Radiation-related anxiety among public health nurses in the Fukushima Prefecture after the accident at the Fukushima Daiichi Nuclear Power Station: a cross-sectional study

ObjectiveIn Japan, public health nurses (PHNs) play important roles in managing the health of local residents, especially after a disaster. In this study, we assessed radiation anxiety and the stress processing capacity of PHNs in the Fukushima Prefecture in Japan, after the accident at the Fukushim...

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Vydané v:	BMJ open Ročník 6; číslo 10; s. e013564
Hlavní autori:	Yoshida, Koji, Orita, Makiko, Goto, Aya, Kumagai, Atsushi, Yasui, Kiyotaka, Ohtsuru, Akira, Hayashida, Naomi, Kudo, Takashi, Yamashita, Shunichi, Takamura, Noboru
Médium:	Journal Article
Jazyk:	English
Vydavateľské údaje:	England BMJ Publishing Group LTD 24.10.2016 BMJ Publishing Group
Predmet:	Adult Age Aged Anxiety Anxiety - etiology Community health care Cross-Sectional Studies Curricula Disasters Earthquakes Education history Female Fukushima Nuclear Accident Humans Japan Knowledge Likert scale Logistic Models Male Mental health Middle Aged Nuclear accidents & safety Nurses Nurses, Public Health - education Nurses, Public Health - psychology Nursing Professional Competence Public health Radiation Radiation Exposure - adverse effects Radiation Injuries Statistical analysis Stress Stress, Psychological - etiology Surveys and Questionnaires Thyroid cancer Thyroid Neoplasms - etiology Tsunamis Young Adult Japan anxiety Sense of Coherence-13 public health nurse radiation Fukushima Daiichi Nuclear Power Station
ISSN:	2044-6055, 2044-6055
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Abstract	ObjectiveIn Japan, public health nurses (PHNs) play important roles in managing the health of local residents, especially after a disaster. In this study, we assessed radiation anxiety and the stress processing capacity of PHNs in the Fukushima Prefecture in Japan, after the accident at the Fukushima Daiichi Nuclear Power Station (FDNPS).MethodsWe conducted a questionnaire survey among the PHNs (n=430) in July of 2015 via postal mail. The questions included demographic factors (sex, age and employment position), knowledge about radiation, degree of anxiety about radiation at the time of the FDNPS accident (and at present), by asking them to answer questions about radiation and the Sense of Coherence-13 (SOC-13). We classified the low and high levels of anxiety by asking them to answer questions about radiation, and compared the anxiety-negative (−) group with the anxiety-positive (+) group.ResultsOf the PHNs, 269 (62.6%) were classified in the anxiety (−) group and 161 (37.4%) were in the anxiety (+) group. When the multivariate logistic regression analysis was conducted, the PHNs at the time of the accident (OR: 2.37, p=0.007), current general anxieties about radiation (OR: 3.56, p<0.001), current possession of materials to obtain knowledge about radiation (OR: 2.11, p=0.006) and knowledge of the childhood thyroid cancer increase after the Chernobyl accident (OR: 1.69, p=0.035) were significantly associated with anxiety after the FDNPS accident. The mean SOC-13 was 43.0±7.7, with no significant difference between the anxiety (−) group and anxiety (+) group (p=0.47).ConclusionsOur study suggested that anxiety about radiation was associated with materials and knowledge about radiation in the PHNs in the Fukushima Prefecture 4 years after the FDNPS accident. It is important for PHNs to obtain knowledge and teaching materials about radiation, and radiation education programmes for PHNs must be established in areas that have nuclear facilities.
