Department of Preventive Medicine and Epidemiology, Tohoku Medical Megabank Organization, Tohoku University, Sendai 980-8573, Japan,
Department of Preventive Medicine and Epidemiology, Tohoku Medical Megabank Organization, Tohoku University, Sendai 980-8573, Japan.
Occup Med (Lond). 2016 Mar;66(2):143-9. doi: 10.1093/occmed/kqv159. Epub 2015 Nov 13.
Chronic diseases increase the risk of unemployment even in non-disaster settings; therefore, in post-disaster settings, special attention needs to be paid to the employment status of those suffering from chronic diseases.
To examine the association between chronic disease and the risk of unemployment in a disaster area.
This cross-sectional study was conducted in Shichigahama Town, Miyagi, north-eastern Japan, where had been severely inundated by the 2011 tsunami. Logistic regression analyses were used to evaluate the association between undergoing medical treatment for a combination of chronic diseases (stroke, cancer, myocardial infarction and angina) and unemployment risk. Confounders such as psychological distress and levels of daily life activity were considered.
Among the 2588 individuals studied, there was a statistically significant association between undergoing medical treatment for chronic disease and the risk of unemployment [odds ratio (OR) = 1.7, 95% confidence interval (CI) 1.02-2.7, P < 0.05]. In participants with a lower degree of psychological distress and better levels of daily life activity (n = 1967), no significant associations were observed (OR = 1.1, 95% CI 0.6-2.1). Conversely, in 536 participants with a higher degree of psychological distress and/or poorer levels of daily life activity, statistically significant associations were found (OR = 2.6, 95% CI 1.01-6.6, P < 0.05).
The association between undergoing medical treatment for chronic disease and unemployment risk was observed only in participants with a higher degree of psychological distress and/or poorer levels of daily life activity.
在非灾害环境中，慢性病会增加失业风险；因此，在灾后环境中，需要特别关注患有慢性病人群的就业状况。
在灾区调查慢性病与失业风险之间的关系。
本横断面研究在日本东北地区宫城县的shichigahama 镇进行，该地区曾遭受 2011 年海啸的严重侵袭。采用 logistic 回归分析评估患有多种慢性病（中风、癌症、心肌梗死和心绞痛）与失业风险之间的关联。考虑了心理困扰和日常生活活动水平等混杂因素。
在研究的 2588 人中，慢性病治疗与失业风险之间存在统计学显著关联（比值比 [OR] = 1.7，95%置信区间 [CI] 1.02-2.7，P < 0.05）。在心理困扰程度较低、日常生活活动水平较好的 1967 名参与者中，未观察到显著关联（OR = 1.1，95% CI 0.6-2.1）。相反，在心理困扰程度较高和/或日常生活活动水平较差的 536 名参与者中，观察到统计学显著关联（OR = 2.6，95% CI 1.01-6.6，P < 0.05）。
仅在心理困扰程度较高和/或日常生活活动水平较差的参与者中，慢性病治疗与失业风险之间存在关联。
