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Mizuki R, Maeda M, Kobayashi T, Horikoshi N, Harigane M, Itagaki S, Nakano H, Ohira T, Yabe H, Yasumura S, Kamiya K. The Association between Parenting Confidence and Later Child Mental Health in the Area Affected by the Fukushima Nuclear Disaster: The Fukushima Health Management Survey. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:476. [PMID: 35010736 PMCID: PMC8744654 DOI: 10.3390/ijerph19010476] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/24/2021] [Revised: 12/27/2021] [Accepted: 12/30/2021] [Indexed: 11/17/2022]
Abstract
After the 2011 Fukushima Daiichi Nuclear Power Station accident, the Fukushima Health Management Survey was conducted to assess children's lifestyle and mental health conditions. The participants in this study were 1126 children, aged 0 to 3 years, living in the evacuation zone at the time of the disaster. The parenting confidence of their mothers was assessed using a self-administered questionnaire as a baseline in 2013. We examined the association of parenting confidence level at baseline, using a total difficulty score of the Strengths and Difficulties Questionnaire (SDQ) and reluctance to attend school among children in a follow-up study in 2016 and 2017. As a result, no confidence was reported by 178 (15.8%) mothers, while 477 (42.4%) responded with "not sure" and 471 (41.8%) were confident. In the multiple logistic analysis, after adjusting for covariates such as the child's sex, age, and current health condition, the group lacking parenting confidence demonstrated a significantly higher risk level for SDQ total difficulties (OR, 2.8; 95% CI, 1.59-4.93) and reluctance to attend school (OR = 1.98, 95% CI: 1.24-3.18) than the confident mothers. After a major disaster, which can have long-term effects on communities, intensive psychological care for mothers with young children is needed to prevent various mental health problems in their children.
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Affiliation(s)
- Rie Mizuki
- Radiation Medical Science Center for Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan; (M.M.); (N.H.); (M.H.); (S.I.); (H.N.); (T.O.); (H.Y.); (S.Y.); (K.K.)
| | - Masaharu Maeda
- Radiation Medical Science Center for Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan; (M.M.); (N.H.); (M.H.); (S.I.); (H.N.); (T.O.); (H.Y.); (S.Y.); (K.K.)
- Department of Disaster Psychiatry, School of Medicine, Fukushima Medical University, Fukushima 960-1295, Japan;
| | - Tomoyuki Kobayashi
- Department of Disaster Psychiatry, School of Medicine, Fukushima Medical University, Fukushima 960-1295, Japan;
| | - Naoko Horikoshi
- Radiation Medical Science Center for Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan; (M.M.); (N.H.); (M.H.); (S.I.); (H.N.); (T.O.); (H.Y.); (S.Y.); (K.K.)
- Department of Public Health, School of Medicine, Fukushima Medical University, Fukushima 960-1295, Japan
| | - Mayumi Harigane
- Radiation Medical Science Center for Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan; (M.M.); (N.H.); (M.H.); (S.I.); (H.N.); (T.O.); (H.Y.); (S.Y.); (K.K.)
- Department of Public Health, School of Medicine, Fukushima Medical University, Fukushima 960-1295, Japan
| | - Shuntaro Itagaki
- Radiation Medical Science Center for Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan; (M.M.); (N.H.); (M.H.); (S.I.); (H.N.); (T.O.); (H.Y.); (S.Y.); (K.K.)
- Department of Neuropsychiatry, School of Medicine, Fukushima Medical University, Fukushima 960-1295, Japan
| | - Hironori Nakano
- Radiation Medical Science Center for Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan; (M.M.); (N.H.); (M.H.); (S.I.); (H.N.); (T.O.); (H.Y.); (S.Y.); (K.K.)
- Department of Epidemiology, School of Medicine, Fukushima Medical University, Fukushima 960-1295, Japan
| | - Tetsuya Ohira
- Radiation Medical Science Center for Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan; (M.M.); (N.H.); (M.H.); (S.I.); (H.N.); (T.O.); (H.Y.); (S.Y.); (K.K.)
- Department of Epidemiology, School of Medicine, Fukushima Medical University, Fukushima 960-1295, Japan
| | - Hirooki Yabe
- Radiation Medical Science Center for Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan; (M.M.); (N.H.); (M.H.); (S.I.); (H.N.); (T.O.); (H.Y.); (S.Y.); (K.K.)
- Department of Neuropsychiatry, School of Medicine, Fukushima Medical University, Fukushima 960-1295, Japan
| | - Seiji Yasumura
- Radiation Medical Science Center for Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan; (M.M.); (N.H.); (M.H.); (S.I.); (H.N.); (T.O.); (H.Y.); (S.Y.); (K.K.)
- Department of Public Health, School of Medicine, Fukushima Medical University, Fukushima 960-1295, Japan
| | - Kenji Kamiya
- Radiation Medical Science Center for Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan; (M.M.); (N.H.); (M.H.); (S.I.); (H.N.); (T.O.); (H.Y.); (S.Y.); (K.K.)
- Research Institute for Radiation Biology and Medicine, Hiroshima University, Fukushima 960-1295, Japan
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