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Factors Hindering Social Participation among Older Residents from Evacuation Zones after the Nuclear Power Plant Accident in Fukushima: The Fukushima Health Management Survey

Author

Listed:
  • Mayumi Harigane

    (Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan
    Department of Public Health, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan)

  • Hiromi Imuta

    (Faculty of Health Sciences, Tokyo Metropolitan University, Tokyo 116-8551, Japan)

  • Seiji Yasumura

    (Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan
    Department of Public Health, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan)

  • Fumikazu Hayashi

    (Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan
    Department of Epidemiology, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan)

  • Hironori Nakano

    (Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan
    Department of Epidemiology, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan)

  • Tetsuya Ohira

    (Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan
    Department of Epidemiology, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan)

  • Masaharu Maeda

    (Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan
    Department of Disaster Psychiatry, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan)

  • Hirooki Yabe

    (Department of Neuropsychiatry, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan)

  • Yuriko Suzuki

    (Department of Public Health, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan
    National Center of Neurology and Psychiatry, Department of Mental Health Policy, National Institute of Mental Health, Tokyo 187-8553, Japan)

  • Kenji Kamiya

    (Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan
    Research Institute for Radiation Biology and Medicine, Hiroshima University, Hiroshima 734-8553, Japan)

  • on behalf of the Mental Health Group of the Fukushima Health Management Survey

    (Membership of the Mental Health Group of the Fukushima Health Management Survey is provided in the acknowledgment.)

Abstract

Considering the health effects of radiation accompanying the nuclear power plant accident that occurred in the wake of the Great East Japan Earthquake, this study aimed to examine social participation after the disaster and factors hindering participation among citizens aged ≥ 65 years from designated evacuation zones inside the Fukushima prefecture. The target population comprised 180,604 residents in 13 municipalities containing designated evacuation zones. There were 73,433 valid responses (response rate, 40.7%); of which, data from 19,573 respondents aged ≥ 65 years were analyzed. Multinomial logistic regression analyses were conducted to investigate the factors associated with social participation. In total, 53.0% of older evacuees did not participate in recreational activities or communal services. Stratified analysis showed that living outside the Fukushima prefecture and requiring assistance with activities of daily living were associated with low social participation. This study clarified that the majority of older evacuees did not participate in social activities at the time of the survey within one year of the disaster. Furthermore, where these older individuals were evacuated to and whether they were able to live independently might have affected their social participation. Better subjective health, better sleep quality, and more frequent exercise may be associated with improved social participation.

Suggested Citation

  • Mayumi Harigane & Hiromi Imuta & Seiji Yasumura & Fumikazu Hayashi & Hironori Nakano & Tetsuya Ohira & Masaharu Maeda & Hirooki Yabe & Yuriko Suzuki & Kenji Kamiya & on behalf of the Mental Health Gro, 2021. "Factors Hindering Social Participation among Older Residents from Evacuation Zones after the Nuclear Power Plant Accident in Fukushima: The Fukushima Health Management Survey," IJERPH, MDPI, vol. 18(9), pages 1-14, April.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:9:p:4426-:d:540831
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    References listed on IDEAS

    as
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    4. Segovia, Jorge & Bartlett, Roy F. & Edwards, Alison C., 1989. "An empirical analysis of the dimensions of health status measures," Social Science & Medicine, Elsevier, vol. 29(6), pages 761-768, January.
    5. Ichida, Yukinobu & Hirai, Hiroshi & Kondo, Katsunori & Kawachi, Ichiro & Takeda, Tokunori & Endo, Hideki, 2013. "Does social participation improve self-rated health in the older population? A quasi-experimental intervention study," Social Science & Medicine, Elsevier, vol. 94(C), pages 83-90.
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    Cited by:

    1. Lennart Reifels & Michel L. A. Dückers, 2023. "Disaster Mental Health Risk Reduction: Appraising Disaster Mental Health Research as If Risk Mattered," IJERPH, MDPI, vol. 20(11), pages 1-14, May.

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