Tajima Tomokazu, Ikeda Ai, Shigemura Jun, Tanigawa Takeshi
Department of Public Health, Juntendo University Graduate School of Medicine, Tokyo, Japan.
Faculty of International Liberal Arts, Juntendo University, Tokyo, Japan.
Alcohol Clin Exp Res (Hoboken). 2024 Mar;48(3):499-506. doi: 10.1111/acer.15270. Epub 2024 Feb 26.
In the Fukushima nuclear power plant disaster of March 11, 2011, plant workers were exposed to various traumatic events and reported a subsequent increase in alcohol use. To determine the relationship between disaster-related experiences and problem drinking, we conducted a three-year follow-up study.
Problem drinking among the nuclear plant workers was assessed annually from 2012-2014 using a modified version of the CAGE questionnaire that asked about current, rather than lifetime, drinking. A total of 1378 workers provided at least one CAGE response, and 2875 observations were used in the present analysis. Mixed-effects logistic regression models were used to analyze the relationship between disaster-related experiences and problem drinking over time.
The prevalence of problem drinking (CAGE score ≥2) increased over time. At the baseline assessment in 2012, a year after the disaster, plant workers who had experienced life-threatening danger and discrimination had significantly more symptoms of problem drinking, which persisted over the following 2 years. Although at baseline, plant workers who had experienced major property loss or the death of a colleague showed no significant differences in problem drinking symptoms from those without such experiences, over the next 2 years their problem drinking increased significantly.
Individuals who experienced life-threatening danger and discrimination during the Fukushima nuclear power plant disaster reported an increase in problem drinking. Although major property loss and the death of a colleague did not elevate problem drinking prevalence at baseline, it did so over the next 2 years. Different adverse effects of a natural disaster appear to differentially increase drinking behavior over time.
在2011年3月11日福岛核电站灾难中，核电站工作人员遭遇了各种创伤性事件，并报告称随后饮酒量增加。为了确定与灾难相关的经历和饮酒问题之间的关系，我们进行了一项为期三年的随访研究。
从2012年至2014年，每年使用CAGE问卷的修改版对核电站工作人员的饮酒问题进行评估，该问卷询问的是当前饮酒情况，而非终生饮酒情况。共有1378名工作人员至少提供了一次CAGE问卷回答，本分析中使用了2875份观察数据。使用混合效应逻辑回归模型来分析与灾难相关的经历和饮酒问题随时间的关系。
饮酒问题（CAGE评分≥2）的患病率随时间增加。在灾难发生一年后的2012年基线评估中，经历过生命危险和歧视的核电站工作人员饮酒问题症状明显更多，且在接下来的两年中持续存在。虽然在基线时，经历过重大财产损失或同事死亡的核电站工作人员与未经历此类事件的人员在饮酒问题症状上没有显著差异，但在接下来的两年中，他们的饮酒问题显著增加。
在福岛核电站灾难中经历过生命危险和歧视的个体报告饮酒问题有所增加。虽然重大财产损失和同事死亡在基线时并未提高饮酒问题患病率，但在接下来的两年中却出现了这种情况。自然灾害的不同不利影响似乎会随着时间的推移而不同程度地增加饮酒行为。
