Noncompliance with Hypertension Treatment and Related Factors among Kumamoto Earthquake Victims Who Experienced the COVID-19 Pandemic during Postearthquake Recovery Period
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- Ayako Ide-Okochi
- Graduate School of Health Sciences, Kumamoto University, Kumamoto City 862-0976, Japan
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- Mu He
- Graduate School of Health Sciences Education, Kumamoto University, Kumamoto City 862-0976, Japan
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- Hiroshi Murayama
- Research Team for Social Participation and Community Health, Tokyo Metropolitan Institute of Gerontology, Tokyo 173-0015, Japan
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- Tomonori Samiso
- Health and Welfare Policy Division, Health and Welfare Bureau, Kumamoto City 860-0808, Japan
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- Naoki Yoshinaga
- School of Nursing, Faculty of Medicine, University of Miyazaki, Miyazaki City 889-1692, Japan
書誌事項
- 公開日
- 2023-03-15
- 資源種別
- journal article
- 権利情報
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- https://creativecommons.org/licenses/by/4.0/
- DOI
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- 10.3390/ijerph20065203
- 公開者
- MDPI AG
説明
<jats:p>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.</jats:p>
収録刊行物
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- International Journal of Environmental Research and Public Health
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International Journal of Environmental Research and Public Health 20 (6), 5203-, 2023-03-15
MDPI AG

