Gender-Based Risk and Protective Factors for Psychological Distress in the Midterm Recovery Period Following the Great East Japan Earthquake
Gender-Based Risk and Protective Factors for Psychological Distress in the Midterm Recovery Period Following the Great East Japan Earthquake
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DOI：
10.1017/dmp.2018.80
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发表时间：
2019-06-01
影响因子：
2.7
通讯作者：
Yamaoka, Kazue
中科院分区：
文献类型：
--
作者：
Ishiguro, Aya;Inoue, Machiko;Yamaoka, Kazue
目的女性和男性在灾难中可能会经历不同的心理痛苦。本研究调查了东日本大地震后1 ~ 2年的劳动年龄人群中，与心理困扰相关的因素的性别差异。方法2012年5月至12月在日本石卷市对仍住在家中的受害者进行横断面家庭调查。心理困扰定义为Kessler心理困扰量表≥ 5分，性别差异采用logistic回归分析。结果共获得2593份数据，1537名参与者被纳入分析。在28.0%的参与者中观察到心理困扰。生活在一个没有工资收入的家庭中，以及很少离开家，都与妇女的心理压力有关。年轻、缺乏职业和没有信息支持与男性的心理困扰有关。收入变化，由于灾难和健康投诉与心理困扰的男女。结论稳定的家庭收入和经常外出是女性的保护因素。对男子来说，以青年人为重点的干预、职业支持和信息支持可能是有用的。灾后收入变化和健康问题可能是男女两性的风险因素。（公共卫生应急预案。2019;13：487-496）
Objectives Women and men might experience psychological distress differently during a disaster. This study investigated gender differences in the factors associated with psychological distress among working-age people 1 to 2 years after the Great East Japan Earthquake. Methods A cross-sectional household survey of victims who remained living in their homes was conducted between May and December 2012 in Ishinomaki City, Japan. Psychological distress was defined as a Kessler Psychological Distress Scale >= 5, and gender differences were examined using a logistic regression analysis. Results Data were obtained from 2593 individuals, and 1537 participants were included in the analyses. Psychological distress was observed in 28.0% of the participants. Living in a household without a salaried income and a low frequency of leaving the house were associated with psychological distress among women. Young age, lack of occupation and no informational support were associated with psychological distress among men. Income change due to the disaster and health complaints were associated with psychological distress in both genders. Conclusions For women, stable household income and frequently leaving the house can be protective factors. For men, intervention focusing on young people, occupational support, and informational support may be useful. Income change after the disaster and health complaints may be risk factors in both genders. (Disaster Med Public Health Preparedness. 2019;13:487-496)