Kaou Tanoue1, Zen Watanabe1, Hidekazu Nishigori1,2,3, Noriyuki Iwama1, Michihiro Satoh4, Takahisa Murakami4, Kousuke Tanaka1,5, Satomi Sasaki1, Kasumi Sakurai2, Mami Ishikuro2,6, Taku Obara2,6,7, Masatoshi Saito1, Junichi Sugawara1,2, Nozomi Tatsuta2, Shinichi Kuriyama2,6, Takahiro Arima2, Kunihiko Nakai2, Nobuo Yaegashi1,2,6, Hirohito Metoki8,9,10. 1. Department of Obstetrics and Gynecology, Tohoku University Graduate School of Medicine, 1-1, Seiryo-machi, Aoba-ku, Sendai, Miyagi, 980-8574, Japan. 2. Environment and Genome Research Center, Tohoku University Graduate School of Medicine, 2-1 Seiryo-machi, Aoba-ku, Sendai, Miyagi, 980-8573, Japan. 3. Fukushima Medical Center for Children and Women, Fukushima Medical University, 1 Hikariga-oka, Fukushima, 960-1295, Japan. 4. Division of Public Health, Hygiene and Epidemiology, Tohoku Medical Pharmaceutical University, 1-15-1 Fukumuro, Sendai, Miyagi, 983-8536, Japan. 5. Department of Obstetrics and Gynecology, Hachinohe City Hospital, 3-1-1, Tamukai, Hachinohe, Aomori, 031-8555, Japan. 6. Tohoku Medical Megabank Organization, Tohoku University, 2-1 Seiryo-machi, Aoba-ku, Sendai, Miyagi, 980-8573, Japan. 7. Department of Pharmaceutical Sciences, Tohoku University Hospital, 1-1 Seiryo-machi, Aoba-ku, Sendai, Miyagi, 980-8574, Japan. 8. Environment and Genome Research Center, Tohoku University Graduate School of Medicine, 2-1 Seiryo-machi, Aoba-ku, Sendai, Miyagi, 980-8573, Japan. hmetoki@tohoku-mpu.ac.jp. 9. Division of Public Health, Hygiene and Epidemiology, Tohoku Medical Pharmaceutical University, 1-15-1 Fukumuro, Sendai, Miyagi, 983-8536, Japan. hmetoki@tohoku-mpu.ac.jp. 10. Tohoku Medical Megabank Organization, Tohoku University, 2-1 Seiryo-machi, Aoba-ku, Sendai, Miyagi, 980-8573, Japan. hmetoki@tohoku-mpu.ac.jp.
Abstract
BACKGROUND: To 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. METHODS: This 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. RESULTS: Women 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). CONCLUSIONS: The 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.
BACKGROUND: To 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. METHODS: This 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. RESULTS:Women 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). CONCLUSIONS: The 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.
Entities:
Keywords:
Earthquake; Negative life events; Pregnant women; Psychological distress; Tsunami
Authors: Xu Xiong; Emily W Harville; Donald R Mattison; Karen Elkind-Hirsch; Gabriella Pridjian; Pierre Buekens Journal: Am J Disaster Med Date: 2010 May-Jun
Authors: E J H Mulder; P G Robles de Medina; A C Huizink; B R H Van den Bergh; J K Buitelaar; G H A Visser Journal: Early Hum Dev Date: 2002-12 Impact factor: 2.079
Authors: T Kitamura; K Yoshida; T Okano; K Kinoshita; M Hayashi; N Toyoda; M Ito; N Kudo; K Tada; K Kanazawa; K Sakumoto; S Satoh; T Furukawa; H Nakano Journal: Arch Womens Ment Health Date: 2006-03-20 Impact factor: 3.633