Lifestyle-related factors that explain disaster-induced changes in socioeconomic status and poor subjective health: a cross-sectional study from the Fukushima health management survey

Nagai, Masato; Ohira, Tetsuya; Zhang, Wen; Nakano, Hironori; Maeda, Masaharu; Yasumura, Seiji; Abe, Masafumi

doi:10.1186/s12889-017-4247-2

Cited by 24 publications

(25 citation statements)

References 34 publications

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“…We sent a self-administered questionnaire on various lifestyle and mental health factors to all the residents. The overall response rate of the Mental health and lifestyle Survey was 40.7% [14].…”

Section: Subjectsmentioning

confidence: 99%

“…The evacuees experienced not only the earthquake itself but also a tsunami and/or the indirect effects of a nuclear power plant accident. These disasters and experiences affected their living environment, relatives and friends, and socioeconomic status [13,14]. There were also some changes seen between the pre-and post-disaster phases in lifestyle status among evacuees; for example, smoking, drinking, and physical activities [15] as well as psychological distress [16].…”

Section: Introductionmentioning

confidence: 99%

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Lifestyle Factors Associated with Prevalent and Exacerbated Musculoskeletal Pain After the Great East Japan Earthquake: A Cross-Sectional Study from the Fukushima Health Management Survey

Jinnouchi

Ohira

Kakihana

et al. 2020

Preprint

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Background: While the prevalence of post-disaster musculoskeletal pain has been documented, its associated disaster-related factors have not been investigated. This study determined the prevalence of and lifestyle factors associated with musculoskeletal pain among evacuees of the Great East Japan Earthquake. Methods: We conducted a cross-sectional study of 34,919 evacuees, aged 40-89 years, without obvious disabilities in activities of daily living at about 1 year after the disaster. The evacuees were asked about their musculoskeletal pain (low back and limb pain) and lifestyle factors: use of evacuation shelters or temporary housing at any point of time, job loss after the disaster, decreased income after the disaster, current smoking status, current drinking status, lack of sleep, regular exercise, and participation in recreational or community activities. Furthermore, psychological factors, such as traumatic reactions, psychological distress, and somatic symptoms, affecting musculoskeletal pain were assessed. We used multinomial logistic regression analysis to calculate odds ratios of each lifestyle factor for prevalent and prevalent plus exacerbated musculoskeletal pain. Results: Musculoskeletal pain prevalence was 32.8%: 27.6% for prevalent and 5.2% for prevalent plus exacerbated musculoskeletal pain. Multivariable adjusted odds ratios and 95% confidence intervals of lifestyle factors associated with prevalent and prevalent plus exacerbated musculoskeletal pain were as follows: shelter use (prevalent: 1.02, 0.96-1.08; exacerbated: 1.44, 1.29-1.60), job loss (prevalent: 1.03, 0.96-1.10; exacerbated: 1.30, 1.16-1.47), decreased income (prevalent: 1.13, 1.05-1.21; exacerbated: 1.29, 1.14-1.45), current heavy drinking (prevalent: 1.33, 1.21-1.47; exacerbated: 1.38, 1.14-1.68), insomnia (prevalent: 1.22, 1.15-1.29; exacerbated: 1.50, 1.36-1.65), exercising almost daily (prevalent: 0.83, 0.77-0.91; exacerbated: 0.80, 0.68-0.95), and participating in community activities often (prevalent: 0.83, 0.75-0.92; exacerbated: 0.76, 0.61-0.95). Conclusions: Prevalent and exacerbated musculoskeletal pain were inversely associated with frequencies of exercise and participating in recreational or community activities and positively associated with decreased income, current heavy drinking, and insomnia. The use of evacuation shelters or temporary housing/job loss was positively associated only with exacerbated musculoskeletal pain. These results suggest that post-disaster lifestyle factors are potentially associated with musculoskeletal pain. For better post-disaster pain management, further studies are needed to confirm these results in other disasters and highlight underlying mechanisms.

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Section: Subjectsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Lifestyle Factors Associated with Prevalent and Exacerbated Musculoskeletal Pain After the Great East Japan Earthquake: A Cross-Sectional Study from the Fukushima Health Management Survey

Jinnouchi

Ohira

Kakihana

et al. 2020

Preprint

Self Cite

View full text Add to dashboard Cite

show abstract

“…The evacuees experienced not only the earthquake itself but also a tsunami and/or the indirect effects of a nuclear power plant accident. These disasters and experiences affected their living environment, relatives and friends, and socioeconomic status [15,16]. There were also some changes seen between the pre-and post-disaster phases in lifestyle status among evacuees; for example, smoking, drinking, and physical activities [17] as well as psychological distress [18].…”

Section: Introductionmentioning

confidence: 99%

Lifestyle Factors Associated with Prevalent and Exacerbated Musculoskeletal Pain After the Great East Japan Earthquake: A Cross-Sectional Study from the Fukushima Health Management Survey

