PDF(Pubmed)
Abstract：
Severe heavy rains caused by linear precipitation systems are occurring more frequently in Japan owing to climate change, and residents are being asked to evacuate more often. The purpose of this study was to identify factors associated with the willingness of people with mental health illness (PMHI) in group homes to disclose their illness when being evacuated. Participants were PMHI living in group homes in Japan. We conducted an original anonymous self-administered questionnaire based on previous research. Valid data from 119 people were analyzed. Factors associated with the willingness to disclose illness to supporters upon evacuation were \"I can imagine living in a public shelter\" (Odds Ratio [OR] 4.50, 95% Confidence Interval [CI]: 1.78-11.43), and \"I socialize with neighbors\" (OR 5.63, 95% CI: 1.74-18.22). Managers of group homes should encourage PMHI to imagine life in an evacuation zone by increasing opportunities for disaster training and for interaction with local residents. People who are less likely to socialize with neighbors should be especially careful, as they may not be able to disclose their illness, and those who support evacuees should pay special attention to these people.
摘要：
由于气候变化，线性降水系统引起的严重暴雨在日本更频繁地发生，居民被要求更频繁地撤离。这项研究的目的是确定与集体家庭中的精神健康疾病（PMHI）患者在撤离时披露其病情的意愿相关的因素。参与者是住在日本集体住宅中的PMHI。我们在以往研究的基础上进行了原始的匿名自我管理问卷。分析了119人的有效数据。与撤离时愿意向支持者披露疾病相关的因素是“我可以想象住在公共庇护所”（赔率[OR]4.50，95％置信区间[CI]：1.78-11.43），和“我与邻居交往”(或5.63，95%CI：1.74-18.22)。集体住宅的管理者应鼓励PMHI通过增加灾难培训和与当地居民互动的机会来想象疏散区的生活。与邻居交往的可能性较小的人应该特别小心，因为他们可能无法透露自己的病情，那些支持撤离人员的人应该特别注意这些人。
