Did the Number of Older People Requiring Long-Term Care and Expenditure Increase after the 2011 Great East Japan Earthquake? Analysis of Changes over Six Years
Did the Number of Older People Requiring Long-Term Care and Expenditure Increase after the 2011 Great East Japan Earthquake? Analysis of Changes over Six Years
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DOI：
10.3390/ijerph17051621
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发表时间：
2020-03-01
影响因子：
--
通讯作者：
Jeong, Seungwon
中科院分区：
文献类型：
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作者：
Inoue, Yusuke;Jeong, Seungwon
2011年3月11日，日本发生大地震，造成15895人死亡、6156人重伤、2539人失踪。这一事件影响了老年居民的健康和生活，报告显示，此后符合长期护理资格的人数有所增加。本研究以2011年东日本大地震和海啸的受灾地区为对象，以福岛县核疏散特别法指定的指定市町村等15个市町村为对象，旨在明确长期护理认证率和服务支出的中期（灾后6年）影响。我们使用了2011年、2014年和2017年厚生劳动省长期护理保险月度状况报告和总务省人口登记册。2011年，我们发现福岛15个市町村和其他城市之间的长期护理认证率或人均服务使用支出没有组间差异。 2014年地震后，福岛15个市町村75岁以上老年人的长期护理认证率比其他市町村高出5.4%。 2014-2017年这一比例并没有明显上升，部分原因是灾后稳定和人口结构的变化。尽管如此，即使在地震发生六年后，福岛县 15 个市町村的长期护理认证率仍高于其他两组。同样，2014 年福岛 15 个市镇的人均使用服务支出比其他市镇高出 11,800 日元，这一趋势持续到 2017 年。政府需要持续强有力的支持，特别是对于灾后 75 岁以上的老年人。
On 11 March 2011, the great earthquake hit Japan, resulting in 15,895 deaths, 6156 serious injuries, and 2539 missing persons. This event affected the health and lives of older residents, and reports showed an increase in the number of people eligible for long-term care afterward. In this study, among the places affected by the 2011 Great East Japan Earthquake and tsunami, we focused on 15 municipalities, including designated municipalities based on the Special Act on Nuclear Evacuation in Fukushima Prefecture, and aimed to clarify the medium-term effects (six years post-disaster) on the long-term care certification rate and expenditure for provision of services. We used the Ministry of Health, Labour, and Welfare Monthly Status Report on Long-Term Care Insurance and the Ministry of Internal Affairs and Communications Population Register for 2011, 2014, and 2017. In 2011, we found no intergroup differences among the 15 Fukushima municipalities and other municipalities in either the long-term care certification rate or the per-person expenditure for use of services. In 2014, after the earthquake, the long-term care certification rate was 5.4% higher in the 15 Fukushima municipalities than in other municipalities for those aged 75 years or older. The rate of 2014-2017 has not increased significantly, partly because of stability after the disaster and change in the population structure. Nevertheless, the long-term care certification rate in the 15 Fukushima municipalities is higher than that of the other two groups even after six years since the earthquake. Similarly, the per-person expenditure for use of services for one month was 11,800 yen higher in the 15 Fukushima municipalities than in other municipalities in 2014, and this trend continued into 2017. Strong, ongoing governmental support is needed, especially for those aged 75 or older, following a disaster.