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How Evacuees Obtained Health Care Information After the Great East Japan Earthquake: A Qualitative Interview Study

Published online by Cambridge University Press:  29 June 2017

Haruka Ota*
Affiliation:
Department of Health Informatics, Kyoto University School of Public Health, Kyoto, Japan
Kikuko Miyazaki
Affiliation:
Department of Health Informatics, Kyoto University School of Public Health, Kyoto, Japan
Takeo Nakayama
Affiliation:
Department of Health Informatics, Kyoto University School of Public Health, Kyoto, Japan
*
Correspondence and reprint requests to Haruka Ota, Department of Health Informatics, Kyoto University School of Public Health, Yoshida Konoe, Sakyo-ku, Kyoto 606-8501, Japan (e-mail: harukaota0128@gmail.com).

Abstract

Objective

To explore how evacuees obtained health care information at their evacuation destinations after the Great East Japan Earthquake.

Methods

We conducted semi-structured interviews of 11 evacuees who moved to City A in Kyoto Prefecture following the Great East Japan Earthquake. The interviews explored how the evacuees obtained health care information, including the main factors of influence. The interviews were transcribed and analyzed to identify trends by using the constant comparative method.

Results

Four categories emerged from 6 concepts. Mother-children evacuees and family evacuees tended to obtain health care information in different ways. Family evacuees had moved as a family unit and had obtained their health care information from local neighbors. Mother-children evacuees were mothers who had moved with their children, leaving behind other family members. These evacuees tended to obtain information from other mother-children evacuees. At the time of evacuation, we found 2 factors, emotions and systems, influencing how mother-children evacuees obtained health care information.

Conclusions

We found 2 different ways of obtaining health care information among mother-children evacuees and other evacuees. At the time of evacuation, 2 factors, emotions and systems, influenced how mother-children evacuees obtained health care information. Community-building support should be a priority from an early stage after a disaster for health care management. (Disaster Med Public Health Preparedness. 2017;11:729–734)

Type
Original Research
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2017 

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Footnotes

*

These authors contributed equally to this work.

