Hostname: page-component-cd9895bd7-q99xh Total loading time: 0 Render date: 2024-12-22T22:39:20.307Z Has data issue: false hasContentIssue false

Health Effects of a Farming Program to Foster Community Social Capital of a Temporary Housing Complex of the 2011 Great East Japan Earthquake

Published online by Cambridge University Press:  16 February 2015

Sho Takahashi*
Affiliation:
Department of Internal Medicine, Iwate Prefectural Takata Hospital, Rikuzentakata, Japan
Mikihito Ishiki
Affiliation:
Department of Internal Medicine, Iwate Prefectural Takata Hospital, Rikuzentakata, Japan
Naoki Kondo
Affiliation:
University of Tokyo, Department of Health and Social Behavior, School of Public Health, Tokyo, Japan
Aiko Ishiki
Affiliation:
Department of Internal Medicine, Iwate Prefectural Takata Hospital, Rikuzentakata, Japan
Takeshi Toriyama
Affiliation:
Department of Internal Medicine, Iwate Prefectural Takata Hospital, Rikuzentakata, Japan
Shuko Takahashi
Affiliation:
Department of Internal Medicine, Iwate Prefectural Takata Hospital, Rikuzentakata, Japan
Hidenori Moriyama
Affiliation:
Department of Pediatrics, Iwate Prefectural Takata Hospital, Rikuzentakata, Japan
Masahiro Ueno
Affiliation:
Department of Internal Medicine, Iwate Prefectural Takata Hospital, Rikuzentakata, Japan
Masaaki Shimanuki
Affiliation:
Department of Internal Medicine, Iwate Prefectural Takata Hospital, Rikuzentakata, Japan
Toshio Kanno
Affiliation:
Department of Ophthalmology, Iwate Prefectural Takata Hospital, Rikuzentakata, Japan.
Tomoharu Oki
Affiliation:
Department of Pediatrics, Iwate Prefectural Takata Hospital, Rikuzentakata, Japan
Kiyoshi Tabata
Affiliation:
Department of Internal Medicine, Iwate Prefectural Takata Hospital, Rikuzentakata, Japan
*
Correspondence and reprint requests to Sho Takahashi, Department of Internal Medicine, Iwate Prefectural Takata Hospital, Internal Medicine, Rikuzentakata, Japan (e-mail:[email protected]).

Abstract

Objective

We launched a health promotion program called the Hamarassen (“let’s get together”) Farm, which provided farming opportunities for the victims of the Great East Japan Earthquake who resided in temporary housing. The aim of this study was to evaluate the effects of this program on physical and mental health in terms of bone mineral density (BMD) and a sense of purpose in life.

Methods

Among 39 female participants in whom BMD was evaluated, there were 12 Hamarassen participants, 8 self-farming control subjects, and 19 non-farming control subjects. BMD was measured by calcaneal quantitative ultrasound immediately after the project launch and 5 months later. A sense of purpose in life prior to and 2 months after the project’s commencement was measured in 21 additional Hamarassen participants by use of the K-I Scale. Interviews were also conducted to qualitatively evaluate the effects of the Hamarassen program.

Results

The mean BMD T-score improved by 0.43 in the Hamarassen group, by 0.33 in the self-farming group, and by 0.06 in the controls (p=0.02). Among the 21 Hamarassen participants in whom mental health was evaluated, the average score for a sense of purpose in life improved from 20.5 to 24.9 (p=0.001).

Conclusions

The Hamarassen Farm provided disaster victims with opportunities for social participation, interpersonal interaction, and physical exercise; such opportunities may improve physical and psychosocial well-being. (Disaster Med Public Health Preparedness. 2015;9:103-110)

