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The risk of withdrawal from hypertension treatment in coastal areas after the Great East Japan Earthquake: the TMM CommCohort Study.
Hatanaka, Rieko; Nakaya, Naoki; Kogure, Mana; Nakaya, Kumi; Chiba, Ippei; Kanno, Ikumi; Hashimoto, Hideaki; Nakamura, Tomohiro; Nochioka, Kotaro; Obara, Taku; Hamanaka, Yohei; Sugawara, Junichi; Kobayashi, Tomoko; Uruno, Akira; Kodama, Eiichi N; Fuse, Nobuo; Kuriyama, Shinichi; Hozawa, Atsushi.
Afiliação
  • Hatanaka R; Tohoku Medical Megabank Organization, Tohoku University, Aoba-ku, Sendai, Miyagi, Japan. rieko.hatanaka.c5@tohoku.ac.jp.
  • Nakaya N; Graduate School of Medicine, Tohoku University, Aoba-ku, Sendai, Miyagi, Japan. rieko.hatanaka.c5@tohoku.ac.jp.
  • Kogure M; Tohoku Medical Megabank Organization, Tohoku University, Aoba-ku, Sendai, Miyagi, Japan.
  • Nakaya K; Graduate School of Medicine, Tohoku University, Aoba-ku, Sendai, Miyagi, Japan.
  • Chiba I; Tohoku Medical Megabank Organization, Tohoku University, Aoba-ku, Sendai, Miyagi, Japan.
  • Kanno I; Graduate School of Medicine, Tohoku University, Aoba-ku, Sendai, Miyagi, Japan.
  • Hashimoto H; Tohoku Medical Megabank Organization, Tohoku University, Aoba-ku, Sendai, Miyagi, Japan.
  • Nakamura T; Graduate School of Medicine, Tohoku University, Aoba-ku, Sendai, Miyagi, Japan.
  • Nochioka K; Tohoku Medical Megabank Organization, Tohoku University, Aoba-ku, Sendai, Miyagi, Japan.
  • Obara T; Graduate School of Medicine, Tohoku University, Aoba-ku, Sendai, Miyagi, Japan.
  • Hamanaka Y; Tohoku Medical Megabank Organization, Tohoku University, Aoba-ku, Sendai, Miyagi, Japan.
  • Sugawara J; Graduate School of Medicine, Tohoku University, Aoba-ku, Sendai, Miyagi, Japan.
  • Kobayashi T; Graduate School of Medicine, Tohoku University, Aoba-ku, Sendai, Miyagi, Japan.
  • Uruno A; Tohoku Medical Megabank Organization, Tohoku University, Aoba-ku, Sendai, Miyagi, Japan.
  • Kodama EN; Graduate School of Medicine, Tohoku University, Aoba-ku, Sendai, Miyagi, Japan.
  • Fuse N; Tohoku Medical Megabank Organization, Tohoku University, Aoba-ku, Sendai, Miyagi, Japan.
  • Kuriyama S; Graduate School of Medicine, Tohoku University, Aoba-ku, Sendai, Miyagi, Japan.
  • Hozawa A; Tohoku University Hospital, Tohoku University, Aoba-ku, Sendai, Miyagi, Japan.
Hypertens Res ; 46(12): 2718-2728, 2023 Dec.
Article em En | MEDLINE | ID: mdl-37833539
ABSTRACT
This study aimed to examine whether risk of withdrawal from HTTx was higher in coastal areas that were severely damaged by tsunami than in inland areas. We conducted a cross-sectional study of 9218 participants aged ≥20 years in Miyagi, Japan. The odds ratios (ORs) and confidence interval (CI) for withdrawal from HTTx in coastal and inland groups were compared using multivariate logistic regression analysis, adjusting for potential confounders. In total, 194 of 5860 and 146 of 3358 participants in the inland and coastal groups, respectively, withdrew from HTTx treatment. OR (95%CI) of withdrawal from HTTx in the coastal group was 1.46 (1.14-1.86) compared to the inland group. According to housing damage, ORs (95% CI) in the no damage, partially destroyed, and more than half destroyed coastal groups compared with the no damage inland group were 1.62 (1.04-2.50), 1.69 (1.17-2.45), and 1.08 (0.71-1.65), respectively. In conclusion, the risk of HTTx withdrawal for participants whose homes in coastal areas were relatively less damaged was significantly higher compared with those in inland areas, while the risk of HTTx withdrawal for participants whose homes were more than half destroyed was not. Post-disaster administrative support for disaster victims is considered vital for continuation of their treatment.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Desastres / Terremotos / Hipertensão Limite: Humans País/Região como assunto: Asia Idioma: En Revista: Hypertens Res Assunto da revista: ANGIOLOGIA Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Japão

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Desastres / Terremotos / Hipertensão Limite: Humans País/Região como assunto: Asia Idioma: En Revista: Hypertens Res Assunto da revista: ANGIOLOGIA Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Japão