Mental Health and Lifestyle Survey

Implementation Status

FY2022 Survey (As of October 31, 2023)

  • Eligible Population: 193,785
    Children (Ages 15 and younger): 17,788
    Adults (Ages 16 and older): 175,997
  • Number of responses (Response rate): 37,191 (19.2%)
    Children (Ages 15 and younger): 2,170 (12.2%)
    Adults (Ages 16 and older): 35,021 (19.9%)

Yearly changes of the survey results

Changes in the percentage of children with an SDQ score (emotional and behavioral assessment) of 16* points or more

  • The percentage of children with a high risk of showing certain problematic behaviors (SDQ score of 16 points or higher) was highest in FY2011 among all age groups, especially the 4-6 years age group, at 24.4%. The percentage declined thereafter for all age groups, with some leveling from FY2019 through FY2021, where percentages stayed about the same as prior studies (9.5%), but increased in all age groups in FY2022.

* SDQ (Strengths and Difficulties Questionnaire) criteria with a cutoff value of 16 points based on previous studies

Changes in the percentage of those scoring 13* points or higher on K6

  • In FY2011, the percentage of those with high-risk scores for mood disorder (depression) and anxiety disorder was 14.6%, declining gradually until an increase in FY2021, and it was 5.8% in FY2022. However, the percentage is still high compared to a value of 3% from a previous study covering the general public not affected by the disaster.

* K6 Distress Scale criteria with a cutoff value of 13 points, based on previous studies

Exercise habits: Changes in the percentage for frequency of exercise in adults

  • The exercise frequency of “Almost every day” and “2-4 times a week” improved gradually, reaching 42.2% in the FY2022 survey. A national survey showed 40.6% for those who exercise more than 2 days a week (20 old and older), although not directly comparable with our survey because of differences in participants’ age and other attributes, indicating that the exercise habits of Fukushima residents were similar to those in Japan overall.

Changes in the percentage of problematic drinking (CAGE score of 2 points or higher)

  • In the FY2022 survey, the proportion of those with high-risk (CAGE score of 2 points or higher) was 14.1% among males and 6.2% among females, showing a downward trend for both sexes.

Influences on daily life due to the spread of COVID-19

  • In the FY2022 survey, those who responded that COVID-19 exerted influence on their daily life “Significantly” or “To some extent” (the affected group) accounted for 37.9%, which decreased compared with the last year.

Changes in risk perception of radiation health effects

  • Regarding possible radiation effects on the next generation, 22.2% responded that they think effects on the next generation are likely to occur (“Possibilities are high” and “Possibilities are very high” combined) in the FY2022 survey. These percentages have been gradually decreasing.

Provision of support to those in need

FY2022 Survey (Numbers confirmed on December 31, 2023)

We provide a telephone outreach support to those identified in need of support by telephone and interviewed them about current problems based on their survey responses.

  • Number of those identified in need of support: 8,752
    Support by telephone: 3,159
    Support by mail: 5,593
  • Number of those receiving support: 8,041
    Support by telephone: 2,448
    Support by mail: 5,593

Contents of consultations related to children in support by telephone

FY2012
623
FY2015
250
FY2020
95
FY2021
107
FY2022
118
Anxiety from disaster/radiation
147 (23.6%)
School life-related issues
54 (21.6%)
School life-related issues
25 (26.3%)
School life-related issues
38 (35.5%)
School life-related issues
35 (29.7%)
School life-related issues
136 (21.8%)
Physical problems
15 (6.0%)
Daily Life & Lifestyle habits
18 (18.9%)
Anger, frustration, violence
15 (14.0%)
Physical problems
15 (12.7%)
Physical problems
102 (16.4%)
Sleep problems
9 (3.6%)
Anger, frustration, violence
12 (12.6%)
Daily Life & Lifestyle habits
14 (13.1%)
Daily Life & Lifestyle habits
13 (11.0%)
Anger, frustration, violence
90 (14.4%)
Anger, frustration, violence
8 (3.2%)
Sleep problems
9 (9.5%)
Anxieties about the future
9 (8.4%)
Anger, frustration, violence
11 (9.3%)
Depression
83 (13.3%)
Dietary problems
4 (1.6%)
Physical problems
6 (6.3%)
Dietary problems
6 (6.3%)
Sleep problems
8 (7.5%)
Sleep problems
8 (6.8%)

FY2011 is not included because the tabulation method was different from that for other years. Therefore, listings are from FY2012.

