{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,26]],"date-time":"2025-12-26T16:47:24Z","timestamp":1766767644187,"version":"build-2065373602"},"reference-count":38,"publisher":"MDPI AG","issue":"19","license":[{"start":{"date-parts":[[2021,9,25]],"date-time":"2021-09-25T00:00:00Z","timestamp":1632528000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100006120","name":"Ministry of the Environment, Government of Japan","doi-asserted-by":"publisher","award":["n\/a"],"award-info":[{"award-number":["n\/a"]}],"id":[{"id":"10.13039\/501100006120","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>After the accident at the Fukushima nuclear power plant in 2011, caused by the Great East Japan Earthquake, some evacuees had no one to consult despite many local care providers offering assistance. This study identified the characteristics of individuals who did not receive consultations and the relevant determinants, and proposed the available measures to address this issue. Altogether, 32,699 participants aged 16 years or older and residing in the disaster area at Fukushima were surveyed. Those with no one to consult showed a significantly higher prevalence of psychological distress (16.2%, p &lt; 0.001) and drinking problems (21.5%, p &lt; 0.001). Multivariate analysis revealed that these behaviors were associated with the middle age group (i.e., 40\u201364 years old) (odds ratio [OR]: 1.30; 95% confidence interval [CI]: 1.16\u20131.46), men (OR = 2.46; 95% CI, 2.27\u20132.66), bad financial circumstances (OR = 2.11; 95% CI, 1.96\u20132.27), and living alone (OR = 1.53; 95% CI, 1.39\u20131.68). This research verifies that people with such characteristics were more likely to be isolated and vulnerable to psychiatric problems, such as depression. We suggest that it is integral for local care providers to recognize those who have no one to consult and provide targeted support.<\/jats:p>","DOI":"10.3390\/ijerph181910075","type":"journal-article","created":{"date-parts":[[2021,9,27]],"date-time":"2021-09-27T04:55:33Z","timestamp":1632718533000},"page":"10075","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Vulnerability of Evacuees Having No One to Consult after the Fukushima Nuclear Disaster: The Fukushima Health Management Survey"],"prefix":"10.3390","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4355-943X","authenticated-orcid":false,"given":"Naoko","family":"Horikoshi","sequence":"first","affiliation":[{"name":"Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan"},{"name":"Department of Public Health, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masaharu","family":"Maeda","sequence":"additional","affiliation":[{"name":"Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan"},{"name":"Department of Disaster Psychiatry, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7755-1888","authenticated-orcid":false,"given":"Mayumi","family":"Harigane","sequence":"additional","affiliation":[{"name":"Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan"},{"name":"Department of Public Health, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hajime","family":"Iwasa","sequence":"additional","affiliation":[{"name":"Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan"},{"name":"Department of Public Health, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michio","family":"Murakami","sequence":"additional","affiliation":[{"name":"Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan"},{"name":"Department of Health Risk Communication, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maho","family":"Momoi","sequence":"additional","affiliation":[{"name":"Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan"},{"name":"Department of Disaster Psychiatry, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saori","family":"Goto","sequence":"additional","affiliation":[{"name":"Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan"},{"name":"Department of Disaster Psychiatry, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4715-2840","authenticated-orcid":false,"given":"Seiji","family":"Yasumura","sequence":"additional","affiliation":[{"name":"Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan"},{"name":"Department of Public Health, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2021,9,25]]},"reference":[{"key":"ref_1","unstructured":"World Health Organization (2006). Health Effects of the Chernobyl accident and Special Health Care Programs, World Health Organization."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"375","DOI":"10.2188\/jea.JE20120105","article-title":"Study Protocol for the Fukushima Health Management Survey","volume":"22","author":"Yasumura","year":"2012","journal-title":"J. Epidemiol."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"57","DOI":"10.5387\/fms.2014-1","article-title":"Mental health group of the Fukushima Health Management Survey. Psychological distress after the Great East Japan Earthquake and Fukushima Daiichi Nuclear Power Plant Accident: Results of a Mental Health and Lifestyle Survey through the Fukushima Health Management Survey in FY2011 and FY2012","volume":"60","author":"Yabe","year":"2014","journal-title":"Fukushima J. Med. Sci."