Exercise Habits Are Important for the Mental Health of Children in Fukushima After the Fukushima Daiichi Disaster
Exercise Habits Are Important for the Mental Health of Children in Fukushima After the Fukushima Daiichi Disaster
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运动习惯对福岛第一核电站灾难后福岛儿童的心理健康很重要
DOI：
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发表时间：
2017
影响因子：
2.5
通讯作者：
H. Yabe
中科院分区：
文献类型：
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作者：
Shuntaro Itagaki;Mayumi Harigane;M. Maeda;S. Yasumura;Yuriko Suzuki;H. Mashiko;M. Nagai;T. Ohira;H. Yabe
东日本大地震和随后的核反应堆事故发生后，儿童的户外活动大大减少。我们调查了灾难后对儿童运动习惯和心理健康的不利影响。目标受试者为截至2011年3月11日居住在政府指定疏散区内的6至15岁儿童（n = 29 585）。受试者的父母/监护人完成了优势和困难问卷（SDQ），运动习惯数据来自2011年福岛健康管理调查。共收到18745份有效问卷。我们排除了回答不完整的问卷，留下10824份答复进行最终分析。SDQ评分≥16分者心理健康风险高。根据SDQ评估，疏散区中没有定期锻炼的儿童有更高的精神问题风险（多变量调整的患病率[PR] = 1.49; 95%CI 1.38-1.62）。当按性别、年龄、居住地、疾病治疗和经历过核反应堆事故分层时，这种关联基本上是相同的。经常锻炼对灾难后保持儿童的心理健康很重要。这是第一份调查核事故中儿童户外运动限制影响的大规模报告。
After the Great East Japan Earthquake and the subsequent nuclear reactor accident, the outdoor activities of children greatly decreased. We investigated adverse effects on the exercise habits and mental health of children after the disaster. The target subjects were children aged 6 to 15 years living inside the government-designated evacuation zone as of March 11, 2011 (n = 29 585). The subjects’ parents/guardians completed the Strengths and Difficulties Questionnaire (SDQ) and exercise habit data were obtained from the 2011 Fukushima Health Management Survey. A total of 18 745 valid responses were returned. We excluded questionnaires with incomplete answers leaving 10 824 responses for the final analysis. SDQ scores ≥16 indicated high risk of mental health. Children in the evacuation zone who did not get regular exercise had a higher risk of mental problems as evaluated by SDQ (multivariate-adjusted prevalence ratio [PR] = 1.49; 95% CI 1.38-1.62). When stratified by sex, age, place of residence, treatment for illnesses and experienced the nuclear reactor accident the associations were essentially the same. Regular exercise is important for maintaining children’s mental health after a disaster. This is the first large-scale report to examine the impact of outdoor exercise limitations among children in a nuclear accident.