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Non-communicable diseases among subcontract and primary workers involved in decontamination after the fukushima daiichi nuclear power plant accident: an observational study.

Created on 13 Oct 2026

Authors

Fumiya Oguro, Yoshitaka Nishikawa, Toyoaki Sawano, Yurie Kobashi, Naomi Ito, Masaharu Tsubokura

Published in

Fukushima journal of medical science. Oct 10, 2026. Epub Oct 10, 2026.

Abstract

Evidence on the population-level burden of major non-communicable diseases (NCDs) among Fukushima decontamination workers is limited, and it remains unclear whether subcontracted employment, a potential marker of employment-related vulnerability, is associated with NCD prevalence and health risk awareness. We therefore compared the prevalence of NCDs by employment status.
We conducted a cross-sectional study using health checkup data from 2,790 workers (2011-2017). Data concerning hypertension, diabetes mellitus, and dyslipidemia were evaluated, along with the workers' self-reported awareness of diagnosis or treatment. Employment status was categorized as subcontracted worker or prime contractor worker. Group differences were assessed using Welch's t-tests and chi-squared tests, and quantile regression adjusted for age and sex.
The study included a total of 2,790 decontamination workers, of whom 1,716 were subcontracted workers (median age, 51 years; range, 18-82). The subcontracted workers had higher mean systolic blood pressure, a lower prevalence of self-reported hypertension, and higher blood glucose levels in extreme cases.
The subcontracted workers had higher systolic blood pressure despite lower self-reported hypertension. Future studies should investigate factors contributing to differences in NCD prevalence between subcontracted and prime contractor workers, such as lower self-awareness and barriers to healthcare access among subcontracted workers.

PMID:
42864033
Bibliographic data and abstract were imported from PubMed on 13 Oct 2026.

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