Residence-related factors and psychological distress among evacuees after the Fukushima Daiichi nuclear power plant accident: a cross-sectional study.

Residence-related factors and psychological distress among evacuees after the Fukushima Daiichi nuclear power plant accident: a cross-sectional study.
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DOI:
10.1186/s12888-016-1134-9
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发表时间:
2016-11-24
期刊:
影响因子:
4.4
通讯作者:
Yasumura S
Yasumura S
中科院分区:
医学2区
文献类型:
--
作者:
Horikoshi N;Iwasa H;Kawakami N;Suzuki Y;Yasumura S

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灾害发生后的重新安置可能会影响被疏散者的心理健康。本研究探讨福岛第一核电站事故后居住在临时住所的疏散人员的居住相关因素与心理困扰之间的关系。收集了525名居住在临时住房的参与者的数据。测量了与居住相关的因素(频繁搬迁、对居住地不满意和计划搬到永久性住房)与心理困扰之间的关联。疏散人员的心理困扰,采用日本版的6项凯斯勒量表(K6)。我们使用5分作为临界值来识别心理困扰的病例,这是Kessler心理困扰6项的基础。多因素Logistic回归分析(n = 418)显示,频繁搬迁(OR = 2.05,95% CI:1.14-3.66,p = 0.016)和对居住地不满意(OR = 2.48,95% CI:1.60-3.83,p <0.001)与心理困扰显著相关。按性别分层后,对居住地的不满与心理困扰有关,计划搬到永久性住房与女性心理困扰显著相关(OR = 1.93,95%CI:1.03 - 3.63,p = 0.041)。频繁的搬迁和对住所的不满与福岛核灾难后疏散人员的心理困扰有关。应向被疏散者提供舒适的生活空间,并应采取措施减少被疏散者的重复搬迁。因此,在这种情况下,应特别关注计划搬到永久住房的妇女。
Relocation following a disaster can impact the psychological well-being of evacuees. This study investigated the associations between residence-related factors and psychological distress among evacuees living in temporary housing after the Fukushima Daiichi Nuclear Power Plant accident. Data from 525 participants living in temporary housing were collected. Associations between residence-related factors (frequent relocation, dissatisfaction with the residence, and plan to move to permanent housing) and psychological distress were measured. The psychological distress of evacuees was measured using the Japanese version of the 6-item Kessler scale (K6). We used a cut-off score of five to identify cases with psychological distress, the basis of Kessler’s 6 items for psychological distress. Multivariate logistic regression analysis (n = 418) showed that frequent relocation (OR = 2.05, 95% CI: 1.14–3.66, p = 0.016) and dissatisfaction with the residence (OR = 2.48, 95% CI: 1.60–3.83, p < 0.001) was significantly associated with psychological distress. After stratifying by gender, dissatisfaction with the residence was associated with psychological distress, and a plan to move to permanent housing was significantly associated with psychological distress in women (OR = 1.93, 95% CI: 1.03–3.63, p = 0.041). Frequent relocation and dissatisfaction with the residence were associated with psychological distress among evacuees following the Fukushima nuclear disaster. Evacuees should be provided with comfortable living spaces, and steps should be taken to reduce repeated relocation of evacuees. Thus, particular attention should be paid to women with a plan to move to permanent housing within this context.
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