Department of Neuropsychiatry, Fukushima Medical University School of Medicine.
Department of Epidemiology, Fukushima Medical University School of Medicine.
Tohoku J Exp Med. 2019 Aug;248(4):239-252. doi: 10.1620/tjem.248.239.
Many studies have consistently reported the bidirectional relationship between problem drinking and psychological distress following a disaster, but the risk factors of problem drinking following a disaster remain unclear. In this study, we therefore aimed to explore the risk factors associated with the incidence of problem drinking among evacuees after the Great East Japan Earthquake of March 11, 2011. We used the data for evacuees of the Fukushima Daiichi nuclear power plant accident, obtained from the Mental Health and Lifestyle Survey. A total of 12,490 individuals from 13 municipalities, which included the evacuation order areas after the accident, completed surveys between 2012 and 2013. The CAGE (Cutting down, Annoyed by criticism, Guilty feeling, and Eye-opener) questionnaire was used to screen the participants for alcohol dependence, and a score ≥ 2 indicated problem drinking. Logistic regression models were applied to investigate the possible predictors of problem drinking. The results showed that insufficient sleep and heavy drinking (≥ 4 drinks per day) were significant risk factors for the incidence of problem drinking in both men and women. Additional risk factors included family financial issues due to the disaster and trauma symptoms among men and a diagnosed history of mental illness among women. Other remaining variables were not significantly associated with problem drinking. The present study is the first to identify the risk factors for problem drinking following a compound disaster. Our findings could be used to develop a primary intervention program to improve evacuees' health and lives following a disaster.
许多研究一致报告了灾难后问题饮酒和心理困扰之间的双向关系，但灾难后问题饮酒的风险因素仍不清楚。因此，在这项研究中，我们旨在探讨与 2011 年 3 月 11 日东日本大地震后避难者中问题饮酒发生率相关的风险因素。我们使用了福岛第一核电站事故避难者的心理健康和生活方式调查数据。共有来自事故后撤离命令地区的 13 个市町村的 12490 人在 2012 年至 2013 年间完成了调查。使用 CAGE（削减、因批评而烦恼、内疚感、警醒）问卷对参与者进行酒精依赖筛查，得分≥2 表示存在问题饮酒。应用逻辑回归模型探讨问题饮酒的可能预测因素。结果表明，睡眠不足和重度饮酒（每天≥4 杯）是男性和女性发生问题饮酒的显著风险因素。其他风险因素包括因灾难导致的家庭经济问题和男性的创伤症状，以及女性的精神疾病诊断史。其他剩余变量与问题饮酒无显著相关性。本研究首次确定了复合灾难后问题饮酒的风险因素。我们的研究结果可用于制定改善灾难后避难者健康和生活的初级干预计划。
