Factors Hindering Social Participation among Older Residents from Evacuation Zones after the Nuclear Power Plant Accident in Fukushima: The Fukushima Health Management Survey

Abstract

Considering the health effects of radiation accompanying the nuclear power plant accident that occurred in the wake of the Great East Japan Earthquake, this study aimed to examine social participation after the disaster and factors hindering participation among citizens aged ≥ 65 years from designated evacuation zones inside the Fukushima prefecture. The target population comprised 180,604 residents in 13 municipalities containing designated evacuation zones. There were 73,433 valid responses (response rate, 40.7%); of which, data from 19,573 respondents aged ≥ 65 years were analyzed. Multinomial logistic regression analyses were conducted to investigate the factors associated with social participation. In total, 53.0% of older evacuees did not participate in recreational activities or communal services. Stratified analysis showed that living outside the Fukushima prefecture and requiring assistance with activities of daily living were associated with low social participation. This study clarified that the majority of older evacuees did not participate in social activities at the time of the survey within one year of the disaster. Furthermore, where these older individuals were evacuated to and whether they were able to live independently might have affected their social participation. Better subjective health, better sleep quality, and more frequent exercise may be associated with improved social participation.

A study on the current state and equity level of social participation ability among older adults in Henan Province, China

“…Finally, the inequality in the distribution of SPAOA was primarily attributable to variances within the group, which reminded that SPAOA was connected with a multitude of parameters concurrently, and no single feature can alone reflect an individual’s total ability [ 50 ]. The inequity situation within the population with the same characteristics should receive more attention.…”

Comparison of quality of life between elderly and non-elderly adult residents in Okuma town, Japan, in a post-disaster setting

“…The acute and long-term impacts of both the Fukushima disaster itself and the associated evacuation process have manifested in the form of psychological distress [ 10 , 11 ], depression [ 12 ], PTSD [ 13 ], increased rates of obesity [ 14 ], kidney dysfunction [ 15 ], dyslipidemia [ 16 ], hyperuricemia [ 17 ], diabetes [ 18 ], metabolic syndrome [ 19 ], cardiovascular impairment [ 20 , 21 ], musculoskeletal pain [ 22 ], bone fractures [ 23 ], harmful health behaviors [ 24 , 25 ], and increased suicide rates [ 26 ]. Studies have demonstrated that the effects of the disaster have been exacerbated in the elderly [ 23 , 27 – 29 ]. Enduring such a nuclear disaster and the resulting evacuation leads to worsening of disability, and impaired cognition [ 30 ] alongside the losses in social, intellectual, and physical functions that occur as a result of the physiological ageing process [ 31 ].…”