能登半島地震被災後２年間の自宅生活者の健康状態の推移と関連要因の検討

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　【目的】能登半島地震被災後２年間の自宅在住者の健康状態の推移と関連要因を明らかにすることである。【方法】対象は、震災４ヶ月後、１年半後、２年後の調査に継続参加した３８名（平均７１７. ±７２. 歳）である。調査内容は対象者の概要、身体的健康、GHQ２８、生活状況である。GHQ２８の推移の分析には Friedman 検定及び Wilcoxon 検定を用い、BMI、体脂肪、血圧、HbA1c の推移は分散分析（反復測定）を用いた。震災１年半後と２年後のGHQ２８と関連要因の関連はMann-Whitney検定を用いて検討した。【結果】GHQ２８は、震災４ヶ月後５９. ±４９. から、２年後３３. ±５３. と有意に低下した。しかし、家族と同居している場合１年半後において、生活の安定を感じていない場合は２年後においてGHQ２８が有意に高かった。また、震災２年後に、友人の家に行かない、相談にのらない、楽しみや生きがいのない場合はGHQ２８が有意に高く精神健康度が悪かった。家屋の修理予定がある場合は、１年半後、２年後においてGHQ下位尺度の一部が有意に高かった。震災後２年の間で最低血圧、体脂肪は増加し、糖尿病のない群で HbA1c は有意に上昇した。【結論】震災２年目は、家屋の修理が残る者、社会的活動が低下している者に精神面の支援が必要であること、及び食生活などの指導が必要であることが示唆された。【Purpose】The purpose of this study is to examine changes and factors affectingthe health status of victims, living in their own residences, during the two yearsafter the Noto Peninsula earthquake.【Method】Subjects were 38 elderly residents(71.7±7.2 years) in one part of Wajima city, Ishikawa, Japan who continuedparticipating in on-going four-month, one-and-half-year and two-year health surveysafter the Noto Peninsula earthquake. Demographic data, physiological and physicalstatus and living conditions were examined. Changes in General HealthQuestionnaire28 (GHQ28) were analyzed according to both the Friedmann andWilcoxon test methods. GHQ28 and factors affecting psychological status at oneand a half years and two years after the earthquake were analyzed using the Man-Whitney test. 【Results】4 months after the earthquake, GHQ28 was 5.9±4.9, andtwo years after it had significantly decreased to 3.6±5.3.　But, after one and a halfyears GHQ28 was significantly higher for those living with their families comparedto those living alone. After two years GHQ28 was significantly higher for thosewho had not adjusted to their new lifestyle compared to those who had adjusted.Two years after the earthquake, GHQ28 was significantly higher for subjects whovisited friends, for those who refused to listen to others’ problems, and for thosewho felt they had no reason for living. For subjects who planned to repair theirhouses GHQ28 was significantly higher for one section of the questionnaire afterboth one and a half years and two years. During the two-year period after theearthquake both diastolic blood pressure and body fat increased significantly.HbA1c increased significantly for subjects without diabetes. 【Conclusion】Inconclusion, two years after the earthquake, for subjects whose houses still neededrepair, and for those who weren t socially active, a significantly high score on theGHQ28 suggests more psychological support and guidance in eating habits isnecessary.
2010-07-30

能登半島地震被災後２年間の自宅生活者の健康状態の推移と関連要因の検討

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