Evacuation after the Great East Japan Earthquake was associated with poor dietary intake: The Fukushima Health Management Survey.
Evacuation after the Great East Japan Earthquake was associated with poor dietary intake: The Fukushima Health Management Survey.
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DOI：
10.1016/j.je.2016.08.002
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发表时间：
2017-01
影响因子：
4.7
通讯作者：
Fukushima Health Management Survey Group
中科院分区：
文献类型：
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作者：
Zhang W;Ohira T;Abe M;Kamiya K;Yamashita S;Yasumura S;Ohtsuru A;Masaharu M;Harigane M;Horikoshi N;Suzuki Y;Yabe H;Yuuki M;Nagai M;Takahashi H;Nakano H;Fukushima Health Management Survey Group
很少有研究调查灾后疏散人员的生活安排和饮食摄入量之间的关系。使用2011年日本东部大地震后撤离者的大规模队列调查数据来检验生活安排和饮食摄入量之间的关系。疏散区域的73,433名居民回答了福岛健康管理调查问卷。如果受试者没有报告他们的生活状况或遗漏了三条以上的饮食摄入量信息，他们就会被排除在外。52,314名受试者(23,149名男性和29,165名女性≥15岁)的数据被用于分析。撤离者的居住安排被分为三类：疏散庇护所或临时住房、出租房屋或公寓、或亲戚的家或自己的家。膳食摄入量以谷物、水果和蔬菜、肉类、大豆产品、乳制品和鱼为特征。每组食物每日摄入量的第三个四分位数(Q3)或更高被定义为“高摄入量”。用改进的泊松回归分析估计患病率(PR)和95%可信区间(CI)。改良Poisson回归分析显示，与亲属或自己的家庭相比，租住在水果和蔬菜(非果汁)、肉类、豆制品和乳制品高消费的出租公寓中的人的RR和95%CI分别为0.69(95%CI，0.61-0.77)、0.82(95%CI，0.73-0.91)、0.89(95%CI，0.83-0.94)和0.83(95%CI，0.74-0.93)。大量食用果蔬(非果汁)、肉类、豆制品和乳制品的避难所和临时避难所的PR和95%CI分别为0.83(95%CI，0.78~0.88)、0.90(95%CI，0.86~0.95)、0.94(95%CI，0.91~0.97)和0.91(95%CI，0.86~0.96)。本研究表明，地震发生后，在非居所条件下生活与水果和蔬菜(非果汁)、肉类、大豆产品和乳制品的饮食摄入不足有关，这表明需要及早改善在非居所条件下的疏散人员提供均衡膳食的情况。
Few studies have investigated the relationship between living arrangements and dietary intake among evacuees after disasters. To examine the relationship between living arrangements and dietary intake using the data of a large-scale cohort survey of evacuees after the Great East Japan Earthquake in 2011. 73,433 residents in evacuation zones responded to the Fukushima Health Management Survey questionnaire. Subjects were excluded if they did not report their living conditions or were missing more than three pieces of information about dietary intake. The data of 52,314 subjects (23,149 men and 29,165 women ≥15 years old) were used for the analyses. Evacuees' living arrangements were characterized into three categories: evacuation shelters or temporary housing, rental houses or apartments, or a relative's home or their own home. Dietary intake was characterized in terms of grains, fruits and vegetables, meat, soybean products, dairy products, and fish. Daily consumption of the third quartile (Q3) or higher for each food group was defined as ‘high consumption’. Prevalence ratios (PRs) and 95% confidence intervals (CIs) were estimated using modified Poisson regression analyses. Modified Poisson regression analyses showed that, compared with respondents living in a relative's home or their own home, the PRs and 95% CIs for the people living in rental apartments of high consumption of fruits and vegetables (non-juice), meat, soybean products, and dairy products were 0.69 (95% CI, 0.61–0.77), 0.82 (95% CI, 0.73–0.91), 0.89 (95% CI, 0.83–0.94), and 0.83 (95% CI, 0.74–0.93) respectively. The corresponding PRs and 95% CIs for people living in evacuation shelters or temporary housing were 0.83 (95% CI, 0.78–0.88), 0.90 (95% CI, 0.86–0.95), 0.94 (95% CI, 0.91–0.97), and 0.91 (95% CI, 0.86–0.96) for high consumption of fruits and vegetables (non-juice), meat, soybean products, and dairy products, respectively. The present study suggests that, after the earthquake, living in non-home conditions was associated with poor dietary intake of fruits and vegetables (non-juice), meat, soybean products, and dairy products, suggesting the need for early improvements in the provision of balanced meals among evacuees living in non-home conditions.