Psychological distress and the perception of radiation risks: the Fukushima health management survey
Psychological distress and the perception of radiation risks: the Fukushima health management survey
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DOI：
10.2471/blt.14.146498
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发表时间：
2015-09-01
影响因子：
11.1
通讯作者：
Abe, Masafumi
中科院分区：
文献类型：
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作者：
Suzuki, Yuriko;Yabe, Hirooki;Abe, Masafumi
目的评估福岛核电站灾难疏散人员对辐射风险的认知与心理困扰之间的关系。方法我们分析了2012年对疏散人员进行的调查的横断面数据。根据K6量表将心理困扰分为存在或不存在。答卷人记录了他们对电离辐射照射的健康风险的看法，包括对健康的直接影响、延迟影响和遗传（遗传）影响，采用四点Likert量表。我们在逻辑回归模型中研究了心理困扰和风险感知之间的关联。年龄，性别，教育程度，精神疾病史和灾难的后果，就业和生活条件是潜在的混杂因素。结果出180604人谁收到的问卷调查，我们包括59807响应在我们的样本。有8717名受访者报告心理困扰。认为辐射暴露极有可能造成健康影响的受访者比其他受访者更容易产生心理困扰：比值比（OR）1.64（99.9%置信区间，CI：1.42-1.89）; OR：1.48（99.9% CI：1.32-1.67）的延迟效应和OR：2.17（99.9% CI：1.94-2.42）的遗传（遗传）效应。在控制个人特征和灾害相关的stresss.Conclusion疏散的福岛核灾难，辐射风险的关注与心理困扰。
Objective To assess relationships between the perception of radiation risks and psychological distress among evacuees from the Fukushima nuclear power plant disaster.Methods We analysed cross-sectional data from a survey of evacuees conducted in 2012. Psychological distress was classified as present or absent based on the K6 scale. Respondents recorded their views about the health risks of exposure to ionizing radiation, including immediate, delayed and genetic (inherited) health effects, on a four-point Likert scale. We examined associations between psychological distress and risk perception in logistic regression models. Age, gender, educational attainment, history of mental illness and the consequences of the disaster for employment and living conditions were potential confounders.Findings Out of the 180604 people who received the questionnaire, we included 59 807 responses in our sample. There were 8717 respondents reporting psychological distress. Respondents who believed that radiation exposure was very likely to cause health effects were significantly more likely to be psychologically distressed than other respondents: odds ratio (OR) 1.64 (99.9% confidence interval, Cl: 1.42-1.89) for immediate effects; OR: 1.48(99.9% Cl: 1.32-1.67) for delayed effects and OR: 2.17(99.9% Cl: 1.94-2.42) for genetic (inherited) effects. Similar results were obtained after controlling for individual characteristics and disaster-related stressors.Conclusion Among evacuees of the Fukushima nuclear disaster, concern about radiation risks was associated with psychological distress.