},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Horikoshi, N., Maeda, M., Iwasa, H., Momoi, M., Oikawa, Y., Ueda, Y., Kashiwazaki, Y., Onji, M., Harigane, M., and Yabe, H. (2020). The Usefulness of Brief Telephonic Intervention After a Nuclear Crisis: Long-Term Community-Based Support for Fukushima Evacuees. Disaster Med. Public Health Prep., 1\u20139.","DOI":"10.1017\/dmp.2020.161"},{"key":"ref_5","first-page":"433","article-title":"Effectiveness of telephone-based intervention for people living in Fukushima Disaster Area: Fukushima Health Management Survey","volume":"58","author":"Kashiwazaki","year":"2016","journal-title":"Clin. Psychiatry"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1007\/s10935-012-0271-2","article-title":"A Review of Social Isolation: An Important but Underassessed Condition in Older Adults","volume":"33","author":"Nicholson","year":"2012","journal-title":"J. Prim. Prev."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1111\/j.1440-1819.2005.01378.x","article-title":"Factors associated with suicidal ideation in an elderly urban Japanese population: A community-based, cross-sectional study","volume":"59","author":"Awata","year":"2005","journal-title":"Psychiatry Clin. Neurosci."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1037\/a0020936","article-title":"Social connections and suicidal thoughts and behavior","volume":"25","author":"You","year":"2011","journal-title":"Psychol. Addict. Behav."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1451","DOI":"10.1007\/s00127-017-1446-1","article-title":"Social isolation in mental health: A conceptual and methodological review","volume":"52","author":"Wang","year":"2017","journal-title":"Soc. Psychiatry Psychiatr. Epidemiol."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1192\/bjp.bp.116.189464","article-title":"Association between mental health-related stigma and active help-seeking: Systematic review and meta-analysis","volume":"210","author":"Schnyder","year":"2017","journal-title":"Br. J. Psychiatry"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1017\/S0033291714000129","article-title":"What is the impact of mental health-related stigma on help-seeking? A systematic review of quantitative and qualitative studies","volume":"45","author":"Clement","year":"2015","journal-title":"Psychol. Med."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"959","DOI":"10.1017\/S0033291702006074","article-title":"Short screening scales to monitor population prevalences and trends in non-specific psychological distress","volume":"32","author":"Kessler","year":"2002","journal-title":"Psychol. Med."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1002\/mpr.257","article-title":"The performance of the Japanese version of the K6 and K10 in the World Mental Health Survey Japan","volume":"17","author":"Furukawa","year":"2008","journal-title":"Int. J. Methods Psychiatr. Res."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1001\/archpsyc.60.2.184","article-title":"Screening for Serious Mental Illness in the General Population","volume":"60","author":"Kessler","year":"2003","journal-title":"Arch. Gen. Psychiatry"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"598","DOI":"10.2471\/BLT.14.146498","article-title":"Psychological distress and the perception of radiation risks: The Fukushima health management survey","volume":"93","author":"Suzuki","year":"2015","journal-title":"Bull. World Health Organ."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"1121","DOI":"10.1176\/ajp.131.10.1121","article-title":"The CAGE questionnaire: Validation of a new alcoholism screening instrument","volume":"131","author":"Mayfield","year":"1974","journal-title":"Am. J. Psychiatry"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1590\/S1516-44462005000100012","article-title":"Validity of the CAGE questionnaire for screening alcohol-dependent inpatients on hospital wards","volume":"27","author":"Castells","year":"2005","journal-title":"Rev. Bras. Psiquiatr."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"294","DOI":"10.2188\/jea.JE20080076","article-title":"Factors associated with psy-chological distress in a community-dwelling Japanese population: The Ohsaki Cohort 2006 Study","volume":"19","author":"Kuriyama","year":"2009","journal-title":"J. Epidemiol."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1016\/j.socscimed.2016.01.037","article-title":"Longitudinal association between time-varying social isolation and psychological distress after the Great East Japan Earthquake","volume":"152","author":"Sone","year":"2016","journal-title":"Soc. Sci. Med."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"471","DOI":"10.1111\/pcn.12086","article-title":"Review of mental-health-related stigma in Japan","volume":"67","author":"Ando","year":"2013","journal-title":"Psychiatry Clin. Neurosci."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"574","DOI":"10.1080\/13607860600641200","article-title":"Age, gender, and the underutilization of mental health services: The influence of help-seeking attitudes","volume":"10","author":"MacKenzie","year":"2006","journal-title":"Aging Ment. Health"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1002\/jclp.20231","article-title":"Utilization of mental health care services among older adults with depression","volume":"62","author":"Crabb","year":"2006","journal-title":"J. Clin. Psychol."