● このスライドは、非営利かつ個人的な目的に限り閲覧することができます。
The following presentation slides are shared with symposium participants exclusively for personal, noncommercial, educational purposes.
● このスライドの著作権は、講演の発表者本人に帰属します（図表等の引用箇所は除く）。如何なる国・地域においても、また紙媒体やインターネット・電子データなど形態に関わらず、スライドの全部または一部を無断で複製、転載、配布、送信、放送、貸与、翻訳、販売、変造、二次的著作物を作成すること等は、固く禁止します。
Copyright of these slides belongs to the presenter and/or the Radiation Medical Science Center for the
Fukushima Health Management Survey, Fukushima Medical University (except figures, tables, etc., cited fromother sources). It is strictly prohibited to reproduce, reprint, distribute, transmit, broadcast, loan, translate, sell,modify, and/or create derivatives of any slides, in any physical or electronic medium anywhere in the world.
● このスライド英語版は国際シンポジウム事務局による仮訳です。正本は日本語版となります。
The Japanese-language slides, as shown during the symposium presentation, best reflect the author’s intent.
English translations by the symposium secretariat should be regarded as provisional and for reference purposes
only.

2024年 福島県立医科大学『県民健康調査』国際シンポジウム
公立大学法人福島県立医科大学放射線医学県民健康管理センター
国際シンポジウム事務局（広報・国際連携室）✉ kenkani@fmu.ac.jp Tel: 024-581-5454(平日9～17時)
2024 Fukushima Medical University International Symposium on the Fukushima Health Management Survey
Secretariat of International Symposium
Office of Public Communications and International Cooperation, Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University✉ kenkani@fmu.ac.jp, TEL: +81-24-581-5454 (Weekday, 9a.m. - 5 p.m. JST)Psychological effects on children inFukushima and their care:findings from a longitudinal survey
March 2, 2024

2024 Fukushima Medical University International Symposiumon the Fukushima Health Management Survey

Fukushima College
UCHIYAMA Tokio, KAWASHIMA KeikoTaisho University

SUZUKI Satomi

Introduction

March2018～2011Children• Development of body and mind
• Independence in daily life
• Nursing environment

Parents/Guardians• Mental health• Living situation/evacuation status(Responses by Parents/Guardians)

Questionnaire forelementary school
students

Checkups

3 1/2-year-old Health

1 1/2-year-old Health
Checkups

Children (Responses by Parents/Guardians)・Emotions and behavior
・Need for care and support

Parents/Guardians• Mental health• Living situation/evacuation
status

・Population about 60,000
・Partially evacuated dueto the nuclear plant accident

Fukushima
Daiichi Nuclear
Power Plant

1½-year-old health checkup(Infant health checkup)

Parents/Guardians response: point-and-speak (1½-year-old health checkup)
(%)

20.0
18.0
16.0
14.0
12.0
10.0
8.0
6.0
4.0
2.0
0.0

3.11 DisasterFiscalTotalyear

2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018

Speak some words that meansomething other thanmom/dad? (No)
Point to something that childknows from a picture book?
5.6
(No)

5.8

3.6

2.8

3.2

6.3

6.8

5.4

2.5

6.8 10.6 7.8 10.9 9.7

1.1

5.8

3.8

3.5

5.0

2008

503

2009

584

2010

539

2011

156

2012

162

2013

203

2014

270

2015

311

2016

344

2017

374

2018

358

Parents/Guardians response: Children’s behaviors(1½-year-old health checkup)

(％)

25.0

3.11 Disaster

Impulsiveness
20.0
Hyperactivity
15.0

10.0
5.0

Nighttime crying
0.02008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
Nighttime crying 3.2 3.8 4.8 9.0 13.8 7.2 4.4 7.1 10.1 7.2 7.8Hyperactivity
9.7 9.1 11.3 14.1 10.0 18.4 14.8 12.2 13.6 13.5 10.3
Impulsiveness19.2 16.3 16.4 18.1 13.5 14.7 17.0 11.1

