should evaluate various social support structures, such as family social support and peer social support, as a mechanism between stress management and self-rated health to expand our understanding of these relationships.

Function and Strength after Free Abdominally Based Breast Reconstruction: A 10-Year Follow-Up.

The long-term impact of abdominally based free flap breast reconstruction is incompletely understood. The aim of this study is to provide long-term, subjective and objective health data on abdominally based free flap breast reconstruction patients, with specific attention to the effects of laterality, flap type, and obesity. Patients were enrolled in this prospective study between 2005 and 2010 and completed preoperative, early (<1 year), and long-term (5 to 10 years) evaluations. Objective examination included an assessment of upper and lower abdominal function and a functional independence measure. Patient-reported outcomes included the 36-Item Short-Form Health Survey and the BREAST-Q abdominal well-being module. Scores were compared by laterality (unilateral versus bilateral), flap type (muscle-sparing free transverse rectus abdominis musculocutaneous versus deep inferior epigastric artery perforator), and presence of obesity. Fifty-one patients were included, with an average 8.1-year follow-up. Overall, 78.8 percent of patients had stable or improved scores across the upper and lower abdominal function and functional independence measures, and minimal objective differences across flap laterality or types were observed. Postoperative scores improved for 36-Item Short-Form Health Survey physical health (p < 0.001) and mental health (p < 0.001), and did not differ based on laterality or flap type. Obesity negatively impacted physical health (p = 0.002) and mental health (p = 0.006). Abdominally based autologous breast reconstruction is associated with significant improvements in long-term quality of life across key domains of physical and mental health with little functional impairment and no long-term differences across flap type or laterality. Obese patients, however, may be at risk for subjective physical and mental health impairment, perhaps unrelated to the surgery itself.

A salutogenic inquiry into positive aging – a longitudinal analysis

Objectives: Based on a gero-salutogenic approach, we investigated the stability of the sense of coherence over a time span of four years in active older individuals and long-term effects of this life orientation on three different indicators of positive aging—subjective well-being, psychological health and physical health. This is the first study to explore associations between gain in sense of coherence and future positive aging.Methods: Our longitudinal sample consisted of 125 physically active individuals (73.5% women) at the mean age of 71 years at follow-up (range: 64 to 87 years; response rate: 73.5%), who completed our questionnaire twice. There were no systematic differences between the follow-up responders and non-responders.Results: The sense of coherence increased over four years, disclosing a small effect size. The baseline sense of coherence had a substantial predictive value for future subjective well-being and psychological health, but not for physical health. Stepwise hierarchical regression analyses showed that both the baseline sense of coherence and gain in sense of coherence predicted future subjective well-being and psychological health. With respect to future physical health, only gain in sense of coherence was significant.Conclusion: Consistent with gero-salutogenic theory, the baseline sense of coherence is an effective predictor of future positive aging, and growth in sense of coherence within a time span of four years is reflected in improved positive aging. It is important to encourage experiences in older age that cultivate the three components of the sense of coherence—feelings of comprehensibility, manageability and meaningfulness.

Survey of clothing habits in female senior citizens according to subjective physical changes and health status

Survey of clothing habits in female senior citizens according to subjective physical changes and health status

The association between psychotic experiences and health-related quality of life: a cross-national analysis based on World Mental Health Surveys

Psychotic experiences (PEs) are associated with a range of mental and physical disorders, and disability, but little is known about the association between PEs and aspects of health-related quality of life (HRQoL). We aimed to investigate the association between PEs and five HRQoL indicators with various adjustments. Using data from the WHO World Mental Health surveys (n = 33,370 adult respondents from 19 countries), we assessed for PEs and five HRQoL indicators (self-rated physical or mental health, perceived level of stigma (embarrassment and discrimination), and social network burden). Logistic regression models that adjusted for socio-demographic characteristics, 21 DSM-IV mental disorders, and 14 general medical conditions were used to investigate the associations between the variables of interest. We also investigated dose-response relationships between PE-related metrics (number of types and frequency of episodes) and the HRQoL indicators. Those with a history of PEs had increased odds of poor perceived mental (OR = 1.5, 95% CI = 1.2–1.9) and physical health (OR = 1.3, 95% CI = 1.0–1.7) after adjustment for the presence of any mental or general medical conditions. Higher levels of perceived stigma and social network burden were also associated with PEs in the adjusted models. Dose-response associations between PE type and frequency metrics and subjective physical and mental health were non-significant, except those with more PE types had increased odds of reporting higher discrimination (OR = 2.2, 95% CI = 1.3–3.5). Our findings provide novel insights into how those with PEs perceive their health status.

Patients With Very Mild Dementia May Confuse Objective Cognitive Impairments With Subjective Physical Health of Quality of Life: The Tome City Project in Japan.