AbstractList	In Japan, public health nurses (PHNs) play important roles in managing the health of local residents, especially after a disaster. In this study, we assessed radiation anxiety and the stress processing capacity of PHNs in the Fukushima Prefecture in Japan, after the accident at the Fukushima Daiichi Nuclear Power Station (FDNPS).OBJECTIVEIn Japan, public health nurses (PHNs) play important roles in managing the health of local residents, especially after a disaster. In this study, we assessed radiation anxiety and the stress processing capacity of PHNs in the Fukushima Prefecture in Japan, after the accident at the Fukushima Daiichi Nuclear Power Station (FDNPS).We conducted a questionnaire survey among the PHNs (n=430) in July of 2015 via postal mail. The questions included demographic factors (sex, age and employment position), knowledge about radiation, degree of anxiety about radiation at the time of the FDNPS accident (and at present), by asking them to answer questions about radiation and the Sense of Coherence-13 (SOC-13). We classified the low and high levels of anxiety by asking them to answer questions about radiation, and compared the anxiety-negative (-) group with the anxiety-positive (+) group.METHODSWe conducted a questionnaire survey among the PHNs (n=430) in July of 2015 via postal mail. The questions included demographic factors (sex, age and employment position), knowledge about radiation, degree of anxiety about radiation at the time of the FDNPS accident (and at present), by asking them to answer questions about radiation and the Sense of Coherence-13 (SOC-13). We classified the low and high levels of anxiety by asking them to answer questions about radiation, and compared the anxiety-negative (-) group with the anxiety-positive (+) group.Of the PHNs, 269 (62.6%) were classified in the anxiety (-) group and 161 (37.4%) were in the anxiety (+) group. When the multivariate logistic regression analysis was conducted, the PHNs at the time of the accident (OR: 2.37, p=0.007), current general anxieties about radiation (OR: 3.56, p<0.001), current possession of materials to obtain knowledge about radiation (OR: 2.11, p=0.006) and knowledge of the childhood thyroid cancer increase after the Chernobyl accident (OR: 1.69, p=0.035) were significantly associated with anxiety after the FDNPS accident. The mean SOC-13 was 43.0±7.7, with no significant difference between the anxiety (-) group and anxiety (+) group (p=0.47).RESULTSOf the PHNs, 269 (62.6%) were classified in the anxiety (-) group and 161 (37.4%) were in the anxiety (+) group. When the multivariate logistic regression analysis was conducted, the PHNs at the time of the accident (OR: 2.37, p=0.007), current general anxieties about radiation (OR: 3.56, p<0.001), current possession of materials to obtain knowledge about radiation (OR: 2.11, p=0.006) and knowledge of the childhood thyroid cancer increase after the Chernobyl accident (OR: 1.69, p=0.035) were significantly associated with anxiety after the FDNPS accident. The mean SOC-13 was 43.0±7.7, with no significant difference between the anxiety (-) group and anxiety (+) group (p=0.47).Our study suggested that anxiety about radiation was associated with materials and knowledge about radiation in the PHNs in the Fukushima Prefecture 4 years after the FDNPS accident. It is important for PHNs to obtain knowledge and teaching materials about radiation, and radiation education programmes for PHNs must be established in areas that have nuclear facilities.CONCLUSIONSOur study suggested that anxiety about radiation was associated with materials and knowledge about radiation in the PHNs in the Fukushima Prefecture 4 years after the FDNPS accident. It is important for PHNs to obtain knowledge and teaching materials about radiation, and radiation education programmes for PHNs must be established in areas that have nuclear facilities. In Japan, public health nurses (PHNs) play important roles in managing the health of local residents, especially after a disaster. In this study, we assessed radiation anxiety and the stress processing capacity of PHNs in the Fukushima Prefecture in Japan, after the accident at the Fukushima Daiichi Nuclear Power Station (FDNPS). We conducted a questionnaire survey among the PHNs (n=430) in July of 2015 via postal mail. The questions included demographic factors (sex, age and employment position), knowledge about radiation, degree of anxiety about radiation at the time of the FDNPS accident (and at present), by asking them to answer questions about radiation and the Sense of Coherence-13 (SOC-13). We classified the low and high levels of anxiety by asking them to answer questions about radiation, and compared the anxiety-negative (-) group with the anxiety-positive (+) group. Of the PHNs, 269 (62.6%) were classified in the anxiety (-) group and 161 (37.4%) were in the anxiety (+) group. When the multivariate logistic regression analysis was conducted, the PHNs at the time of the accident (OR: 2.37, p=0.007), current general anxieties about radiation (OR: 3.56, p<0.001), current possession of materials to obtain knowledge about radiation (OR: 2.11, p=0.006) and knowledge of the childhood thyroid cancer increase after the Chernobyl accident (OR: 1.69, p=0.035) were significantly associated with anxiety after the FDNPS accident. The mean SOC-13 was 43.0±7.7, with no significant difference between the anxiety (-) group and anxiety (+) group (p=0.47). Our study suggested that anxiety about radiation was associated with materials and knowledge about radiation in the PHNs in the Fukushima Prefecture 4 years after the FDNPS accident. It is important for PHNs to obtain knowledge and teaching materials about radiation, and radiation education programmes for PHNs must be established in areas that have nuclear facilities. ObjectiveIn Japan, public health nurses (PHNs) play important roles in managing the health of local residents, especially after a disaster. In this study, we assessed radiation anxiety and the stress processing capacity of PHNs in the Fukushima Prefecture in Japan, after the accident at the Fukushima Daiichi Nuclear Power Station (FDNPS).MethodsWe conducted a questionnaire survey among the PHNs (n=430) in July of 2015 via postal mail. The questions included demographic factors (sex, age and employment position), knowledge about radiation, degree of anxiety about radiation at the time of the FDNPS accident (and at present), by asking them to answer questions about radiation and the Sense of Coherence-13 (SOC-13). We classified the low and high levels of anxiety by asking them to answer questions about radiation, and compared the anxiety-negative (−) group with the anxiety-positive (+) group.ResultsOf the PHNs, 269 (62.6%) were classified in the anxiety (−) group and 161 (37.4%) were in the anxiety (+) group. When the multivariate logistic regression analysis was conducted, the PHNs at the time of the accident (OR: 2.37, p=0.007), current general anxieties about radiation (OR: 3.56, p<0.001), current possession of materials to obtain knowledge about radiation (OR: 2.11, p=0.006) and knowledge of the childhood thyroid cancer increase after the Chernobyl accident (OR: 1.69, p=0.035) were significantly associated with anxiety after the FDNPS accident. The mean SOC-13 was 43.0±7.7, with no significant difference between the anxiety (−) group and anxiety (+) group (p=0.47).ConclusionsOur study suggested that anxiety about radiation was associated with materials and knowledge about radiation in the PHNs in the Fukushima Prefecture 4 years after the FDNPS accident. It is important for PHNs to obtain knowledge and teaching materials about radiation, and radiation education programmes for PHNs must be established in areas that have nuclear facilities.
