Evacuation after the Fukushima Daiichi Nuclear Power Plant Accident Is a Cause of Diabetes: Results from the Fukushima Health Management Survey

Satoh, Hiroaki; Ohira, Tetsuya; Hosoya, Mitsuaki; Sakai, Akira; Watanabe, Tsuyoshi; Ohtsuru, Akira; Kawasaki, Yukihiko; Suzuki, Hitoshi; Takahashi, Atsushi; Kobashi, Gén; Ozasa, Kotaro; Yasumura, Seiji; Yamashita, Shunichi; Kamiya, Kenji; Abe, Masafumi

doi:10.1155/2015/627390

Cited by 80 publications

(100 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…23 Yasumura et al 24 and Nomura et al 25 reported threefold increase in mortality among evacuated nursing home residents up to 1 year following the incident. Elevated values of metabolic markers, including body mass index (BMI), blood pressure, glucose metabolism, lipid metabolism and liver function, were also demonstrated in evacuees, by Satoh et al 26 and Tsubokura et al, 27 1 year after the incident, suggesting worsening chronic health conditions. Yabe et al 28 showed that, 2 years after the incident, the proportion of adult evacuees who scored above the K6 psychological distress index cut-off point (≥13) for general mental health, was four to five times higher than that of the pre-incident general population in Japan.…”

Section: Introductionmentioning

confidence: 94%

Postnuclear disaster evacuation and chronic health in adults in Fukushima, Japan: a long-term retrospective analysis

et al. 2016

View full text Add to dashboard Cite

ObjectiveJapan's 2011 Fukushima Daiichi Nuclear Power Plant incident required the evacuation of over a million people, creating a large displaced population with potentially increased vulnerability in terms of chronic health conditions. We assessed the long-term impact of evacuation on diabetes, hyperlipidaemia and hypertension.ParticipantsWe considered participants in annual public health check-ups from 2008 to 2014, administrated by Minamisoma City and Soma City, located about 10–50 km from the Fukushima nuclear plant.MethodsDisease risks, measured in terms of pre-incident and post-incident relative risks, were examined and compared between evacuees and non-evacuees/temporary-evacuees. We also constructed logistic regression models to assess the impact of evacuation on the disease risks adjusted for covariates.ResultsData from a total of 6406 individuals aged 40–74 years who participated in the check-ups both at baseline (2008–2010) and in one or more post-incident years were analysed. Regardless of evacuation, significant post-incident increases in risk were observed for diabetes and hyperlipidaemia (relative risk: 1.27–1.60 and 1.12–1.30, respectively, depending on evacuation status and post-incident year). After adjustment for covariates, the increase in hyperlipidaemia was significantly greater among evacuees than among non-evacuees/temporary-evacuees (OR 1.18, 95% CI 1.06 to 1.32, p<0.01).ConclusionsThe singularity of this study is that evacuation following the Fukushima disaster was found to be associated with a small increase in long-term hyperlipidaemia risk in adults. Our findings help identify discussion points on disaster planning, including preparedness, response and recovery measures, applicable to future disasters requiring mass evacuation.

show abstract

Section: Introductionmentioning

confidence: 94%

Postnuclear disaster evacuation and chronic health in adults in Fukushima, Japan: a long-term retrospective analysis

et al. 2016

View full text Add to dashboard Cite

show abstract

“…In addition to the risk of radiation exposure (United Nations Scientific Committee on the Effects of Atomic Radiation 2014), there was risk from the evacuation (Murakami et al 2015b), physical risk of diabetes and higher body mass index (Tsubokura et al 2013;Satoh et al 2015), and mental health risks . High radiation anxiety was also observed in residents (Orita et al 2013;Hino et al 2016).…”

Section: Introductionmentioning

confidence: 99%

Decontamination Reduces Radiation Anxiety and Improves Subjective Well-Being after the Fukushima Accident

Murakami

Harada

Oki

2017

Tohoku J. Exp. Med.

