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Association between Psychological Factors and Evacuation Status and the Incidence of Cardiovascular Diseases after the Great East Japan Earthquake: A Prospective Study of the Fukushima Health Management Survey

Author

Listed:
  • Toshiki Sanoh

    (Department of Public Health, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama 700-8558, Japan)

  • Eri Eguchi

    (Department of Epidemiology, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan)

  • Tetsuya Ohira

    (Department of Epidemiology, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan
    Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan)

  • Fumikazu Hayashi

    (Department of Epidemiology, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan
    Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan)

  • Masaharu Maeda

    (Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan
    Department of Disaster Psychiatry, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan)

  • Seiji Yasumura

    (Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan
    Department of Public Health, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan)

  • Yuriko Suzuki

    (National Institute of Mental Health, National Center of Neurology and Psychiatry, Tokyos 187-0031, Japan)

  • Hirooki Yabe

    (Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan
    Department of Neuropsychiatry, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan)

  • Atsushi Takahashi

    (Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan
    Department of Gastroenterology, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan)

  • Kanae Takase

    (Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan
    Department of Community Health and Public Health Nursing, Fukushima Medical University School of Nursing, Fukushima 960-1295, Japan)

  • Mayumi Harigane

    (Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan
    Department of Public Health, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan)

  • Takashi Hisamatsu

    (Department of Public Health, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama 700-8558, Japan)

  • Keiki Ogino

    (Department of Public Health, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama 700-8558, Japan
    Department of Environmental Medicine, Cooperative Medicine Unit, Research and Education Faculty, Medicine Science Cluster, Kochi Medical School Kochi University, Kochi 783-8505, Japan)

  • Hideyuki Kanda

    (Department of Public Health, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama 700-8558, Japan)

  • Kenji Kamiya

    (Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan
    Research Institute for Radiation Biology and Medicine, Hiroshima University, Hiroshima 734-8553, Japan)

Abstract

Evidence regarding the effect of psychological factors and evacuation on cardiovascular disease occurrence after large-scale disasters is limited. This prospective study followed up a total of 37,810 Japanese men and women aged 30–89 years from the Fukushima Prefecture with no history of stroke or heart disease at baseline (2012), until 2017. This period included 3000 cardiovascular events recorded through questionnaires and death certificates. The participants’ psychological distress, trauma reaction, and evacuation status were defined, and divided into four groups based on combinations of psychological factors and evacuation status. We calculated the hazard ratios and 95% confidence intervals for only psychological, only evacuation, or both of them compared with neither using Cox proportional hazard models. Psychological factors along with evacuation resulted in approximately 5% to 25% higher magnitude of stroke and heart disease risk than psychological factors only among men. Compared to neither, the multivariable hazard ratios of those with both psychological distress and evacuation were 1.75 for stroke and 1.49 for heart disease, and those of both trauma reaction and evacuation were 2.01 and 1.57, respectively, among men. Evacuation combined with psychological factors increased the risk of stroke and heart disease risks especially in men after the Great East Japan Earthquake.

Suggested Citation

  • Toshiki Sanoh & Eri Eguchi & Tetsuya Ohira & Fumikazu Hayashi & Masaharu Maeda & Seiji Yasumura & Yuriko Suzuki & Hirooki Yabe & Atsushi Takahashi & Kanae Takase & Mayumi Harigane & Takashi Hisamatsu , 2020. "Association between Psychological Factors and Evacuation Status and the Incidence of Cardiovascular Diseases after the Great East Japan Earthquake: A Prospective Study of the Fukushima Health Manageme," IJERPH, MDPI, vol. 17(21), pages 1-13, October.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:21:p:7832-:d:434844
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    References listed on IDEAS

    as
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    2. Nobuaki Moriyama & Hajime Iwasa & Masaharu Tsubokura & Yujiro Kuroda & Seiji Yasumura, 2019. "Living in the Restoration Public Housing after the Great East Japan Earthquake Correlates with Lower Subjective Well-Being of Older Adults," IJERPH, MDPI, vol. 16(15), pages 1-14, July.
    3. Santavirta, T., 2014. "Unaccompanied evacuation and adult mortality: Evaluating the finnish policy of evacuating children to foster care during world war II," American Journal of Public Health, American Public Health Association, vol. 104(9), pages 1759-1765.
    4. Hajime Iwasa & Yuriko Suzuki & Tetsuya Shiga & Masaharu Maeda & Hirooki Yabe & Seiji Yasumura, 2016. "Psychometric Evaluation of the Japanese Version of the Posttraumatic Stress Disorder Checklist in Community Dwellers Following the Fukushima Daiichi Nuclear Power Plant Incident," SAGE Open, , vol. 6(2), pages 21582440166, June.
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    Cited by:

    1. Eri Eguchi & Narumi Funakubo & Hironori Nakano & Satoshi Tsuboi & Minako Kinuta & Hironori Imano & Hiroyasu Iso & Tetsuya Ohira, 2022. "Impact of Evacuation on the Long-Term Trend of Metabolic Syndrome after the Great East Japan Earthquake," IJERPH, MDPI, vol. 19(15), pages 1-13, August.

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