Severe Psychological Distress of Evacuees in Evacuation Zone Caused by the Fukushima Daiichi Nuclear Power Plant Accident: The Fukushima Health Management Survey.
Severe Psychological Distress of Evacuees in Evacuation Zone Caused by the Fukushima Daiichi Nuclear Power Plant Accident: The Fukushima Health Management Survey.
复制标题
福岛Daiichi核电站事故造成的疏散区疏散区的严重心理困扰：福岛健康管理调查。
DOI：
10.1371/journal.pone.0158821
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发表时间：
2016
期刊：
影响因子：
3.7
通讯作者：
Mental Health Group of the Fukushima Health Management Survey
中科院分区：
文献类型：
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作者：
Kunii Y;Suzuki Y;Shiga T;Yabe H;Yasumura S;Maeda M;Niwa S;Otsuru A;Mashiko H;Abe M;Mental Health Group of the Fukushima Health Management Survey
2011年3月11日东日本大地震后，福岛第一核电站的核灾难持续影响着疏散区内居民的心理健康状况。为了检查核事故后撤离人员的心理健康状况，我们进行了心理健康和生活方式调查，作为正在进行的福岛健康管理调查的一部分。本研究采用Kessler 6项心理困扰量表（K6）对居住在福岛县疏散区内的73,569名15岁及以上的疏散人员（反应率40.7%）的心理健康状况进行了测量。然后，我们使用K6的12/13截断对响应者进行二分类，并比较K6得分≥13和≤12在每个危险因素中的比例，包括人口统计信息、社会经济变量和灾害相关变量。我们还使用卡方检验对心理健康状况和可能的危险因素进行了双变量分析。此外，我们使用修正泊松回归模型进行多元回归分析。K6评分中位数为5（四分位数范围为1-10）。心理困扰8717例（14.6%）。我们发现，在几乎所有的调查项目中，心理困扰的患病率都存在显著差异，包括与灾害相关的风险因素，其中大多数也与患病率（pr）的增加有关。此外，我们发现每个疏散区的心理困扰与其环境辐射水平呈显著正相关（r = 0.768, p = 0.002）。地震、海啸和随后的核事故可能给福岛县疏散区的居民造成了严重的心理困扰。心理困扰与辐射水平的密切相关表明，核事故严重影响了居民的心理健康，并可能因风险认知的增加而加剧。为了提供及时和适当的支持，强烈建议对撤离人员进行持续的社会心理干预。
Following the Great East Japan Earthquake on March 11, 2011, the nuclear disaster at the Fukushima Daiichi Nuclear Power Plant has continued to affect the mental health status of residents in the evacuation zone. To examine the mental health status of evacuee after the nuclear accident, we conducted the Mental Health and Lifestyle Survey as part of the ongoing Fukushima Health Management Survey. We measured mental health status using the Kessler 6-item psychological distress scale (K6) in a total of 73,569 (response rate: 40.7%) evacuees aged 15 and over who lived in the evacuation zone in Fukushima Prefecture. We then dichotomized responders using a 12/13 cutoff on the K6, and compared the proportion of K6 scores ≥13 and ≤12 in each risk factor including demographic information, socioeconomic variables, and disaster-related variables. We also performed bivariate analyses between mental health status and possible risk factors using the chi-square test. Furthermore, we performed multivariate regression analysis using modified Poisson regression models. The median K6 score was 5 (interquartile range: 1–10). The number of psychological distress was 8,717 (14.6%). We found that significant differences in the prevalence of psychological distress by almost all survey items, including disaster-related risk factors, most of which were also associated with increased Prevalence ratios (PRs). Additionally, we found that psychological distress in each evacuation zone was significantly positively associated with the radiation levels in their environment (r = 0.768, p = 0.002). The earthquake, tsunami and subsequent nuclear accident likely caused severe psychological distress among residents in the evacuation zone in Fukushima Prefecture. The close association between psychological distress and the radiation levels shows that the nuclear accident seriously influenced the mental health of the residents, which might be exacerbated by increased risk perception. To provide prompt and appropriate support, continued psychosocial intervention for evacuees is strongly recommended.