The characteristics of non-respondents and respondents of a mental health survey among evacuees in a disaster : The Fukushima Health Management Survey
The characteristics of non-respondents and respondents of a mental health survey among evacuees in a disaster : The Fukushima Health Management Survey
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DOI：
10.5387/fms.2017-03
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发表时间：
2017-12-01
影响因子：
0.8
通讯作者：
Maeda, Masaharu
中科院分区：
文献类型：
--
作者：
Horikoshi, Naoko;Iwasa, Hajime;Maeda, Masaharu
福岛医科大学在福岛第一核电站事故后为疏散人员开展了心理健康护理项目。然而，使用问卷进行的调查没有考虑到未答复者的心理健康状况。因此，本研究的目的是澄清非应答者和应答者的特征。调查对象（2011 -2013年度）是居住在国家指定的福岛县疏散区的居民。其中，参与者为967人（20岁或以上）。我们检查了影响参与者组之间差异的因素（即，非受访者和受访者）使用多元逻辑回归分析。与受访者相比，非受访者的就业率更高（p=0.022），而且他们在社会上也更孤立（p=0.047）;与受访者相比，非受访者的心理困扰比例风险更高（p < 0.033）。多因素Logistic回归分析结果显示，就业状况（OR=1.99，95%可信区间[a]：1.12-3.51）与心理困扰（OR= 2.17，95%可信区间[a]：1.01-4.66）有显著相关。我们发现，非受访者有一个显着更高的比例相比，受访者的心理困扰。虽然没有回答的人是高风险群体，但仅仅通过问卷调查不可能掌握情况的复杂性。因此，今后有必要将我们的努力集中在未答复者和答复者的心理健康方面。
The Fukushima Medical University conducted a mental health care program for evacuees after the Fukushima Daiichi nuclear power plant accident. However, the mental health status of non-respondents has not been considered for surveys using questionnaires. Therefore, the aim of this study was to clarify the characteristics of non-respondents and respondents. The target population of the survey (FY2011-2013) is people living in the nationally designated evacuation zone of Fukushima prefecture. Among these, the participants were 967 people (20 years or older). We examined fac- tors that affected the difference between the groups of participants (i.e., non-respondents and respondents) using multivariate logistic regression analysis. Employment was higher in non-respondents (p=0.022) and they were also more socially isolated (p=0.047) when compared to respondents ; non-respondents had a higher proportional risk of psychological distress compared to respondents (p < 0.033). The results of the multivariate logistic regression analysis showed that, within the participants there was a significant association between employment status (OR=1.99, 95% confidence interval [a] : 1.12-3.51) and psychological distress (OR= 2.17, 95% a : 1.01-4.66). We found that non-respondents had a significantly higher proportion of psychological distress compared to the respondents. Although the non-respondents were the high-risk group, it is not possible to grasp the complexity of the situation by simply using questionnaire surveys. Therefore, in the future it is necessary to direct our efforts towards the mental health of non-respondents and respondents alike.