Jinnouchi

Ohira

Kakihana

et al. 2020

Preprint

Self Cite

View full text Add to dashboard Cite

Background: While the prevalence of post-disaster musculoskeletal pain has been documented, its associated disaster-related factors have not been investigated. This study was to investigate the association of lifestyle factors associated with musculoskeletal pain after the Great East Japan Earthquake.Methods: We conducted a cross-sectional study of 34,919 participants, aged 40-89 years, without any major disabilities at about 1 year after the disaster. The participants were asked about their musculoskeletal pain (low back and limb pain) and lifestyle factors: use of evacuation shelters or temporary housing at any point of time, job loss after the disaster, decreased income after the disaster, current smoking status, current drinking status, lack of sleep, regular exercise, and participation in recreational or community activities. Furthermore, psychological factors, such as traumatic reactions, psychological distress, and uncomfortable symptoms, affecting musculoskeletal pain were assessed. We used multinomial logistic regression analysis to calculate odds ratios of each lifestyle factor for prevalent and prevalent plus exacerbated musculoskeletal pain. Results: Musculoskeletal pain prevalence was 32.8%: 27.6% for prevalent and 5.2% for prevalent plus exacerbated musculoskeletal pain. Multivariable adjusted odds ratios and 95% confidence intervals of lifestyle factors associated with prevalent and prevalent plus exacerbated musculoskeletal pain were as follows: shelter use (prevalent: 1.02, 0.96-1.08; exacerbated: 1.44, 1.29-1.60), job loss (prevalent: 1.03, 0.96-1.10; exacerbated: 1.30, 1.16-1.47), decreased income (prevalent: 1.13, 1.05-1.21; exacerbated: 1.29, 1.14-1.45), current heavy drinking (prevalent: 1.33, 1.21-1.47; exacerbated: 1.38, 1.14-1.68), insomnia (prevalent: 1.22, 1.15-1.29; exacerbated: 1.50, 1.36-1.65), exercising almost daily (prevalent: 0.83, 0.77-0.91; exacerbated: 0.80, 0.68-0.95), and participating in community activities often (prevalent: 0.83, 0.75-0.92; exacerbated: 0.76, 0.61-0.95).Conclusions: Prevalent and exacerbated musculoskeletal pain were inversely associated with exercising almost daily and participating in recreational or community activities sometimes or often, and positively associated with decreased income, current heavy drinking, and insomnia. Besides, the use of evacuation shelters or temporary housing/job loss was positively associated only with exacerbated musculoskeletal pain. These results suggest that post-disaster lifestyle factors are potentially associated with musculoskeletal pain. To achieve better post-disaster pain management, further studies are needed to confirm the consistency of these results in other disasters and to highlight the underlying causative mechanisms.

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“…For instance, advanced age impacts willingness to bear out-of-pocket checkup expenses [ 14 ], while lack of money, time, and related knowledge prevents people from utilizing cancer screening [ 15 ]. Nagai et al reported that changes of socioeconomic status and community activities were associated with subjective perceptions of health [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

Social Capital Enhanced Disaster Preparedness and Health Consultations after the 2011 Great East Japan Earthquake and Nuclear Power Station Accident

Hasegawa

Murakami

Takebayashi

et al. 2018

IJERPH

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After the Great East Japan Earthquake and the subsequent Fukushima Daiichi Nuclear Power Station accident in 2011, there was a strong demand to promote disaster preparedness approaches and health checkups for the prevention of lifestyle diseases. This study examined the yearly change in the percentage of those who prepared for disasters and who utilized health checkups in Fukushima Prefecture, and identified the factors governing disaster preparedness and utilization of health checkups. We used the public opinion survey from 2011 to 2015 (n = 677–779 each year) on prefectural policies that is conducted every year by the Fukushima Prefecture government Public Consultation Unit. We found that the percentage of those who prepare for disasters decreased, while that for health checkups did not significantly change. With regard to disaster preparedness, experiences of disaster enhance disaster preparedness, while bonds with other local people help to maintain preparedness. For health checkups, familiarity with the welfare service was the most important factor governing such consultations. The findings suggest that social capital should be promoted in order to improve disaster preparedness. The findings also suggest that residents’ accessibility to medical and welfare services is also important in promoting the utilization of health checkups.

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Lifestyle-related factors that explain disaster-induced changes in socioeconomic status and poor subjective health: a cross-sectional study from the Fukushima health management survey

Cited by 24 publications

References 34 publications

Lifestyle Factors Associated with Prevalent and Exacerbated Musculoskeletal Pain After the Great East Japan Earthquake: A Cross-Sectional Study from the Fukushima Health Management Survey

Lifestyle Factors Associated with Prevalent and Exacerbated Musculoskeletal Pain After the Great East Japan Earthquake: A Cross-Sectional Study from the Fukushima Health Management Survey

Lifestyle Factors Associated with Prevalent and Exacerbated Musculoskeletal Pain After the Great East Japan Earthquake: A Cross-Sectional Study from the Fukushima Health Management Survey

Social Capital Enhanced Disaster Preparedness and Health Consultations after the 2011 Great East Japan Earthquake and Nuclear Power Station Accident

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