References

REFERENCES

1. Japan Meteorological Agency. Earthquakes and Tsunamis. Disaster Prevention and Mitigation Efforts [in Japanese]. http://www.jma.go.jp/jma/kishou/books/jishintsunami/jishintsunami.pdf. Published March 2016. Accessed June 1, 2016.Google Scholar
2. National Police Agency of Japan. Damage Situation and Police Countermeasures Associated With 2011 Tohoku District. http://www.npa.go.jp/archive/keibi/biki/higaijokyo_e.pdf. Accessed May 31, 2016.Google Scholar
3. Reconstruction Agency. Evacuees from Tohoku Area After the Great East Japan Earthquake [in Japanese]. http://www.reconstruction.go.jp/topics/20130412_hinansha.pdf. Accessed May 1, 2016.Google Scholar
4. Headquarters for Disaster Control of Kyoto Prefecture. Questionnaire result for the refugee in Kyoto after the Great East Japan Earthquake [in Japanese]. http://www.pref.kyoto.jp/saigaishien/documents/1350433951958.pdf. Accessed May 30, 2016.Google Scholar
5. Waring, SC. The threat of communicable disease following natural disasters: a public health response. Disaster Manag Res. 2005;3(2):41-47.Google Scholar
6. Kanamori, H, Aso, N, Tadano, S, et al. Tuberculosis exposure among evacuees at a shelter after earthquake, Japan, 2011. Emerg Infect Dis. 2013;19(5):799-801.Google Scholar
7. Kamoi, K, Tanaka, M, Ikarashi, T, et al. Effect of the 2004 Mid-Niigata Prefecture earthquake on home blood pressure measurement in the morning in type 2 diabetic patients. Clin Exp Hypertens. 2006;28(8):719-729.Google Scholar
8. Ogawa, S, Ishiki, M, Nako, K, et al. Effects of the Great East Japan Earthquake and huge tsunami on glycaemic control and blood pressure in patients with diabetes mellitus. BMJ Open. 2012;2(2):e000830.CrossRefGoogle ScholarPubMed
9. Fonseca, VA, Smith, H, Kuhadiya, N, et al. Impact of a natural disaster on diabetes: exacerbation of disparities and long-term consequences. Diabetes Care. 2009;32(9):1632-1638.Google Scholar
10. Inui, A, Kitaoka, H, Majima, M, et al. Effect of the Kobe earthquake on stress and glycemic control in patients with diabetes mellitus. Arch Intern Med. 1998;158(3):274-278.Google Scholar
11. Kario, K, McEwen, BS, Pickering, TG. Disasters and the heart: a review of the effects of earthquake-induced stress on cardiovascular disease. Hypertens Res. 2003;26(5):355-367.Google Scholar
12. Uscher-Pines, L. Health effects of relocation following disaster: a systematic review of the literature. Disasters. 2009;33(1):1-22.Google Scholar
13. Arrieta, MI, Foreman, RD, Crook, ED, et al. Providing continuity of care for chronic diseases in the aftermath of Katrina: from field experience to policy recommendations. Disaster Med Public Health Prep. 2009;3(3):174-182.CrossRefGoogle ScholarPubMed
14. Tanihara, S, Tomio, J, Kobayashi, Y. Using health insurance claim information for evacuee medical support and reconstruction after the Great East Japan Earthquake. Disaster Med Public Health Prep. 2013;7:403-407.CrossRefGoogle ScholarPubMed
15. Milewski, J, Chen, Y. Barriers of obtaining health information among diabetes patients. Stud Health Technol Inform. 2010;160:18-22.Google Scholar
16. Health and Medical Services. Annual Health, Labour, and Welfare Report 2011-2012. http://www.mhlw.go.jp/english/wp/wp-hw6/dl/02e.pdf. Published June 2012. Accessed Sep 30, 2016.Google Scholar
17. Faugier, J, Sargeant, M. Sampling hard to reach populations. J Adv Nurs. 1997;26(4):790-797.Google Scholar
18. Marpsata, M. Survey methods for hard-to-reach populations. Methodological Innovations Online. 2010;5(2):3-16.Google Scholar
19. Pope, C, Mays, N. Qualitative Research in Healthcare. London: BMJ Books; 2006.CrossRefGoogle Scholar
20. Glaser, BG, Strauss, AL. The Discovery of Grounded Theory. Chicago: Aldine; 1967.Google Scholar
21. Japanese Society of M-GTA. Website. http://m-gta.jp/en/index.html. Accessed May 1, 2016.Google Scholar
22. Kinoshita, Y. Practice of Grounded Theory Approach. Tokyo: Koubundou Publishers, Inc.; 2003.Google Scholar
23. Qualitative research review guidelines – RATS. Equator Network website. http://www.equator-network.org/reporting-guidelines/qualitative-research-review-guidelines-rats/. Accessed May 31, 2016.Google Scholar
24. Social stigma and discrimination [in Japanese]. Kahoku. http://www.kahoku.co.jp/spe/spe_sys1107/20120819_01.html. Published August 19, 2012. Accessed May 10, 2013.Google Scholar
25. Bromet, EJ, Havenaar, JM. Psychological and perceived health effects of the Chernobyl disaster: a 20-year review. Health Phys. 2007;93(5):516-521.Google Scholar
26. Ministry of Health, Labour and Welfare. Outline of the Japanese health insurance system. http://www.mhlw.go.jp/english/policy/health-medical/health-insurance/dl/health_insurance_bureau.pdf. Accessed May 30, 2016.Google Scholar
27. The Ministry of Internal Affairs and Communications Japan. The Personal Information Protection Law [in Japanese]. http://www.soumu.go.jp/main_sosiki/gyoukan/kanri/kenkyu.htm. Accessed May 10, 2016.Google Scholar
28. Cabinet Office for Disaster Management Japan. Guidelines for supporting evacuees on disaster [in Japanese]. http://www.bousai.go.jp/kaigirep/chuobou/12/pdf/siryo3_3.pdf. Accessed May 15, 2016.Google Scholar