The prevalence of psychological distress during pregnancy in Miyagi Prefecture for 3 years after the Great Eas t Japan Earthquake

Environmental Health and Preventive Medicine

Masatoshi Saito¹  Satomi Sasaki¹  Noriyuki Iwama¹  Zen Watanabe¹  Kaou Tanoue¹  Kousuke Tanaka²  Junichi Sugawara³  Hidekazu Nishigori⁴  Nobuo Yaegashi⁵  Michihiro Satoh⁶  Takahisa Murakami⁶  Kasumi Sakurai⁷  Takahiro Arima⁷  Kunihiko Nakai⁷  Nozomi Tatsuta⁷  Hirohito Metoki⁸  Shinichi Kuriyama⁹  Mami Ishikuro⁹  Taku Obara^1,10 

[1]Department of Obstetrics and Gynecology, Tohoku University Graduate School of Medicine, 1-1, Seiryo-machi, Aoba-ku, 980-8574, Sendai, Miyagi, Japan

[2]Department of Obstetrics and Gynecology, Tohoku University Graduate School of Medicine, 1-1, Seiryo-machi, Aoba-ku, 980-8574, Sendai, Miyagi, Japan

[3]Department of Obstetrics and Gynecology, Hachinohe City Hospital, 3-1-1, Tamukai, Hachinohe, 031-8555, Aomori, Japan

[4]Department of Obstetrics and Gynecology, Tohoku University Graduate School of Medicine, 1-1, Seiryo-machi, Aoba-ku, 980-8574, Sendai, Miyagi, Japan

[5]Environment and Genome Research Center, Tohoku University Graduate School of Medicine, 2-1 Seiryo-machi, Aoba-ku, 980-8573, Sendai, Miyagi, Japan

[6]Department of Obstetrics and Gynecology, Tohoku University Graduate School of Medicine, 1-1, Seiryo-machi, Aoba-ku, 980-8574, Sendai, Miyagi, Japan

[7]Environment and Genome Research Center, Tohoku University Graduate School of Medicine, 2-1 Seiryo-machi, Aoba-ku, 980-8573, Sendai, Miyagi, Japan

[8]Fukushima Medical Center for Children and Women, Fukushima Medical University, 1 Hikariga-oka, 960-1295, Fukushima, Japan

[9]Department of Obstetrics and Gynecology, Tohoku University Graduate School of Medicine, 1-1, Seiryo-machi, Aoba-ku, 980-8574, Sendai, Miyagi, Japan

[10]Environment and Genome Research Center, Tohoku University Graduate School of Medicine, 2-1 Seiryo-machi, Aoba-ku, 980-8573, Sendai, Miyagi, Japan

[11]Tohoku Medical Megabank Organization, Tohoku University, 2-1 Seiryo-machi, Aoba-ku, 980-8573, Sendai, Miyagi, Japan

[12]Division of Public Health, Hygiene and Epidemiology, Tohoku Medical Pharmaceutical University, 1-15-1 Fukumuro, 983-8536, Sendai, Miyagi, Japan

[13]Environment and Genome Research Center, Tohoku University Graduate School of Medicine, 2-1 Seiryo-machi, Aoba-ku, 980-8573, Sendai, Miyagi, Japan

[14]Environment and Genome Research Center, Tohoku University Graduate School of Medicine, 2-1 Seiryo-machi, Aoba-ku, 980-8573, Sendai, Miyagi, Japan

[15]Division of Public Health, Hygiene and Epidemiology, Tohoku Medical Pharmaceutical University, 1-15-1 Fukumuro, 983-8536, Sendai, Miyagi, Japan

[16]Tohoku Medical Megabank Organization, Tohoku University, 2-1 Seiryo-machi, Aoba-ku, 980-8573, Sendai, Miyagi, Japan

[17]Environment and Genome Research Center, Tohoku University Graduate School of Medicine, 2-1 Seiryo-machi, Aoba-ku, 980-8573, Sendai, Miyagi, Japan

[18]Tohoku Medical Megabank Organization, Tohoku University, 2-1 Seiryo-machi, Aoba-ku, 980-8573, Sendai, Miyagi, Japan

[19]Environment and Genome Research Center, Tohoku University Graduate School of Medicine, 2-1 Seiryo-machi, Aoba-ku, 980-8573, Sendai, Miyagi, Japan

[20]Tohoku Medical Megabank Organization, Tohoku University, 2-1 Seiryo-machi, Aoba-ku, 980-8573, Sendai, Miyagi, Japan

[21]Department of Pharmaceutical Sciences, Tohoku University Hospital, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Miyagi, Japan

关键词: Psychological distress;    Negative life events;    Earthquake;    Tsunami;    Pregnant women;   

DOI  :  10.1186/s12199-021-00944-2

来源: Springer

【 摘 要 】

BackgroundTo examine changes in psychological distress prevalence among pregnant women in Miyagi Prefecture, which was directly affected by the Great East Japan Earthquake and tsunami, and compare it with the other, less damaged areas of Japan.MethodsThis study was conducted in conjunction with the Japan Environment and Children`s Study. We examined 76,152 pregnant women including 8270 in Miyagi Regional Center and 67,882 in 13 other regional centers from the all-birth fixed data of the Japan Environment and Children’s Study. We then compared the prevalence and risk of distress in women in Miyagi Regional Center and women in the 13 regional centers for 3 years after the disaster.ResultsWomen in the Miyagi Regional Center suffered more psychological distress than those in the 13 regional centers: OR 1.38 (95% CI, 1.03–1.87) to 1.92 (95% CI, 1.42–2.60). Additionally, women in the inland area had a consistently higher prevalence of psychological distress compared to those from the 13 regional centers: OR 1.67 (95% CI, 1.18–2.38) to 2.19 (95% CI, 1.60–2.99).ConclusionsThe lack of pre-disaster data in the Japan Environment and Children’s Study made it impossible to compare the incidence of psychological distress before and after the March 2011 Great East Japan Earthquake. However, 3 years after the Great East Japan Earthquake, the prevalence of pregnant women with psychological distress did not improve in Miyagi Regional Center. Further, the prevalence of mental illness in inland areas was consistently higher than that in the 13 regional centers after the disaster.

【 授权许可】

CC BY