Department of Obstetrics and Gynecology, Tohoku University Graduate School of Medicine, 1-1, Seiryo-machi, Aoba-ku, Sendai, Miyagi, 980-8574, Japan.
Environment and Genome Research Center, Tohoku University Graduate School of Medicine, 2-1 Seiryo-machi, Aoba-ku, Sendai, Miyagi, 980-8573, Japan.
Environ Health Prev Med. 2021 Feb 26;26(1):27. doi: 10.1186/s12199-021-00944-2.
To examine changes in psychological distress prevalence among pregnant women in Miyagi Prefecture, which was directly affected by the Great East Japan Earthquake and tsunami, and compare it with the other, less damaged areas of Japan.
This study was conducted in conjunction with the Japan Environment and Children`s Study. We examined 76,152 pregnant women including 8270 in Miyagi Regional Center and 67,882 in 13 other regional centers from the all-birth fixed data of the Japan Environment and Children's Study. We then compared the prevalence and risk of distress in women in Miyagi Regional Center and women in the 13 regional centers for 3 years after the disaster.
Women in the Miyagi Regional Center suffered more psychological distress than those in the 13 regional centers: OR 1.38 (95% CI, 1.03-1.87) to 1.92 (95% CI, 1.42-2.60). Additionally, women in the inland area had a consistently higher prevalence of psychological distress compared to those from the 13 regional centers: OR 1.67 (95% CI, 1.18-2.38) to 2.19 (95% CI, 1.60-2.99).
The lack of pre-disaster data in the Japan Environment and Children's Study made it impossible to compare the incidence of psychological distress before and after the March 2011 Great East Japan Earthquake. However, 3 years after the Great East Japan Earthquake, the prevalence of pregnant women with psychological distress did not improve in Miyagi Regional Center. Further, the prevalence of mental illness in inland areas was consistently higher than that in the 13 regional centers after the disaster.
为了调查直接受到东日本大地震和海啸影响的宫城县孕妇心理困扰患病率的变化，并将其与日本其他受灾较轻的地区进行比较。
本研究与日本环境与儿童研究相结合。我们对日本环境与儿童研究的所有出生固定数据中的 76152 名孕妇进行了检查，其中包括宫城县中心的 8270 名和其他 13 个地区中心的 67882 名。然后，我们比较了灾难发生后 3 年内宫城县中心和其他 13 个地区中心女性的困扰患病率和风险。
宫城县中心的女性比其他 13 个地区中心的女性遭受更多的心理困扰：OR1.38（95%CI，1.03-1.87）至 1.92（95%CI，1.42-2.60）。此外，内陆地区的女性心理困扰患病率始终高于其他 13 个地区中心：OR1.67（95%CI，1.18-2.38）至 2.19（95%CI，1.60-2.99）。
日本环境与儿童研究中缺乏灾难前的数据，使得无法比较 2011 年 3 月东日本大地震前后心理困扰的发生率。然而，在东日本大地震发生 3 年后，宫城县中心孕妇心理困扰的患病率并没有改善。此外，内陆地区精神疾病的患病率在灾难后一直高于其他 13 个地区中心。
