title: The effect of telephone support to evacuees with risks of hypertension and diabetes mellitus after a disaster: the Fukushima Health Management Survey.
abstract: Objectives　Fukushima Medical University has been conducting the Fukushima Health Management Survey "Mental Health and Lifestyle Survey" annually as part of the health care of evacuees following the Fukushima Daiichi nuclear power plant accident.　This study aimed to clarify the effects of telephone support performed by nurses or public health nurses. In particular, we investigated the response rates for questionnaire of the following year and the recommended effect of medical support for evacuees with risks of hypertension and diabetes mellitus in the fiscal year 2011 (FY2011).Methods　The study population included evacuees (1,620 people) with risks of hypertension and diabetes mellitus in FY2011. We compared the participants' responses to the FY2012 survey and medical results based on those who received telephone support and those who did not.Results　Evacuees who have received telephone support (telephone supporters) comprised 1,078 people. Evacuees who did not receive telephone support (non-telephone supporters) comprised 542 people.　Telephone supporters consisted of more people from outside Fukushima prefecture (P=0.001), with above high school education (P<0.001), and who were unemployed (P<0.001) compared to non-telephone supporters.　For the FY2012 survey, 616 telephone supporters responded (57.1%), while 248 non-telephone supporters responded (45.8%). The response rate of telephone supporters was significantly higher compared to non-telephone supporters for the FY2012 questionnaire (P<0.001).　In addition, 184 (29.9%) telephone supporters and 68 (27.4%) non-telephone supporters underwent the medical examination.　In the multivariate analysis, responses to the FY2012 questionnaire were significantly associated with receiving telephone support (P=0.016).Conclusion　Telephone supporters had higher response rates for the questionnaire the following year compared to non-telephone supporters. Therefore, telephone support was effective in increasing the questionnaire response rate during the following year.
authors.affiliation: Radiation Medical Science Center for Fukushima Health Management Survey, Fukushima Medical University.
authors.forename: Naoko
authors.initials: N
authors.lastname: Horikoshi
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Ohira
authors.forename: Seiji
authors.initials: S
authors.lastname: Yasumura
authors.forename: Hirooki
authors.initials: H
authors.lastname: Yabe
authors.forename: Masaharu
authors.initials: M
authors.lastname: Maeda
mesh_terms: D003920:Diabetes Mellitus; D055866:Earthquakes; D005260:Female; D062406:Fukushima Nuclear Accident; D006801:Humans; D007564:Japan; D008019:Life Style; D008297:Male; D008875:Middle Aged; D011795:Surveys and Questionnaires; D013689:Telephone