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Association of Living in Evacuation Areas With Long-Term Care Need After the Fukushima Accident.
Moriyama, Nobuaki; Morita, Tomohiro; Nishikawa, Yoshitaka; Kobashi, Yurie; Murakami, Michio; Ozaki, Akihiko; Nonaka, Saori; Sawano, Toyoaki; Oikawa, Tomoyoshi; Tsubokura, Masaharu.
Afiliación
  • Moriyama N; Department of Public Health, Fukushima Medical University School of Medicine, Fukushima, Japan.
  • Morita T; Department of Internal Medicine, Soma Central Hospital, Soma, Fukushima, Japan.
  • Nishikawa Y; Department of Internal Medicine, Soma Central Hospital, Soma, Fukushima, Japan; Department of Health Informatics, Kyoto University School of Public Health, Kyoto, Japan.
  • Kobashi Y; Department of Radiation Health Management, Fukushima Medical University School of Medicine, Fukushima, Japan.
  • Murakami M; Department of Health Risk Communication, Fukushima Medical University School of Medicine, Fukushima, Japan.
  • Ozaki A; Research Center for Community Health, Minamisoma Municipal General Hospital, Minamisoma, Fukushima, Japan; Department of Breast Surgery, Jyoban Hospital of Tokiwa Foundation, Iwaki, Fukushima, Japan.
  • Nonaka S; Department of Internal Medicine, Minamisoma Municipal General Hospital, Minamisoma, Fukushima, Japan.
  • Sawano T; Research Center for Community Health, Minamisoma Municipal General Hospital, Minamisoma, Fukushima, Japan; Department of Surgery, Jyoban Hospital of Tokiwa Foundation, Iwaki, Fukushima, Japan.
  • Oikawa T; Minamisoma Municipal General Hospital, Minamisoma, Fukushima, Japan.
  • Tsubokura M; Department of Radiation Health Management, Fukushima Medical University School of Medicine, Fukushima, Japan; Research Center for Community Health, Minamisoma Municipal General Hospital, Minamisoma, Fukushima, Japan. Electronic address: tsubokura-tky@umin.ac.jp.
J Am Med Dir Assoc ; 23(1): 111-116.e1, 2022 01.
Article en En | MEDLINE | ID: mdl-34146522
OBJECTIVES: A previous report indicated that evacuation owing to the government order after the Fukushima disaster impacted the health status of older people; however, the association between living in evacuation areas and independence in their daily lives was unclear. This study examined the hypothesis that people who were forced to evacuate their homes were more likely to need long-term care (LTC). DESIGN: Historical cohort study. SETTING AND PARTICIPANTS: Older individuals (n = 13,934) in Minamisoma, Fukushima Prefecture, Japan, part of which was designated as an evacuation area. METHODS: Background and certification data from April 2012 to December 2016 were extracted. Logistic regression analysis with sex stratification was performed to examine the association between certification of care levels 1-5 and living in evacuation areas. RESULTS: In total, 18,178 Minamisoma residents aged ≥65 years who had not received LTC certification as of March 11, 2011, were eligible for follow-up. Of these, 4244 residents without a certificate of residence by June 1, 2016, were excluded. Of 13,934 residents followed up, 1553 (11.1%) were newly certified as care levels 1-5. Certification of care levels 1-5 was associated with living in evacuation areas [odds ratio (OR) 1.61, 95% confidence interval (CI) 1.20-2.18] and living alone at the time of the disaster (OR 2.58, 95% CI 1.92-3.47) in men and living alone at the time of the disaster (OR 1.35, 95% CI 1.15-1.59) in women. CONCLUSIONS AND IMPLICATIONS: Living in evacuation areas and living alone were associated with LTC certification. In evacuation areas, individuals with family members were more likely to be certified compared with those in nonevacuation areas. Among residents in evacuation areas, several individuals with family members experiencing family structure changes might need LTC. Preventive measures (including group relocation) may be beneficial for those being evacuated following a disaster.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Desastres / Accidente Nuclear de Fukushima Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Risk_factors_studies Aspecto: Patient_preference Límite: Aged / Female / Humans / Male País/Región como asunto: Asia Idioma: En Revista: J Am Med Dir Assoc Asunto de la revista: HISTORIA DA MEDICINA / MEDICINA Año: 2022 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Desastres / Accidente Nuclear de Fukushima Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Risk_factors_studies Aspecto: Patient_preference Límite: Aged / Female / Humans / Male País/Región como asunto: Asia Idioma: En Revista: J Am Med Dir Assoc Asunto de la revista: HISTORIA DA MEDICINA / MEDICINA Año: 2022 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Estados Unidos