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