福島原子力発電所事故により県外避難する高齢者の個人レベルのソーシャル・キャピタルとメンタルヘルスとの関連 Relationships between Individual Social Capital and Mental Health in Elderly People who Left the Prefecture Due to the Fukushima Nuclear Power Plant Disaster

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著者

    • 根ヶ山 光一 Negayama Koichi
    • 早稲田大学人間科学学術院|早稲田大学災害復興医療人類学研究所|震災支援ネットワーク埼玉 (SSN) Faculty of Human Sciences, Waseda University|Waseda Institute of Medical Anthropology on Disaster Reconstruction|Shinsai Shien Network Saitama (SSN)
    • 小島 隆矢 Kojima Takaya
    • 早稲田大学人間科学学術院|早稲田大学災害復興医療人類学研究所 Faculty of Human Sciences, Waseda University|Waseda Institute of Medical Anthropology on Disaster Reconstruction
    • 熊野 宏昭 Kumano Hiroaki
    • 早稲田大学人間科学学術院|早稲田大学災害復興医療人類学研究所 Faculty of Human Sciences, Waseda University|Waseda Institute of Medical Anthropology on Disaster Reconstruction
    • 扇原 淳 Ogihara Atsushi
    • 早稲田大学人間科学学術院|早稲田大学災害復興医療人類学研究所 Faculty of Human Sciences, Waseda University|Waseda Institute of Medical Anthropology on Disaster Reconstruction
    • 辻内 琢也 Tsujiuchi Takuya
    • 早稲田大学人間科学学術院|早稲田大学災害復興医療人類学研究所|震災支援ネットワーク埼玉 (SSN) Faculty of Human Sciences, Waseda University|Waseda Institute of Medical Anthropology on Disaster Reconstruction|Shinsai Shien Network Saitama (SSN)
    • 増田 和高 Masuda Kazutaka
    • 早稲田大学災害復興医療人類学研究所|震災支援ネットワーク埼玉 (SSN)|鹿児島国際大学福祉社会学部 Waseda Institute of Medical Anthropology on Disaster Reconstruction|Shinsai Shien Network Saitama (SSN)|Department of Social Welfare, The International University of Kagoshima

抄録

<p>本研究は, 原発事故によって福島県から東京都・埼玉県に避難されている高齢者の個人レベルのソーシャル・キャピタル (以下, SC) とメンタルヘルスの関連を明らかにすることを目的とした. 調査は2014年3, 4月に実施し, 3,599世帯を対象に自記式質問紙調査を行った. 回収できた772世帯分 (回収率21.5%) の中から, 65~85歳までの高齢者229名分を分析の対象とした. 多重ロジスティックモデルにより, 個人レベルのSCとストレスとの関連について分析したところ, 性, 年齢, 経済状況, 持病の有無, 転居回数を調整しても, 近隣住民への信頼・助け合いの意識などの認知的指標や近隣であいさつを交わす人数, 趣味・娯楽活動への参加頻度といった構造的指標が低い群ほど, 高いストレス状態にあることが統計学的に有意に認められた. したがって, 豊かなSCを醸成することによりメンタルヘルスを向上させる支援が今後重要になると考えられる.</p>

<p><b>Background</b> : As of March 2014, three years after the Fukushima nuclear power plant disaster, 58,624 residents were relocated to other regions within the Fukushima prefecture, and 47,683 residents were relocated to other prefectures. Attenuation of human relationships due to the disruption of regional ties nurtured in the past heightens stress. This highlights the need to create a new community focused on establishing ties with neighbors. Among evacuees, providing support for elderly adults suffering from a decline in physical functioning and a deteriorating mental health is necessary. <b>Objective</b> : This study investigated the relationship between individual social capital and mental health in elderly adults, specifically focusing on the role of social capital in reconstruction after the earthquake. <b>Methods</b> : A self-report questionnaire was conducted at Waseda University and Shinsai Shien Network, Saitama. Evacuees from Fukushima prefecture (n=3,599) who lived in Saitama prefecture and Tokyo were asked to complete the Stress Response Scale-18 comprising questions related to social capital with cognitive and structural indicators. There were 772 replies (response rate=21.5%) and 229 respondents were analyzed. In addition, a multiple logistic regression analysis was performed to examine the relationship between social capital and mental health in elderly adults. <b>Results</b> : The group with low confidence in neighbors relative to the group with high confidence in neighbors had a 5.192 times higher chance of being in the high-stress group (95%CI=1.042-25.865). In addition, the group with lower confidence in acquiring their neighbors assistance if a disaster occurred again, had a 2.172 times higher chance of being in the high-stress group (95%CI=1.051-4.487). Furthermore, people who have never participated in regional activities (e.g., hobbies, sports, entertainment, etc.) had a 3.112 times higher chance of being high-stressed relative to the group who participated two or three times (95%CI=1.059-9.150). Finally, the group that never greeted neighbors had a 3.317 times higher chance of being high-stressed relative to the group that had five or more greeted neighbors (95%CI=1.177-9.346). <b>Conclusion</b> : Lower social-capital cognitive indicators such as "trusting one's neighbors" and "helping one's neighbors" were correlated with higher stress levels. Therefore, elderly adults can presumably maintain good mental health by developing a neighborhood relationship and building mutual trust. Furthermore, lower social-capital structural indicators such as "number of greeted neighbors" and "participation frequency in regional activities" were correlated with higher stress levels. It is important to encourage social participation of evacuees and provide them with support.</p>

収録刊行物

  • 心身医学

    心身医学 57(2), 173-184, 2017

    一般社団法人 日本心身医学会

各種コード

  • NII論文ID(NAID)
    130005310302
  • NII書誌ID(NCID)
    AN00121636
  • 本文言語コード
    JPN
  • ISSN
    0385-0307
  • NDL 記事登録ID
    027865931
  • NDL 請求記号
    Z19-26
  • データ提供元
    NDL  J-STAGE 
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