Association between Health Literacy and Radiation Anxiety among Residents after a Nuclear Accident: Comparison between Evacuated and Non-Evacuated Areas

Following the accident at the Fukushima Nuclear Power Plant in March 2011, both experts and the national government provided insufficient information on radiation, leading to widespread distrust in the community. This study aimed at clarifying the association between anxiety about radiation and heal...

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Published inInternational journal of environmental research and public health Vol. 15; no. 7; p. 1463
Main Authors Kuroda, Yujiro, Iwasa, Hajime, Orui, Masatsugu, Moriyama, Nobuaki, Nakayama, Chihiro, Yasumura, Seiji
Format Journal Article
LanguageEnglish
Published Switzerland MDPI AG 11.07.2018
MDPI
Subjects
Adult
Aged
Anxiety
Communication
Community
Discrimination
Evacuation
Female
Fukushima Nuclear Accident
Health education
Health Literacy
Humans
Japan
Male
Mental health
Middle Aged
Multiple regression analysis
Nuclear accidents
Nuclear accidents & safety
Nuclear energy
Nuclear power plants
Public health
Radiation effects
Radiation Exposure
Skills
Studies
Surveys and Questionnaires
Japan
radiation anxiety
nuclear accident
health literacy
risk perception
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Abstract Following the accident at the Fukushima Nuclear Power Plant in March 2011, both experts and the national government provided insufficient information on radiation, leading to widespread distrust in the community. This study aimed at clarifying the association between anxiety about radiation and health literacy among residents in evacuation and non-evacuation areas in Fukushima. A questionnaire survey was sent to randomly sampled residents between August and October 2016, and data from 777 responses (38.9% valid response) were analyzed. The questionnaire assessed current radiation anxiety and discrimination and prejudice based on radiation exposure through seven items and communicative and critical health literacy through five items. Multiple regression analysis of the association between radiation anxiety and health literacy showed that the level of health literacy was significantly negatively associated with radiation anxiety in the evacuation areas (marginally in the non-evacuation areas) and marginally negatively associated with discrimination and prejudice in the evacuation areas but not in the non-evacuation areas. Therefore, improving health literacy could alleviate radiation anxiety.
AbstractList Following the accident at the Fukushima Nuclear Power Plant in March 2011, both experts and the national government provided insufficient information on radiation, leading to widespread distrust in the community. This study aimed at clarifying the association between anxiety about radiation and health literacy among residents in evacuation and non-evacuation areas in Fukushima. A questionnaire survey was sent to randomly sampled residents between August and October 2016, and data from 777 responses (38.9% valid response) were analyzed. The questionnaire assessed current radiation anxiety and discrimination and prejudice based on radiation exposure through seven items and communicative and critical health literacy through five items. Multiple regression analysis of the association between radiation anxiety and health literacy showed that the level of health literacy was significantly negatively associated with radiation anxiety in the evacuation areas (marginally in the non-evacuation areas) and marginally negatively associated with discrimination and prejudice in the evacuation areas but not in the non-evacuation areas. Therefore, improving health literacy could alleviate radiation anxiety.
Author Iwasa, Hajime
Moriyama, Nobuaki
Nakayama, Chihiro
Yasumura, Seiji
Kuroda, Yujiro
Orui, Masatsugu
AuthorAffiliation 1 Department of Public Health, Fukushima Medical University, Fukushima Prefecture 960-1295, Japan; hajimei@fmu.ac.jp (H.I.); oruima@fmu.ac.jp (M.O.); moriyama@fmu.ac.jp (N.M.); nakac@fmu.ac.jp (C.N.); yasumura@fmu.ac.jp (S.Y.)
2 Tokyo Metropolitan Institute of Gerontology, Tokyo 173-0015, Japan
AuthorAffiliation_xml – name: 2 Tokyo Metropolitan Institute of Gerontology, Tokyo 173-0015, Japan
– name: 1 Department of Public Health, Fukushima Medical University, Fukushima Prefecture 960-1295, Japan; hajimei@fmu.ac.jp (H.I.); oruima@fmu.ac.jp (M.O.); moriyama@fmu.ac.jp (N.M.); nakac@fmu.ac.jp (C.N.); yasumura@fmu.ac.jp (S.Y.)
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  surname: Yasumura
  fullname: Yasumura, Seiji
  email: yasumura@fmu.ac.jp
  organization: Department of Public Health, Fukushima Medical University, Fukushima Prefecture 960-1295, Japan. yasumura@fmu.ac.jp
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Issue 7
Keywords radiation anxiety
nuclear accident
health literacy
risk perception
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StartPage 1463
SubjectTerms Adult
Aged
Anxiety
Communication
Community
Discrimination
Evacuation
Female
Fukushima Nuclear Accident
Health education
Health Literacy
Humans
Japan
Male
Mental health
Middle Aged
Multiple regression analysis
Nuclear accidents
Nuclear accidents & safety
Nuclear energy
Nuclear power plants
Public health
Radiation effects
Radiation Exposure
Skills
Studies
Surveys and Questionnaires
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Title Association between Health Literacy and Radiation Anxiety among Residents after a Nuclear Accident: Comparison between Evacuated and Non-Evacuated Areas
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