| ID | 67937 |
| Sort Key | 7
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| Title Alternative | Effects of parity on the associations between evacuation and psychological distress and cardiovascular disease among women after the Great East Japan Earthquake : A cross-sectional study of the Fukushima Health Management Survey
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| Author |
Yasukawa, Sumiyo
Department of Nursing, Faculty of Health Sciences, Okayama University
Eguchi, Eri
Department of Epidemiology, School of Medicine, Fukushima Medical University
Ohira, Tetsuya
Department of Epidemiology, School of Medicine, Fukushima Medical University
Hayashi, Fumikazu
Department of Epidemiology, School of Medicine, Fukushima Medical University
Sakai, Akira
Radiation Medical Science Center, Fukushima Medical University
Shimabukuro, Michio
Radiation Medical Science Center, Fukushima Medical University
Fujimori, Keiya
Radiation Medical Science Center, Fukushima Medical University
Miura, Itaru
Radiation Medical Science Center, Fukushima Medical University
Yabe, Hirooki
Radiation Medical Science Center, Fukushima Medical University
Maeda, Masaharu
Radiation Medical Science Center, Fukushima Medical University
Yasumura, Seiji
Radiation Medical Science Center, Fukushima Medical University
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| Abstract | Introduction : Women are more likely to be physically, mentally, and socially vulnerable after disasters because of the physical, socioeconomical, and lifestyle-related factors that are often related to their parity. Here, we analyzed the effects of women's parity on the association between evacuation and psychological distress, trauma reactions, and cardiovascular disease (CVD).
Participants and Methods : The participants were residents living in 13 municipalities in the evacuation zone of Japan's Fukushima Prefecture after the March 11, 2011 Great East Japan Earthquake who responded to the Fukushima Health Management Survey in FY2012. A total of 30,709 women aged 40-90 years were included in the analyses. We performed a logistic regression analysis to estimate the odds ratios (ORs) and 95% confidence intervals (CIs) adjusted for CVD risk factors. Results : A multivariate analysis revealed that among the parous women (n = 19,608), evacuation was associated with psychological distress (adjusted OR 1.30, 95%CI : 1.17-1.44), trauma reactions (OR 1.22, 95%CI : 1.11-1.35), and heart disease (OR 1.14, 95%CI : 1.03-1.26) compared to the non-evacuation status. Among the nulliparous women (n = 1,794), there was no association between the evacuation and any outcomes. Conclusion : The evacuation of individuals after the Great East Japan Earthquake was associated with psychological distress, trauma reactions, and heart disease, especially among parous women. |
| Keywords | 東日本大震災（the Great East Japan Earthquake）
大規模災害（large disaster）
出産歴（parity）
精神的苦痛（psychological distress）
循環器疾患（cardiovascular disease）
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| Note | 原著 (Originals)
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| Publication Title |
Journal of Okayama Medical Association
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| Published Date | 2024-12-02
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| Volume | volume136
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| Issue | issue3
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| Publisher | 岡山医学会
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| Publisher Alternative | Okayama Medical Association
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| Start Page | 120
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| End Page | 126
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| ISSN | 0030-1558
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| NCID | AN00032489
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| Content Type |
Journal Article
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| Related Url | isVersionOf https://doi.org/10.4044/joma.136.120
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| OAI-PMH Set |
岡山大学
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| language |
Japanese
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| Copyright Holders | Copyright (c) 2024 岡山医学会
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| File Version | publisher
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| Refereed |
True
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| DOI | |
| Eprints Journal Name | joma
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