  • The Mental Health Support Team made phone calls to responders (mostly to parents or guardians) and asked about current issues, based on survey form responses.
  • With regard to the contents of a consultation, “Anxiety caused by the disaster or radiation and its exposure” was the most frequent in FY2012, but “School life-related matters” has become the most frequent issue in subsequent years.

Content of consultations related to themselves in support by telephone

FY2012
5,991
FY2015
2,567
FY2020
1,968
FY2021
2,564
FY2022
2,330
Physical problems
2,761 (46.1%)
Physical problems
1,145 (44.6%)
Physical problems
866 (44.0%)
Physical problems
1,233 (48.1%)
Physical problems
1,086 (46.6%)
Sleep problems
2,349 (39.2%)
Sleep problems
798 (31.1%)
Sleep problems
583 (29.6%)
Sleep problems
680 (26.5%)
Sleep problems
551 (23.6%)
Depression
1,417 (23.7%)
Depression
342 (13.3%)
Depression
296 (15.0%)
Depression
451 (17.6%)
Depression
371 (15.9%)
Family relationship
1,058 (17.7%)
Dietary habits
236 (9.2%)
Dietary habits
249 (12.7%)
Exercising
333 (13.0%)
Exercising
293 (12.6%)
Living conditions
1,049 (17.5%)
Anxieties about the future
235 (9.2%)
Exercising
245 (12.4%)
Dietary habits
272 (10.6%)
Dietary habits
270 (11.6%)

FY2011 is not included because the tabulation method was different from that for other years. Therefore, listings are from FY2012.

  • For adults, “physical problems” has been the most frequent, followed by “sleep problems” and “depression” since FY2012 to FY2022.

Summary

The role that the Mental Health and Lifestyle Survey has fulfilled

Significance of the Survey

Significance of support

Outline of the Mental Health and Lifestyle Survey

Purpose

Since the Great East Japan Earthquake and the accident at TEPCO’s Fukushima Daiichi NPS, many people in Fukushima Prefecture feel anxious and stressed by the experience and evacuation. The Mental Health and Lifestyle Survey was launched with the aim of comprehending the physical and mental health and lifestyle of the residents, so we can provide each of them with individualized medical care, health care, and welfare services.

Eligible Persons

  • Those who were registered as residents in the covered area* from March 11, 2011 to April 1, 2012 (even after moving out of the area)
  • Those who are registered as residents in the officially designated evacuation zone as of April 1 of each year of the CHC
  • Other than those above, as necessary, based on Basic Survey results.

* Covered area: 13 municipalities designated by the national government as evacuation zones in 2011
Hirono Town, Naraha Town, Tomioka Town, Kawauchi Village, Okuma Town, Futaba Town, Namie Town, Katsurao Village, Iitate Village, Minamisoma City, Tamura City, Kawamata Town, and parts of Date City (specific spots recommended for evacuation)

Method and main items in the questionnaires for FY2022 Survey

Self-administered.
Questionnaire content varies depending on the age group, and in principle, for children up to junior high school age, he questionnaire is to be completed by parents/guardians living with them.

Age group Respondent Main items
Ages 0-3 Parents/guardians of the child covered by the survey Health condition, height, weight, exercise habits, parent’s confidence in child rearing, concerns about children’s development and behavior, availability of consultation resources, COVID-19, free comments, etc.
Ages 4-6 Parents/guardians of the child covered by the survey Health condition, height, weight, exercise habits, SDQ, developmental and/or mental health problems, availability of consultation resources, COVID-19, free comments, etc.
Elementary school students Parents/guardians of the child covered by the survey Health condition, height, weight, exercise habits, SDQ, developmental and/or mental health problems, availability of consultation resources, COVID-19, free comments, etc.
Junior high school students Parents/guardians of the child covered by the survey/the child Health condition, height, weight, exercise habits, SDQ, developmental and/or mental health problems, availability of consultation resources, COVID-19, free comments, etc.
Adults Persons to whom the survey was addressed Subjective health condition, height, weight, medical history (hypertension, diabetes, mental illness.), health check record, sleep habits, exercise habits, living conditions (current housing, employment status), smoking, alcohol consumption, K6 score, COVID-19 related issues, health effects of radiation, and availability of consultation resources, free comments, etc.