Fiscal
Total
year
2008

503

2009

584

2010

539

2011

156

2012

162

2013

203

2014

270

2015

311

2016

344

2017

374

2018

358

Parents/Guardians response: Their own feelings(1½-year-old health checkup)

3.11 Disaster80

Fiscal
Total
year

70
Childcare is fun

60
50
40
30

Frustrated

201002008 2009 2010 2011 2012 2013 2014 2015 2016 2017 201868.4 69.9 70.1 71.8 73.5 69.6 72.1 68.6 71.7 73.7 72.4

Everyday is fun (No)More workload, but childcare is70.8
fun.
More workload, more fatigue.
12.3
Often frustrated
19.175.2

73.5

62.2

69.8

69.6

73.9

72.8

76.0

74.3

72.4

12.7
17.8

13.2
20.0

13.5
20.5

11.1
23.5

13.0
23.2

11.0
20.2

12.8
16.7

11.6
21.1

11.1
20.5

14.2
15.9

2008

503

2009

584

2010

539

2011

156

2012

162

2013

203

2014

270

2015

311

2016

344

2017

374

2018

358

3½-year-old health checkup

Assessment by public health nurses (3½-year-old health checkup)％

30

3.11 Disaster25
Can say name(no)20
15Hyperactivity/impulsiveness

10500

Poor eye contact

H22 H23 H24 H25 H26 H27 H28 H29 H30
名まえ
6.3 11.6 14.8 25 23.2 20.4 17.8 20.8 22.6
視線が合いにくい 4
11.1 6.5
5.1
44
3.9 2.8 3.6
多動・衝動性
9.4 16.4 18.7 19.1 15.7 20.1 11.8 14.6 14

FiscalTotal
year2010505

2011

207

2012

230

2013

215

2014

249

2015

298

2016

304

2017

356

2018

358

Parents/Guardians response: Worrisome children's behaviors(3½-year-old health checkup)(%) 30.0

25.0

3.11
Disaster

Fiscal
Total
year

20.0
15.0

Restlessness

10.0
5.0
0.0
0.0

H22
視線が合いにくい 0.5
6.5
落ち着きないPoor eye contact

H23 H24 H25 H26 H27 H28 H29 H301.4 1.7 0.9 1.6 2.4 1.3 0.9 1.1
22.7 27.8 20.9 18.7 24.9 18.4 17.3 13.1

2010505

2011207

2012230

2013215

2014249

2015298

2016

304

20173562018358

Percentage of children with poor eye contact(3½-year-old health checkup)
3.11 DisasterFiscalTotalyear

11.1

Parents/
保護者

Public healthnursesGuardians

2010 505
2011 2072012 230

6.5

2013 215

5.1
444

3.9

3.6
2.8

0.5

H22
2010

1.4

1.7

H23
2011

H2420122015 298
2016 304

2.40.9H25
2013

1.6H262014

1.3H272015

2014 249

H28
2016

0.91.12017 356

H292017

H3020182018 358

Hyperactivity/impulsiveness/restlessness(3½-year-old health checkup)
3.11 Disaster

保護者

27.8

30

nurses

24.9
22.7

25

20.9
18.7

20

18.7

15

10

5

Public health
保健師

13.1

15.7

9.4

17.3

20.1

19.1

16.4

18.4

14.6
11.8

14

6.5

0

H222010

H232011

H24
2012

H252013

H262014

H272015

H282016

H292017

H302018

FiscalTotal
year
H22505

H23207

H24230H25215

H26249H27298H28304

H29356

H30358

Results from the infant health checkups• 1½-year-old health checkup: Language developmental issues.
• 3½-year-old health checkup: The increase of children with issues of restlessness,language development, and delay in acquiring daily living skills has continued morethan 8 years.

• Why?

• How long will this situation continue? Will it settled down eventually?
• What are the behavioral characteristics of school-age children?

e.g., Will the restlessness persist?
• How can we respond?

