Noncompliance with Hypertension Treatment and Related Factors among Kumamoto Earthquake Victims Who Experienced the COVID-19 Pandemic during Postearthquake Recovery Period

Ayako Ide-Okochi (), Mu He, Hiroshi Murayama, Tomonori Samiso and Naoki Yoshinaga
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Ayako Ide-Okochi: Graduate School of Health Sciences, Kumamoto University, Kumamoto City 862-0976, Japan
Mu He: Graduate School of Health Sciences Education, Kumamoto University, Kumamoto City 862-0976, Japan
Hiroshi Murayama: Research Team for Social Participation and Community Health, Tokyo Metropolitan Institute of Gerontology, Tokyo 173-0015, Japan
Tomonori Samiso: Health and Welfare Policy Division, Health and Welfare Bureau, Kumamoto City 860-0808, Japan
Naoki Yoshinaga: School of Nursing, Faculty of Medicine, University of Miyazaki, Miyazaki City 889-1692, Japan

IJERPH, 2023, vol. 20, issue 6, 1-12

Abstract: Survivors of the Kumamoto earthquake of 2016 experienced the coronavirus disease (COVID-19) outbreak while carrying additional burdens that might bring inadequate coping. This cross-sectional survey aimed to identify untreated and interrupted consultations among those with hypertension and related factors and to identify the disaster’s long-term effects. Of the 19,212 earthquake survivors who had moved to permanent housing, 7367 (4196 women and 3171 men, mean age 61.8 ± 17.3 years) completed a self-administered questionnaire. The prevalence of hypertension was 41.4%. The results of the logistic regression analysis with the significant independent variables in the bivariate analysis were: reduced income due to COVID-19 (AOR = 3.23, 95%CI = 2.27–4.58) and poor self-rated health (AOR = 2.49, 95%CI = 1.72–3.61) were associated with a risk of untreated or discontinued treatment. Moreover, living in rental, public or restoration public housing was also significantly associated with a higher risk of hypertension noncompliance (AOR = 1.92, 95%CI = 1.20–3.07; AOR = 2.47, 95%CI = 1.38–4.42; AOR = 4.12, 95%CI = 1.14–14.90). These results suggest that changes due to COVID-19, the extent of self-rated health and the type of permanent housing influence the hypertension consulting behaviour of earthquake survivors during recovery. It is crucial to implement long-term public support for the mental health, income and housing concerns of the survivors.

Keywords: earthquake; hypertension; treatment noncompliance; COVID-19; income; self-rated health; housing (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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