Author	Yasui, Kiyotaka Ohtsuru, Akira Kudo, Takashi Yamashita, Shunichi Yoshida, Koji Goto, Aya Hayashida, Naomi Kumagai, Atsushi Orita, Makiko Takamura, Noboru
AuthorAffiliation	1 Department of Health Sciences , Nagasaki University Graduate School of Biomedical Sciences , Nagasaki , Japan 4 Center for Integrated Science and Humanities, Fukushima Medical University , Fukushima , Japan 5 Department of Radiation Health Management , Fukushima Medical University School of Medicine , Fukushima , Japan 8 Department of Radiation Medical Sciences , Atomic Bomb Disease Institute, Nagasaki University , Nagasaki , Japan 6 Division of Promotion of Collaborative Research on Radiation and Environment Health Effects , Atomic Bomb Disease Institute, Nagasaki University , Nagasaki , Japan 3 Department of Global Health , Medicine and Welfare, Atomic Bomb Disease Institute, Nagasaki University , Nagasaki , Japan 7 Department of Radioisotope Medicine , Atomic Bomb Disease Institute, Nagasaki University , Nagasaki , Japan 2 Education Center for Disaster Medicine, Fukushima Medical University , Fukushima , Japan
AuthorAffiliation_xml	– name: 8 Department of Radiation Medical Sciences , Atomic Bomb Disease Institute, Nagasaki University , Nagasaki , Japan – name: 7 Department of Radioisotope Medicine , Atomic Bomb Disease Institute, Nagasaki University , Nagasaki , Japan – name: 4 Center for Integrated Science and Humanities, Fukushima Medical University , Fukushima , Japan – name: 6 Division of Promotion of Collaborative Research on Radiation and Environment Health Effects , Atomic Bomb Disease Institute, Nagasaki University , Nagasaki , Japan – name: 2 Education Center for Disaster Medicine, Fukushima Medical University , Fukushima , Japan – name: 5 Department of Radiation Health Management , Fukushima Medical University School of Medicine , Fukushima , Japan – name: 1 Department of Health Sciences , Nagasaki University Graduate School of Biomedical Sciences , Nagasaki , Japan – name: 3 Department of Global Health , Medicine and Welfare, Atomic Bomb Disease Institute, Nagasaki University , Nagasaki , Japan
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Snippet	ObjectiveIn Japan, public health nurses (PHNs) play important roles in managing the health of local residents, especially after a disaster. In this study, we... In Japan, public health nurses (PHNs) play important roles in managing the health of local residents, especially after a disaster. In this study, we assessed...
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SubjectTerms	Adult Age Aged Anxiety Anxiety - etiology Community health care Cross-Sectional Studies Curricula Disasters Earthquakes Education history Female Fukushima Nuclear Accident Humans Japan Knowledge Likert scale Logistic Models Male Mental health Middle Aged Nuclear accidents & safety Nurses Nurses, Public Health - education Nurses, Public Health - psychology Nursing Professional Competence Public health Radiation Radiation Exposure - adverse effects Radiation Injuries Statistical analysis Stress Stress, Psychological - etiology Surveys and Questionnaires Thyroid cancer Thyroid Neoplasms - etiology Tsunamis Young Adult
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Title	Radiation-related anxiety among public health nurses in the Fukushima Prefecture after the accident at the Fukushima Daiichi Nuclear Power Station: a cross-sectional study
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