Living environment, health status, and perceived lack of social support among people living in temporary housing in Rikuzentakata City, Iwate, Japan, after the Great East Japan Earthquake and tsunami: A crosssectional study
Living environment, health status, and perceived lack of social support among people living in temporary housing in Rikuzentakata City, Iwate, Japan, after the Great East Japan Earthquake and tsunami: A crosssectional study
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东日本大地震和海啸后，日本岩手县陆前高田市临时住房居民的生活环境、健康状况和缺乏社会支持的情况：一项横断面研究
DOI：
10.1016/j.ijdrr.2016.12.001
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发表时间：
2017
影响因子：
5
通讯作者：
Nobuko Nishina
中科院分区：
文献类型：
--
作者：
Kayako Sakisaka;Honami Yoshida;Kenzo Takahashi;Takashi Miyashiro;Toshiya Yamamoto;Masato Fujiga;Hidemi Kamiya;Norihiro Nihei;Junko Someno;Reiji Fujimuro;Kazuaki Matsumoto;Nobuko Nishina
2011年，日本东部大地震和海啸袭击了日本东部的大片地区。我们的目的是描述岩手县陆前高田市临时住房居民的生活环境和健康状况，并找出与缺乏社会支持有关的因素。因此，我们于2013年8月利用向陆前高田所有临时住房住户发放的自填式结构化问卷进行了一项横断面研究。超过三分之一的受访者表示，他们的身体(34.2%)或心理健康(34.0%)在过去一年中有所恶化。更年轻的人有更多的健康问题，与更多的人生活在一起，他们的痛苦程度更高。与感觉缺乏社会支持相关的主要因素是：与邻居有问题(3.68，p=0.002)，难以照顾家庭成员(3.28，p=0.036)，对生活条件的痛苦程度较高(2.62，p<；0.0001)，年轻(2.32，p=0.003)，以及男性(1.77，p=0.019)。这些发现表明，临时住所的生活压力很大，可能会导致身心健康恶化。然而，生活质量的总体水平仅略低于标准平均水平。将重点放在重大灾难后安置在临时住房中的最脆弱的人身上尤为重要。
The Great East Japan Earthquake and tsunami hit a wide area of East Japan in 2011. We aimed to describe the living environment and health status of those living in temporary housing in Rikuzentakata, Iwate, as well as to identify the factors associated with perceived lack of social support. We therefore conducted a cross-sectional study using a self-administered, structured questionnaire distributed to all households living in temporary housing in Rikuzentakata in August 2013. More than one-third of the respondents said that their physical (34.2%) or mental (34.0%) health had deteriorated over the previous year. Younger people with more health complaints and living with more people had higher levels of distress. The major factors associated with a perceived lack of social support were having trouble with neighbours (AOR 3.68,p=0.002), difficulties providing care for a family member (AOR 3.28,p=0.036), higher levels of distress regarding living conditions (AOR 2.62,p<0.0001), being younger(AOR 2.32,p=0.003), and being male (AOR 1.77,p=0.019). These findings suggest that life in temporary housing is quite stressful and could lead to deterioration in physical and mental health. The total level of QOL, however, was only slightly lower than the standard average. Focusing on the most vulnerable people placed in temporary housing after a major disaster is particularly important.