A short-term association between hospitalizations for mental disorders and ambient temperature in Japan: an ecological study using the LIFE Study data

  • Okui Tasuku
    Medical Information Center, Kyushu University Hospital
  • Fukushima Hiroaki
    Department of Medical Informatics, Faculty of Medical Sciences, Kyushu University
  • Maeda Megumi
    Department of Health Care Administration and Management, Kyushu University Graduate School of Medical Sciences
  • Oda Futoshi
    Department of Health Care Administration and Management, Kyushu University Graduate School of Medical Sciences
  • Nakashima Naoki
    Medical Information Center, Kyushu University Hospital Department of Medical Informatics, Faculty of Medical Sciences, Kyushu University
  • Fukuda Haruhisa
    Department of Health Care Administration and Management, Kyushu University Graduate School of Medical Sciences Center for Cohort Studies, Kyushu University Graduate School of Medical Sciences

書誌事項

公開日
2026
資源種別
journal article
DOI
  • 10.1265/ehpm.25-00377
公開者
一般社団法人日本衛生学会

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説明

<p>Background: Few studies have investigated the association between ambient temperature and the risk of mental disorders in Japan. In this study, we investigated a short-term association between the risk of hospitalizations for mental disorders and ambient temperature using municipal health insurance data.</p><p>Methods: We used the data of the Longevity Improvement & Fair Evidence Study in Japan, and the data of 17 municipalities were employed in the analysis. The daily number of hospitalizations for schizophrenia, depressive disorders, and anxiety disorders was used as the outcome variable. The time-stratified case-crossover design was employed in this ecological time-series study, and a distributed-lag non-linear model using a conditional quasi-Poisson regression model was employed to investigate an association between ambient temperature and hospitalizations for the abovementioned mental disorders. The model was applied to each municipality, and a multivariate meta-analysis was conducted to pool the results of municipalities. In addition, subgroup analyses by sex and age groups were conducted, and temperature-related attributable fractions of the mental disorders were also calculated.</p><p>Results: The results of the overall cumulative effect of ambient temperature on hospitalizations for mental disorders indicated that the risk ratio (RR) tended to increase with an increase in temperature regardless of the type of mental disorder. An analysis by sex indicated that the RR tended to increase with an increase in temperature regardless of sex. In addition, an analysis by age group indicated that an increase in RR with increasing temperature was more evident in persons aged <65 years compared to those aged ≥65 years regardless of mental disorders, and that the temperature-related attributable fractions were also higher in persons aged <65 years.</p><p>Conclusions: Higher temperatures were associated with a higher risk of hospitalization for mental disorders in Japan, while the degree of the association differed by age group.</p>

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