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Waseda Institute of Medical Anthropology on Disaster Reconstruction
早稲田大学災害復興医療人類学研究所
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早稲田大学災害復興医療人類学研究所
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  4. Post-evacuation return of psychiatric hospital inpatients evacuated to hospitals outside the Fukushima prefecture after the nuclear accident: A Retrospective Cohort Study: Toshihiro Terui, 2022

Post-evacuation return of psychiatric hospital inpatients evacuated to hospitals outside the Fukushima prefecture after the nuclear accident: A Retrospective Cohort Study: Toshihiro Terui, 2022

2023 6/02
Publications 研究業績 論文
2023年6月2日

Abstract

Background: Post-evacuation return after mandatory hospital evacuation due to complicated disasters is often overlooked and not well-discussed.
Aims: In this study, we explored the factors which are related to the ease or difficulty of the post-evacuation return to Fukushima prefecture of psychiatric inpatients who had been evacuated to hospitals outside the prefecture because of the Great East Japan Earthquake (GEJE) and subsequent Fukushima Daiichi Nuclear Power Plant (FDNPP) accident.
Method: This retrospective cohort study included evacuated psychiatric hospital inpatients who were registered in the Matching Project for Community Transition (MPCT) and had been traced until July 3 I, 2019. A total of 53 I patients were included for the analyses. Univariable and multivariable analysis were conducted to detect the patients’ traits including their psychiatric/physical backgrounds which were associated with their outcome – the time from GEJE to the date of return to Fukushima.
Results: Over half of the patients returned to Fukushima. In the multivariable analysis, the patients’ gender (male), age (older), and psychiatric diagnoses of schizophrenia, schizotypal and delusional disorders (ICD-10, F20-29) showed lower hazard ratio (HR) and statistically significant association with the difficulties of post-evacuation return. Meanwhile, disorders of psychological development (F80-89), diseases of the nervous (G00-99, except G40-41) and genitourinary (NOO-99) systems showed higher HR and statistically significant association with the ease of return.

Conclusions: The specific characteristics of the psychiatric inpatients including their psychiatric and physical status are associated with their post-evacuation return to their hometown. These results indicated that the evacuated hospitals practitioners and staffs from the MPCT understood the necessity of the earlier return of inpatients to their hometown.
Moreover, clinicians should pay more attention to some symptoms unique to psychiatric patients which contributed to their difficulties in returning safely or expressing their hope to return.

Keywords
Fukushima nuclear disaster, Hospital evacuation, post-evacuation return, psychiatric inpatients

Publications 研究業績 論文
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  • Visualizing the decline of public interest in the Great East JapanEarthquake and Fukushima Daiichi nuclear power plant accidentby analyzing letters to the editor in Japanese newspapers
  • Table of Contents : Human Science of Disaster ReconstructionTable of Contents :

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