Many elderly people with cognitive dysfunction may observe a decrease in their health levels and quality of life (QOL). The basic concept of QOL consists of several categories including physical functions and mental health. The QOL domain that is most important for elderly people is physical health and, to a lesser extent, psychological health, social relationships, and/ or the environment. Our aim was to explore the relationships between the subjective measure of QOL, an abbreviated version of the World Health Organization Quality of Life (WHOQOL-BREF) scale, and the objective measure of impairment, Clinical Dementia Rating (CDR), among elderly people in a community. Totally, 178 community dwellers aged 75 years and above agreed to participate and completed the WHOQOL-BREF; 66 (32 males, 34 females) scored a CDR of 0 (healthy), 86 (33, 53) scored a CDR of 0.5 (questionable dementia or very mild dementia), and 26 (12, 14) scored a CDR of 1 and above (dementia). According to Pearson’s correlation coefficient analysis (significance level, p < 0.05), the physical domain of the WHOQOL-BREF had significant statistical negative correlations with all CDR subscales. The CDR subscale of memory impairment had a significant statistical negative correlation with the WHOQOL-BREF subscales of the physical (r = -0.151, p = 0.044) and psychological (r = -0.232, p < 0.002) domains. The CDR subscale of home and hobbies impairment had significant statistical negative correlations with all WHOQOL-BREF subscales including the physical (r = -0.226, p = 0.002), psychological (r = -0.226, p = 0.002), social (r = -0.167, p = 0.026), and environmental (r = -0.204, p = 0.006) domains. Patients with very mild dementia may confuse cognitive impairment and physical disabilities. In the future, we need to systematically combine memory clinics and all departments related to the elderly for the successful early detection and rehabilitation of, and long-term care for, dementia.

Age and gender differences in the impact of labour-market transitions on subjective health in Germany.

Applying a gender- and age group-sensitive approach, we investigated the effect of labour-market transitions (job loss and re-employment) on subjective physical and mental health. A combination of the difference-in-differences approach and propensity score matching controls for selectivity and initial health differences. This allowed us to analyse the causal effect of job loss and re-employment on subjective health. We made use of data from the German Panel Study Labour Market and Social Security and combined survey information with administrative records of the Federal Employment Agency for employed and unemployed men and women 31-60 years of age ( n = 2213). We controlled for labour-market experiences before the time period under study and for labour-market transitions between the interviews. Subjective health was assessed using the SF-12 health questionnaire, enabling us to differentiate between subjective mental and physical health functioning. We found that physical health was affected mainly in older persons between 45 and 60 years old. Controlling for covariates using propensity score matching, mental health was affected only when living-wage jobs (i.e. jobs that provide sufficient income to achieve a defined minimum standard of living above the social benefit level) are gained or lost. Younger women showed a significant improvement in mental health after re-employment. In contrast, job loss affected only older individuals' mental health, with a particularly negative effect observed for men. Our results not only showed that women and men are affected differently by job loss and re-employment, but also that age is an important factor. Older men were affected most severely by job loss, whereas re-employment was found to improve mental health only in women aged 31-44 years. It is therefore important to address the health problems of different socio-demographic groups separately, and to apply active labour-market policies with regard to unemployed men and women with health impairments. Based on our results, we suggest the promotion of employment with income levels above the maximum welfare benefit award.

Cumulative incidence of suicidal ideation and associated factors among adults living in temporary housing during the three years after the Great East Japan Earthquake

BackgroundThe effect of disasters on suicidality is not known. We aimed to retrospectively determine the cumulative incidence of suicidal ideation during the 3 years after the Great East Japan Earthquake among residents in temporary housing without prior suicidal ideation, as compared to the general population. Moreover, we aimed to identify the risk factors for the onset of suicidal ideation. MethodsA cross-sectional survey involving face-to-face interviews was conducted 3 years after the earthquake with adult community residents in disaster-affected areas and a control area using the World Health Organization Composite International Diagnostic Interview version 3.0. We compared the cumulative incidence of suicidal ideation between the two areas using the Cox proportional hazard model and examined risk factors for the onset of suicidal ideation using a multiple logistic regression analysis. ResultsAmong 1019 respondents in the disaster-affected areas, the cumulative incidence of suicidal ideation over 1, 2, and 3 years after the earthquake was 1.4%, 2.4%, and 2.8%, respectively, which was significantly higher than that in the control area. Not being married, being injured in the disaster, and poor subjective physical health were associated with the onset of suicidal ideation. LimitationsWe estimated the time of onset of suicidal ideation based on the respondents’ current age and self-reported onset age, which limits the accuracy of the onset timing. ConclusionsWe revealed a higher incidence of suicidal ideation in temporary housing residents and identified several risk factors, which suggests the importance of developing countermeasures to prevent suicide after a disaster.