Journal
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
Volume 19, Issue 9, Pages -Publisher
MDPI
DOI: 10.3390/ijerph19095661
Keywords
evacuation; Great East Japan earthquake; disaster; disease prevalence status; cardiovascular and metabolic diseases
Funding
- Japan National Health Fund for Children and Adults Affected by the Nuclear Incident
- Institute for Transdisciplinary Graduate Degree Programs of Osaka University
- Projects for Leading Graduate Schools on Interdisciplinary Program for Biomedical Science
- Japan's Science and Technology Agency
- Projects for Support for Pioneering Research Initiated by the Next Generation [JPMJSP2138]
- Ministry of the Environment, Japan
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This study found that evacuees from banned areas after the Great East Japan earthquake had a higher risk of diabetes, hypertension, and dyslipidemia compared to non-evacuees. However, returnees and evacuees from lifted areas did not have an increased risk of these lifestyle-related diseases. The spatial distribution of these diseases in the Fukushima area was also found to be non-uniform.
Background: This study aimed to investigate the association between evacuation status and lifestyle-related disease risks among Fukushima residents following the Great East Japan earthquake. Methods: Fukushima health management survey respondents were classified into non-evacuees, returnees, evacuees in lifted areas, and evacuees in banned areas. During a seven-year follow-up, 22,234 men and 31,158 women were included. Those with a history of diabetes, hypertension, or dyslipidemia at baseline were excluded. The odds ratios of risk factors (ORs) and 95% confidence intervals (CIs) for diabetes, hypertension, and dyslipidemia were calculated using a logistic regression model. Spatial autocorrelation of the prevalence of these diseases in the Fukushima area in 2017, was calculated to detect the disease prevalence status. Results: The risks of diabetes, hypertension, and dyslipidemia were higher in evacuees in banned areas than in non-evacuees; the multivariable ORs were 1.32 (95% CI: 1.19-1.46), 1.15 (1.06-1.25), and 1.20 (1.11-1.30) for diabetes, hypertension, and dyslipidemia, respectively. Returnees and evacuees in lifted areas had no increased risk of diseases. The area analyzed had a non-uniform spatial distribution of diabetes, hypertension, and hyperlipidemia, with clusters around Fukushima and Koriyama. Conclusion: Our findings imply the need for continuous support for evacuees in banned areas.
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