Longitudinal study of housing for the promotion of health and well-being: Using a covariance structure model to identify the causal relationships between satisfaction of living environment, stress and chronic low back pain

Natsuko Nagasawa, Rika Yamaguchi, Ryuichi Kato, Tanabe Shin-ichi

Research output: Contribution to journalArticle

2 Citations (Scopus)


The purpose of this paper is to clarify the casual relationship for from longitudinal research with health and living environment. Based on a questionnaire longitudinal survey administered online to Japanese women 3054 in 2011 and 2013, about 1500 people with a history of low back pain, covariance structure analysis was conducted to explore the relationship between satisfaction of living environment, stress-related health and chronic low back pain. The models showed that there was a causal effect from "stress and fatigue" to "chronic back pain", while a second causal effect was shown from "satisfaction of living environment" to "stress and fatigue."Taken together, this suggests that "satisfaction of living environment" influences levels of "stress and fatigue" which in turns manifests itself as "chronic low back pain".

Original languageEnglish
Pages (from-to)279-287
Number of pages9
JournalJournal of Environmental Engineering (Japan)
Issue number709
Publication statusPublished - 2015 Jan 1



  • Chronic low back pain
  • Covariance structural analysis
  • Health promotion
  • Living environment
  • Longitudinal research

ASJC Scopus subject areas

  • Environmental Engineering

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