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福岛第一核电站事故 9 年后,福岛县富冈町前居民的生活质量和返回意愿。

Quality of Life and Intention to Return among Former Residents of Tomioka Town, Fukushima Prefecture 9 Years after the Fukushima Daiichi Nuclear Accident.

机构信息

Department of Global Health, Medicine and Welfare, Atomic Bomb Disease Institute, Nagasaki University, Nagasaki 8528523, Japan.

Department of Disaster Psychiatry, School of Medicine, Fukushima Medical University, Fukushima 960-1247, Japan.

出版信息

Int J Environ Res Public Health. 2020 Sep 11;17(18):6625. doi: 10.3390/ijerph17186625.

Abstract

We evaluated the association between health-related quality of life (HR-QOL) and intent to return home among former residents of Tomioka Town, Fukushima Prefecture 9 years after the Fukushima Daiichi nuclear accident to support the recovery of the community after the accident. We conducted a questionnaire survey asking residents about their intention to return to their original home, risk perception for radiation exposure, HR-QOL using the HR-QOL Short Form 8 (SF-8), and sense of coherence using the Sense of Coherence Scale (SOC-13). Among the 1029 residents, a total of 138 (13%) had already returned to Tomioka (group 1), 223 (22%) were undecided (group 2), and 668 (65%) had decided not to return (group 3). Group 2 had poorer HR-QOL than groups 1 and 3, especially physical function, body pain, general health, social functioning, and mental health. The ratio of residents with a better sense of coherence was significantly higher in group 1 than in groups 2 and 3. Our present study indicated poorer HR-QOL among residents who were undecided about returning home. It is necessary to provide a model for a multidisciplinary approach for the public during the recovery phase of a nuclear accident.

摘要

我们评估了福岛第一核事故 9 年后福岛县富冈町前居民的健康相关生活质量(HR-QOL)与返回家园意愿之间的关系,以支持事故后的社区恢复。我们进行了一项问卷调查,询问居民返回原籍的意愿、对辐射暴露的风险感知、使用 HR-QOL 短表 8(SF-8)评估的 HR-QOL,以及使用 13 项领悟社会支持量表(SOC-13)评估的领悟社会支持感。在 1029 名居民中,共有 138 人(13%)已经返回富冈(第 1 组),223 人(22%)尚未决定(第 2 组),668 人(65%)决定不返回(第 3 组)。第 2 组的 HR-QOL 比第 1 组和第 3 组差,尤其是身体功能、身体疼痛、总体健康、社会功能和心理健康。第 1 组具有更强的领悟社会支持感的居民比例明显高于第 2 组和第 3 组。我们的研究表明,对于那些尚未决定是否返回家园的居民,他们的 HR-QOL 较差。在核事故的恢复阶段,有必要为公众提供多学科方法的模式。

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