Questionnaire survey of
elementary school students
Implemented from 2019 to 2021

Survey population
GradeTime of birth

Age at the time of
3.11 disasterResponses

Those associated with
1 ½ & 3 ½ healthcheckup

2ndApril, 2010 - March, 2013

Prenatal - 1 year old258

139

5thApril, 2007 - March, 2010

1 - 4 years old

256

100

1½-year-old healthcheckup3½-year-old healthcheckup

2nd grade

Reflecting on early childhood from the 5th grade

5th gradeMethods of analysis◆Retrospective cohort study⚫Analysis methods: Multiple logistic regression analysis (SPSS Statistics ver.26)⚫Analysis contents: The data used for analysis
Follow-up Survey (2nd & 5th graders)
1. Face sheet

1½-year-old
health checkup

3½-year-old
health checkup

Medical
Medical(Information on gender, age, education, healthcare, etc.) questionnairequestionnaire
2.Japanese version of children’s SDQ(Strength and Difficulty Questionnaire：SDQ)(point-and-speak, (development of
3.Depression/anxiety disorder screening
vocabulary,language,questionnaire
understanding of, hyperactivity,
4.Health related QOL (SF-8/SF-12)
parental mental
Independence(Quality of life: QOL)in daily life,
health, etc.)
5.Child-rearing environment
parental mental
6. Evacuation situation during the disasterhealth, etc.)

Summary
The factors that affected the level of difficulty in SDQ
at the time of the 3.11 disaster2nd Graders⚫Children’s emotional issues at the time of
3½-year-old health checkup⚫Lower sense of well-being of parents/guardians⚫Long period of the evacuation life after birth
5th Graders⚫Mothers realize lack of support from others
and surroundings both at 3½-year-old healthcheck up and now.

Future Tasks• Parents and children with high support needs in elementary school show
signs from early childhood.
- By nature, early intervention should be possible.
• It needs to be clarified for mothers who feel not having enough support,
specifically, what support they need and how to provide the support.
• Establish Systems to ensure support to those who need it from limited
supporting resources.
• To realize this, it is important to identify parents and children who reallyneed support.
・Under the current circumstances, it is difficult to associate data from the infant healthcheckups to school-age children’s health checkups.
・There is little data that can be tracked (about 20 to 50 children per school grade).
・To provide support, it is necessary to accumulate data efficiently.

● このスライドは、非営利かつ個人的な目的に限り閲覧することができます。
The following presentation slides are shared with symposium participants exclusively for personal, noncommercial, educational purposes.
● このスライドの著作権は、講演の発表者本人に帰属します（図表等の引用箇所は除く）。如何なる国・地域においても、また紙媒体やインターネット・電子データなど形態に関わらず、スライドの全部または一部を無断で複製、転載、配布、送信、放送、貸与、翻訳、販売、変造、二次的著作物を作成すること等は、固く禁止します。
Copyright of these slides belongs to the presenter and/or the Radiation Medical Science Center for theFukushima Health Management Survey, Fukushima Medical University (except figures, tables, etc., cited fromother sources). It is strictly prohibited to reproduce, reprint, distribute, transmit, broadcast, loan, translate, sell,modify, and/or create derivatives of any slides, in any physical or electronic medium anywhere in the world.
● このスライド英語版は国際シンポジウム事務局による仮訳です。正本は日本語版となります。
The Japanese-language slides, as shown during the symposium presentation, best reflect the author’s intent.
English translations by the symposium secretariat should be regarded as provisional and for reference purposes
only.

2024年 福島県立医科大学『県民健康調査』国際シンポジウム
公立大学法人福島県立医科大学放射線医学県民健康管理センター
国際シンポジウム事務局（広報・国際連携室）✉ kenkani@fmu.ac.jp Tel: 024-581-5454(平日9～17時)
2024 Fukushima Medical University International Symposium on the Fukushima Health Management Survey
Secretariat of International Symposium
Office of Public Communications and International Cooperation, Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University✉ kenkani@fmu.ac.jp, TEL: +81-24-581-5454 (Weekday, 9a.m. - 5 p.m. JST)