Type
Original Research
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2015 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. The System of Social and Demographic Statistics of Japan. Tokyo, Japan: Ministry of Internal Affairs and Communications; 2013.Google Scholar
2. Population Census of Japan (Basic Complete Tabulation on Population and Households). Tokyo, Japan: Ministry of Internal Affairs and Communications; 2010.Google Scholar
3. van Griensven, F, Chakkraband, ML, Thienkrua, W, et al. Mental health problems among adults in tsunami-affected areas in southern Thailand. JAMA. 2006;296:537-548.CrossRefGoogle ScholarPubMed
4. Ogawa, S, Ishiki, M, Nako, K, et al. Effects of the Great East Japan Earthquake and huge tsunami on glycaemic control and blood pressure in patients with diabetes mellitus. BMJ Open. 2012;2:e000830.CrossRefGoogle ScholarPubMed
5. Shiga, H, Miyazawa, T, Kinouchi, Y, et al. Life-event stress induced by the Great East Japan Earthquake was associated with relapse in ulcerative colitis but not Crohn's disease: a retrospective cohort study. BMJ Open. 2013;3:e002294.CrossRefGoogle Scholar
6. Fukudo, S, Shoji, T, Endo, Y, et al. Stress at the Tohoku Earthquake and Tsunami: Report from Sendai-Miyagi [in Japanese]. Jpn J Psychosom Med. 2012;52:388-395.Google Scholar
7. Okawa, Y. Importance of countermeasures for inactivity syndrome (disuse syndrome) in wide area disaster: from the viewpoint of disability prevent [in Japanese]. Iryo. 2005;59:205-212.Google Scholar
8. Haines, VA, Hurlbert, JS, Beggs, JJ. Exploring the determinants of support provision: provider characteristics, personal networks, community contexts, and support following life events. J Health Soc Behav. 1996;37:252-264.CrossRefGoogle ScholarPubMed
9. Aldrich, DP. Building Resilience. Chicago: Chicago University Press; 2012.CrossRefGoogle Scholar
10. Kage, R. Civic Engagement in Postwar Japan: The Revival of a Defeated Society. Ney York: Cambridge University Press; 2011.Google Scholar
11. Kondo, T, Kamada, J. Construction of ‘the K-I scale for the feeling that life is worth living among the aged’ and the definition of this feeling [in Japanese]. Jpn J Soc Welfare. 2003;43:93-101.Google Scholar
12. House, JS, Umberson, D, Landis, KR. Structures and processes of social support. Annu Rev Sociol. 1988;14:293-318.CrossRefGoogle Scholar
13. Berkman, L, Glass, T. Social integration, social networks, social support, and health. In: Berkman L, Kawachi I, eds. Social Epidemiology. New York: Oxford University Press; 2000:137-173.CrossRefGoogle Scholar
14. Kawachi, I, Subramanian, SV, Kim, D. Social Capital and Health. New York: Springer; 2008.CrossRefGoogle Scholar
15. Murayama, H, Fujiwara, Y, Kawachi, I. Social capital and health: a review of prospective multilevel studies. J Epidemiol. 2012;22:179-187.CrossRefGoogle Scholar
16. Holt-Lunstad, J, Smith, TB, Layton, JB. Social relationships and mortality risk: a meta-analytic review. PLoS Med. 2010;7:e1000316.CrossRefGoogle Scholar
17. Saito, M, Kondo, N, Kondo, K, et al. Gender differences on the impacts of social exclusion on mortality among older Japanese: AGES cohort study. Soc Sci Med. 2012;75:940-945.CrossRefGoogle ScholarPubMed
18. Kawachi, I, Takao, S, Subramanian, SV, eds. Global Perspectives on Social Capital and Health. New York: Springer; 2013.CrossRefGoogle Scholar
19. Aida, J, Kondo, K, Hirai, H, et al. Assessing the association between all-cause mortality and multiple aspects of individual social capital among the older Japanese. BMC Public Health. 2011;11:499. doi: 10.1186/1471-2458-11-499.CrossRefGoogle ScholarPubMed
20. Kondo, N, Suzuki, K, Minai, J, et al. Positive and negative impacts of finance-based social capital on incident functional disability and mortality: an 8-year prospective study on elderly Japanese. J Epidemiol. 2012;22:543-550.CrossRefGoogle Scholar
21. Fratiglioni, L, Wang, HX, Ericsson, K, et al. Influence of social network on occurrence of dementia: a community-based longitudinal study. Lancet. 2000;355:1315-1319.CrossRefGoogle ScholarPubMed
22. Kim, D, Subramanian, SV, Kawachi, I. Bonding versus bridging social capital and their associations with self rated health: a multilevel analysis of 40 US communities. J Epidemiol Community Health. 2006;60:116-122.CrossRefGoogle Scholar
23. Marques, EA, Mota, J, Carvalho, J. Exercise effects on bone mineral density in older adults: a meta-analysis of randomized controlled trials. Age. 2012;34:1493-1515.CrossRefGoogle Scholar
24. Nakamura, K, Saito, T, Nishiwaki, T, et al. Correlations between bone mineral density and demographic, lifestyle, and biochemical variables in community-dwelling Japanese women 69 years of age and over. Osteoporosis Int. 2006;17:1202-1207.CrossRefGoogle ScholarPubMed
25. Sanada, K, Kuchiki, T, Ebashi, H, et al. Relationships between muscle mass or power and bone mineral density in postmenopausal women [in Japanese]. Jpn J Physical Fitness Sports Med. 1997;46:69-76.CrossRefGoogle Scholar
26. Leavell, HR. Textbook of Preventive Medicine. New York: McGraw-Hill; 1953.Google Scholar
27. Ichida, Y, Hirai, H, Kondo, K, et al. Does social participation improve self-rated health in the older population? A quasi-experimental intervention study. Soc Sci Med. 2013;94:83-90.CrossRefGoogle ScholarPubMed
28. Okamoto, N, Greiner, C, Paul, G, et al. Displacement and older people: the case of the great east japan earthquake. J Humanitarian Stud. 2014;3:86-101.Google Scholar
29. Encouragement of Community Comprehensive Long-Term and Medical Care for Older Adults [in Japanese]. Tokyo: University of Tokyo Press; 2014.Google Scholar
30. Portes, A. Social capital: its origins and applications in modern sociology. Annual. Rev Sociol. 1998;24:1-25.Google Scholar
31. Fair Society Healthy Lives (The Marmot Review). UCL Institute of Health Equity. http://www.instituteofhealthequity.org/projects/fair-society-healthy-lives-the-marmot-review. Accessed January 7, 2014.Google Scholar
32. World Population Aging 1950–2050. Population Division, DESA, United Nations. http://www.un.org/esa/population/publications/worldageing19502050/pdf/62executivesummary_english.pdf. Accessed January 7, 2014.Google Scholar