Association between sense of coherence and health and well-being among older survivors of a natural disaster: a prospective outcome-wide study

Abstract

We examined whether pre-disaster Sense of Coherence (SOC) mitigated the impact of housing damage on health and well-being of older survivors after the 2011 Japan Earthquake and Tsunami. A panel survey was conducted in a city located 80 km west of the epicenter seven months before and three years after the disaster (3594 respondents). Among respondents with lighter property damage, higher SOC was inversely associated with mental distress (coefficient − 0.29, 95% CI (confidence interval) − 0.39, − 0.19, p