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Vol.67 (2021) >

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Title: Socioeconomic status, damage-related conditions, and PTSD following the Fukushima-daiichi nuclear power plant accident:The Fukushima Health Management Survey
Authors: Shiga, Tetsuya
Zhang, Wen
Ohira, Tetsuya
Suzuki, Yuriko
Maeda, Masaharu
Mashiko, Hirobumi
Yabe, Hirooki
Iwasa, Hajime
Nakano, Hironori
Yasumura, Seiji
Kamiya, Kenji
Fukushima Health Management Survey Group
Affiliation: 神経精神医学講座
Source title: Fukushima Journal of Medical Science
Volume: 67
Issue: 2
Start page: 71
End page: 82
Issue Date: 2021
Abstract: The Great East Japan Earthquake severely damaged the Tohoku and Kanto districts, and Fukushima Prefecture faced a subsequent nuclear disaster. Few studies have reported the effects of socioeconomic stressors on individuals' mental status following disasters. We analyzed the responses of 60,704 adult residents of a designated restricted area to the PTSD Checklist-Stressor-Specific Version (PCL-S). The relationships between the PCL-S scores and demographic, socioeconomic, and damage-related variables were analyzed using regression analysis to predict participants' severity of PTSD symptoms. Approximately 14.1% of evacuees had severe PTSD symptoms (PCL-S ≥50) eighteen months post-earthquake. The PCL-S scores were higher among women, older adults, less educated people, those with a history of mental illness, and those living outside Fukushima Prefecture. The PCL-S scores increased with participants' scores on the Kessler Psychological Distress Scale. The number of trauma-exposure stressors and socioeconomic stressors were associated with 1.52 and 3.77 increases in the PCL-S score, respectively. Furthermore, psychological distress, unemployment, decreased income, house damage, tsunami experience, nuclear power plant accident experience, and loss of someone close due to the disaster were associated with the prevalence of severe PTSD symptoms. The complex triple disaster of a major earthquake, tsunami, and nuclear accident created significant socioeconomic changes that may be important determinants of PTSD among residents of restricted access areas in Fukushima.
Publisher: The Fukushima Society of Medical Science
Publisher (Alternative foam): 福島医学会
language: eng
URI: http://ir.fmu.ac.jp/dspace/handle/123456789/1587
Full text URL: http://ir.fmu.ac.jp/dspace/bitstream/123456789/1587/1/FksmJMedSci_67_p71.pdf
ISSN: 0016-2590
DOI: 10.5387/fms.2020-24
PubMed ID: 34456222
Related Page: https://doi.org/10.5387/fms.2020-24
Rights: © 2021 The Fukushima Society of Medical Science. This article is licensed under a Creative Commons [Attribution-NonCommercial-ShareAlike 4.0 International] license.
Rights: https://creativecommons.org/licenses/by-nc-sa/4.0/
Appears in Collections:Vol.67 (2021)

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