View full text Add to dashboard Cite

Since the 2011 Fukushima accident, rebuilding society to protect against anxiety and improve feelings of well-being has grown in importance. A questionnaire was carried out among residents of Marumori Town, Igu County, Miyagi Prefecture, to evaluate the effects of radiation-related countermeasures implemented by the town to reduce residents' anxiety and improve their subjective well-being (response rate: 31%; valid responses: n = 174). Further, to propose effective countermeasures regarding town planning for the improvement in subjective well-being, we analyzed associations between residents' sense of attachment to the town and subjective well-being, and then identified primary factors behind their sense of attachment. Marumori Town, located about 50 km to the northwest of the Daiichi Nuclear Power Station, is a good site for evaluating the effects of countermeasures taken by the town itself to fight anxiety, because there have been limited surveys and professional medical support, and mitigation efforts were primarily initiated by the town. The results suggested that decontamination evaluations were associated with a reduction in anxiety after the accident, which contributed to an increase in residents' subjective well-being. On the other hand, the evaluation of items related to human interactions in the community and the natural environment was found as a primary factor of sense of attachment toward the town, which contributed to an increase of residents' subjective well-being. This is the first study to quantitatively measure the effects of radiationrelated countermeasures on reducing anxiety and to propose an effective policy approach for improving subjective well-being.Keywords: decontamination; Fukushima Daiichi Nuclear Power Station accident; happiness; radiation; subjective well-being Tohoku J. Exp. Med., 2017 February, 241 (2), 103-116. © 2017 Tohoku University Medical Press IntroductionThe Fukushima Daiichi Nuclear Power Station accident (hereafter, the 2011 accident) following the 2011 Great East Japan Earthquake resulted in multiple risks. In addition to the risk of radiation exposure (United Nations Scientific Committee on the Effects of Atomic Radiation 2014), there was risk from the evacuation (Murakami et al. 2015b), physical risk of diabetes and higher body mass index (Tsubokura et al. 2013;Satoh et al. 2015), and mental health risks . High radiation anxiety was also observed in residents (Orita et al. 2013;Hino et al. 2016). The perception of high radiation risk is associated with mental stress , which, along with mood disorders, is a major risk factor for suicide and other causes of death (Pratt 2009;Mattisson et al. 2015). Further, multiple studies reported that after the 2011 accident, the subjective well-being of people living in the area around the Nuclear Power Station declined (Hommerich 2012;Rehdanz et al. 2015;Tiefenbach and Kohlbacher 2015). After the 2011 accident, the subjective well-being of people living in prefectures adjacent to Fukushima was reduced (Tiefenbach and Kohlbacher 2...

show abstract

“…Chronic psychological stress is also associated with increased insulin resistance. 4 A recent study after the Great East Japan Earthquake found that the negative effects of the disaster on metabolic factors were greater among evacuees than non-evacuees, 33 which may also contribute to the occurrence of exacerbated cardiovascular symptoms among evacuees.…”

Section: Discussionmentioning

confidence: 99%

Effects of socioeconomic factors on cardiovascular-related symptoms among residents in Fukushima after the Great East Japan Earthquake: a cross-sectional study using data from the Fukushima Health Management Survey

et al. 2017

Self Cite

View full text Add to dashboard Cite

ObjectiveTo investigate the association between socioeconomic factors and the exacerbation of cardiovascular symptoms among evacuees after the Great East Japan Earthquake.MethodsA sample of 73 433 individuals was included in the Fukushima Health Management Survey. Self-report questionnaires were used to determine the influence of socioeconomic factors including living arrangements, loss of employment and decreased income on the exacerbation of headache, dizziness, palpitations and shortness of breath. Odds ratios (ORs) and 95% CIs of the effect of socioeconomic factors were estimated for each symptom using multiple logistic regression analyses.ResultsExacerbation of headaches was reported by 1893 individuals, dizziness by 1229, palpitations by 1085 and shortness of breath by 626 individuals. Evacuation accommodation was associated with all of these symptoms. Compared with participants living in their own home (OR=1.00), individuals living in relatives’ homes had increased probability of experiencing exacerbation of headache (1.58; 95% CI 1.19 to 2.09) and dizziness (1.42; 95% CI 1.02 to 1.98); those living in rental housing or apartments experienced exacerbation of headache (1.54; 95% CI 1.32 to 1.80), dizziness (1.45; 95% CI 1.20 to 1.75), palpitations (1.25; 95% CI 1.03 to 1.51) and shortness of breath (1.76; 95% CI 1.35 to 2.28); participants living in evacuation shelters experienced exacerbation of headache (1.80; 95% CI 1.09 to 2.96); and refugees living in temporary housing also experienced exacerbation of headache (1.42; 95% CI 1.15 to 1.72), dizziness (1.40; 95% CI 1.09 to 1.79) and shortness of breath (1.49; 95% CI 1.07 to 2.08). Compared with the evacuees who retained their jobs, unemployed individuals showed increased probability of exacerbation of headache (1.28, 95% CI 1.12 to 1.46), dizziness (1.26, 95% CI 1.07 to 1.48) and palpitations (1.21, 95% CI 1.01 to 1.45). Decreased income was associated with exacerbation of headache (1.39, 95% CI 1.22 to 1.60).ConclusionAfter the earthquake, living in non-home conditions was more likely to result in exacerbated cardiovascular symptoms among evacuees. Loss of employment was another risk factor related to exacerbated headache and dizziness.

show abstract

Evacuation after the Fukushima Daiichi Nuclear Power Plant Accident Is a Cause of Diabetes: Results from the Fukushima Health Management Survey

Cited by 80 publications

References 12 publications

Postnuclear disaster evacuation and chronic health in adults in Fukushima, Japan: a long-term retrospective analysis

Postnuclear disaster evacuation and chronic health in adults in Fukushima, Japan: a long-term retrospective analysis

Decontamination Reduces Radiation Anxiety and Improves Subjective Well-Being after the Fukushima Accident

Effects of socioeconomic factors on cardiovascular-related symptoms among residents in Fukushima after the Great East Japan Earthquake: a cross-sectional study using data from the Fukushima Health Management Survey

Contact Info

Product

Resources

About