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"1010","DOI":"10.1097\/JGP.0b013e31818cd3be","article-title":"Older Adults\u2019 Help-Seeking Attitudes and Treatment Beliefs Concerning Mental Health Problems","volume":"16","author":"Mackenzie","year":"2008","journal-title":"Am. J. Geriatr. Psychiatry"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1037\/0003-066X.58.1.5","article-title":"Men, masculinity, and the contexts of help seeking","volume":"58","author":"Addis","year":"2003","journal-title":"Am. Psychol."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1186\/1471-244X-14-135","article-title":"Gender differences in general and specialty outpatient mental health service use for depression","volume":"14","author":"Vasiliadis","year":"2014","journal-title":"BMC Psychiatry"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"616","DOI":"10.1111\/j.1365-2648.2004.03331.x","article-title":"Men and health help-seeking behaviour: Literature review","volume":"49","author":"Galdas","year":"2005","journal-title":"J. Adv. Nurs."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1017\/dmp.2014.59","article-title":"Risk of Social Isolation Among Great East Japan Earthquake Survivors Living in Tsunami-Affected Ishinomaki, Japan","volume":"8","author":"Inoue","year":"2014","journal-title":"Disaster Med. Public Health Prep."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"374","DOI":"10.1177\/0898264308329022","article-title":"Making meaningful connections: A profile of social isolation and health among older adults in small town and small city, British Columbia","volume":"21","author":"Kobayashi","year":"2009","journal-title":"J. Aging Health"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1111\/j.1467-9566.2011.01372.x","article-title":"Men\u2019s discourses of help-seeking in the context of depression","volume":"34","author":"Johnson","year":"2011","journal-title":"Sociol. Health Illn."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"194","DOI":"10.1016\/j.jomh.2008.03.016","article-title":"Men, depression and masculinities: A review and recommendations","volume":"5","author":"Oliffe","year":"2008","journal-title":"J. Mens Health"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"100801","DOI":"10.1016\/j.ssmph.2021.100801","article-title":"Associ-ations of the COVID-19 pandemic with the economic status and mental health of people affected by the Fukushima Disaster using the Difference-in-Differences Method: The Fukushima Health Management Survey","volume":"14","author":"Murakami","year":"2021","journal-title":"SSM-Popul. Health"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1001\/archgenpsychiatry.2009.168","article-title":"Depression care in the United States: Too little for too few","volume":"67","author":"Vega","year":"2010","journal-title":"Arch. Gen. Psychiatry"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"1005","DOI":"10.1007\/s00127-017-1384-y","article-title":"Trends in non-help-seeking for mental disorders in Germany between 1997\u20131999 and 2009\u20132012: A repeated cross-sectional study","volume":"52","author":"Brandstetter","year":"2017","journal-title":"Soc. Psychiatry Psychiatr. Epidemiol."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"320","DOI":"10.1016\/j.jad.2013.04.013","article-title":"Public attitudes toward depression and help-seeking in four European countries baseline survey prior to the OSPI-Europe intervention","volume":"150","author":"Coppens","year":"2013","journal-title":"J. Affect. Disord."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"1267","DOI":"10.4054\/DemRes.2015.32.46","article-title":"Living alone in Japan: Relationships with happiness and health","volume":"32","author":"Raymo","year":"2015","journal-title":"Demogr. Res."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12888-016-1134-9","article-title":"Residence-related factors and psychological distress among evacuees after the Fukushima Daiichi nuclear power plant accident: A cross-sectional study","volume":"16","author":"Horikoshi","year":"2016","journal-title":"BMC Psychiatry"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"1686","DOI":"10.1017\/S1041610211000986","article-title":"Risk factors for PTSD after Typhoon Morakot among elderly people in Taiwanese aboriginal communities","volume":"23","author":"Chen","year":"2011","journal-title":"Int. Psychogeriatr."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"152","DOI":"10.5387\/fms.2017-03","article-title":"The characteristics of non-respondents and respondents of a mental health survey among evacuees in a disaster: The Fukushima Health Management Survey","volume":"63","author":"Horikoshi","year":"2017","journal-title":"Fukushima J. Med Sci."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/18\/19\/10075\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T07:04:55Z","timestamp":1760166295000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/18\/19\/10075"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9,25]]},"references-count":38,"journal-issue":{"issue":"19","published-online":{"date-parts":[[2021,10]]}},"alternative-id":["ijerph181910075"],"URL":"https:\/\/doi.org\/10.3390\/ijerph181910075","relation":{},"ISSN":["1660-4601"],"issn-type":[{"type":"electronic","value":"1660-4601"}],"subject":[],"published":{"date-parts":[[2021,9,25]]}}}