Association between Psychosocial Factors and Oral Symptoms among Residents in Fukushima after the Great East Japan Earthquake: A Cross-Sectional Study from the Fukushima Health Management Survey

Narumi Funakubo, Ayaka Tsuboi, Eri Eguchi, Fumikazu Hayashi, Masaharu Maeda, Hirooki Yabe, Seiji Yasumura, Kenji Kamiya, Shogo Takashiba, Tetsuya Ohira and Mental Health Group of the Fukushima Health Management Survey
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Narumi Funakubo: Department of Epidemiology, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan
Ayaka Tsuboi: Department of Pathophysiology-Periodontal Science, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama 700-8558, Japan
Eri Eguchi: Department of Epidemiology, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan
Fumikazu Hayashi: Department of Epidemiology, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan
Masaharu Maeda: Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan
Hirooki Yabe: Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan
Seiji Yasumura: Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan
Kenji Kamiya: Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan
Shogo Takashiba: Department of Pathophysiology-Periodontal Science, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama 700-8558, Japan
Tetsuya Ohira: Department of Epidemiology, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan
Mental Health Group of the Fukushima Health Management Survey: Membership of the Mental Health Group of the Fukushima Health Management Survey is provided in the Acknowledgments.

IJERPH, 2021, vol. 18, issue 11, 1-14

Abstract: Oral health is closely related to subjective general health and systemic diseases. This cross-sectional study aimed to identify the factors related to oral symptoms and their worsening in relation to psychosocial factors after the Great East Japan Earthquake. In this study, 64,186 residents aged 15–101 years old, who experienced the earthquake on 11 March 2011, were surveyed regarding their oral symptoms; psychological factors, such as post-traumatic reactions and psychological distress; and social factors such as evacuation, work change, and loss of a close person; history of systemic diseases; and lifestyle. Binomial logistic regression analysis was used to calculate odds ratios, and 95% confidence intervals were established for each factor associated with prevalent and exacerbated oral symptoms. The proportions of participants with prevalent and exacerbated oral symptoms were 10.3% and 1.6%, respectively. The multivariate odds ratios and 95% CI of psychosocial factors associated with exacerbated oral symptoms were as follows: post-traumatic stress disorder symptoms, 2.24 (1.64–3.06); work changes, 1.88 (1.34–2.65); history of dyslipidemia, 1.74 (1.27–2.39); and subjective current poor health condition, 2.73 (2.00–3.75). Psychological factors, social factors, and physical factors were associated with both prevalent and exacerbated oral symptoms.

Keywords: Great East Japan Earthquake; disaster; oral symptoms; psychosocial factors; evacuation; cross-sectional study (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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