Longitudinal Factors Associated With Increased Alcohol and Tobacco Use in Fukushima Nuclear Power Plant Workers 32 Months After the Nuclear Disaster The Fukushima News Project Study

被引：6

作者：

Komuro, Hazuki ^{[1
]}

Shigemura, Jun ^{[2
]}

Uchino, Sayuri ^{[1
]}

Takahashi, Sho ^{[3
,4
]}

Nagamine, Masanori ^{[5
]}

Tanichi, Masaaki ^{[2
]}

Saito, Taku ^{[2
]}

Toda, Hiroyuki ^{[2
]}

Kurosawa, Mie ^{[2
]}

Kubota, Kazumi ^{[6
]}

Misumi, Toshihiro ^{[6
]}

Takahashi, Satomi ^{[1
]}

Nomura, Soichiro ^{[7
]}

Shimizu, Kunio ^{[5
]}

Yoshino, Aihide ^{[2
]}

Tanigawa, Takeshi ^{[8
]}

机构：

[1] Natl Def Med Coll, Dept Psychiat Nursing, Div Nursing, Tokorozawa, Saitama, Japan

[2] Natl Def Med Coll, Dept Psychiat, 3-2 Namiki, Tokorozawa, Saitama 3598513, Japan

[3] Univ Tsukuba, Dept Disaster Psychiat, Fac Med, Ibaraki, Japan

[4] Ibaraki Prefectural Med Ctr Psychiat, Kasama, Ibaraki, Japan

[5] Natl Def Med Coll, Natl Def Med Coll Res Inst, Div Behav Sci, Tokorozawa, Saitama, Japan

[6] Yokohama City Univ, Sch Med, Dept Biostat, Yokohama, Kanagawa, Japan

[7] Japan Depress Ctr, Rokubancho Mental Clin, Tokyo, Japan

[8] Juntendo Univ, Grad Sch Med, Dept Publ Hlth, Tokyo, Japan

来源：

JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE | 2019年 / 61卷 / 01期

关键词：

disaster mental health; drinking; great east japan earthquake; maladaptive stress coping; occupational health; posttraumatic stress disorder (PTSD); smoking; CLEANUP WORKERS; MENTAL-HEALTH; COHORT; IMPACT; RISK;

D O I：

10.1097/JOM.0000000000001483

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Objectives: The aim of this study was to predict increased alcohol and tobacco use in Fukushima nuclear power plant (NPP) workers 3 years after a nuclear disaster. Methods: Surveys were conducted in two postdisaster waves (Wave 1: 2 to 3 months; Wave 2: 32 months). Adjusted risk ratio (aRR) was computed to assess the covariates of increased alcohol and tobacco use in Wave 2. Results: Increased alcohol use was associated with age of 29 years or less [aRR (95% confidence interval (95% CI): 1.26 (1.01 to 1.57)], major property loss [1.25 (95% CI 1.02 to 1.55)], and high posttraumatic stress responses (PTSRs) [1.34 (95% CI 1.08 to 1.67)] in Wave 1. Increased tobacco use was associated with age of 29 years or less [1.46 (95% CI 1.12 to 1.90)] and high PTSR [1.62 (95% CI 1.25 to 2.10)] in Wave 1 (P < 0.05). Conclusion: The workers' increased alcohol and tobacco use were predicted by major property loss (alcohol), age of 29 years or less, and high PTSR (alcohol/tobacco) in Wave 1.

引用

页码：69 / 74

页数：6

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