Matsunaga Hitomi, Orita Makiko, Iyama Keita, Sato Nana, Aso Satoko, Tateishi Fumika, Taira Yasuyuki, Kudo Takashi, Yamashita Shunichi, Takamura Noboru
Department of Global Health, Medicine and Welfare, Atomic Bomb Disease Institute, Nagasaki University Graduate School of Biomedical Sciences, 1-12-4 Sakamoto, Nagasaki, Japan.
Department of Isotope Medicine, Atomic Bomb Disease Institute, Nagasaki University Graduate School of Biomedical Sciences, 1-12-4 Sakamoto, Nagasaki, Japan.
J Radiat Res. 2019 Jan 1;60(1):51-58. doi: 10.1093/jrr/rry094.
The aim of our study was to identify the factors associated with intention to return (ITR) in residents of Tomioka town, Fukushima Prefecture. We contacted approximated 8000 residents aged 20 years or older who lived in Tomioka. We invited them to take part in a written survey on ITR. In all, 1749 residents' replies were included in the analysis. We asked about ITR in former residents of Tomioka town. We also asked about relevant factors and about risk perception in relation to the health effects of radiation exposure. Of those contacted, 469 (26.8%) had an ITR. Logistic regression analysis revealed that being male (OR = 1.6, 95% Cl: 1.24-1.96, P < 0.001), the anticipation of improving shopping in the town (OR = 1.5, 95% Cl: 1.26-1.67, P < 0.001) and requests for individual consultation with experts on the health effects of radiation (OR = 2.7, 95% Cl: 2.10-3.48, P <0.001) were associated with the ITR (+), and living with children under 18 years of age (OR = 0.7, 95% Cl: 0.51-0.95, P = 0.023), reluctance to drink tap water (OR = 0.5, 95% Cl: 0.36-0.69, P < 0.001) and anxiety regarding genetic effects of radiation in the next generation (OR = 0.6, 95% Cl: 0.45-079, P <0.001) were associated with the ITR (-) to Tomioka town, independent of other covariates. To allay the anxieties of residents who have an ITR to their hometown, careful risk communication, including information on the potential effects of radiation on health, is important.
我们研究的目的是确定福岛县富冈町居民中与返归意愿（ITR）相关的因素。我们联系了居住在富冈的约8000名20岁及以上的居民，邀请他们参加一项关于返归意愿的书面调查。总共有1749名居民的回复被纳入分析。我们询问了富冈町前居民的返归意愿，还询问了相关因素以及与辐射暴露对健康影响有关的风险认知。在被联系的人中，469人（26.8%）有返归意愿。逻辑回归分析显示，男性（比值比[OR]=1.6，95%置信区间[Cl]：1.24 - 1.96，P<0.001）、预期城镇购物情况会改善（OR = 1.5，95% Cl：1.26 - 1.67，P<0.001）以及要求就辐射对健康的影响与专家进行个人咨询（OR = 2.7，95% Cl：2.10 - 3.48，P<0.001）与返归意愿呈正相关（+），而与18岁以下儿童一起生活（OR = 0.7，95% Cl：0.51 - 0.95，P = 0.023）、不愿饮用自来水（OR = 0.5，95% Cl：0.36 - 0.69，P<0.001）以及对下一代辐射遗传效应的焦虑（OR = 0.6，95% Cl：0.45 - 0.79，P<0.001）与返归富冈町的意愿呈负相关（-），且独立于其他协变量。为减轻有返归家乡意愿的居民的焦虑，进行谨慎的风险沟通，包括提供有关辐射对健康潜在影响的信息，非常重要。
