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Post-Disaster Recovery, Cancer Care, and Family Well-Being in Japan: A Structural Equation Modeling Study
Akemi Hara1,2, Akihiko Ozaki2,3,4,5,6, Yoshitake Takebayashi7
1Department of Biostatistics,University of North Carolina at Chapel Hill, Chapel Hill, USA.
Objective:
This study examined how subjective disaster recovery and cancer-care satisfaction jointly shape family well-being in Japan, and when better cancer care accompanies higher well-being.
Methods:
A quota-stratified web survey of 2,179 adults aged 20-69 was conducted across Japan (September 2019), with quotas by Fukushima residency and family cancer experience. Subjective recovery from any major disaster within 10 years (unexposed; recovered or in prospect; no prospect), household cancer experience, and Short FAMCARE satisfaction were modeled against latent well-being by structural equation modeling.
Results:
Among non-cancer households (n = 1,324), unrecovered damage was associated with lower well-being (β = -0.08, 95% CI -0.13 to -0.03, P = 0.001), with no association in cancer-affected households (β = 0.00, P = 0.98). Among cancer-affected families (n = 855), high satisfaction was associated with higher well-being (β = 0.17, P < 0.001), more so in recovered than unrecovered households (contrast 0.149, 95% CI 0.031 to 0.268, P = 0.014). Resting on small subgroups, this interaction is exploratory.
Conclusions:
Better cancer care did not offset incomplete disaster recovery; its association with higher well-being was confined to households with recovery achieved or in prospect. These cross-sectional findings are consistent with delivering reconstruction and cancer care together.
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