ArticlePloS one2013
Social and geographical inequalities in suicide in Japan from 1975 through 2005: a census-based longitudinal analysis.
Article in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 24 citations in OpenAlex.
- Regional disparities in suicide among patients with cancer: A nationwide population-based study in Japan.Cancer medicine · 2023Article
- Spatial statistical analysis of regional disparities in suicide among policy units in Japan: Using the Bayesian hierarchical model.PLOS global public health · 2022Article
- The relative importance of macro versus micro geographical scale in explaining suicide variation in Seoul, South Korea 2014-2016.PloS one · 2022Article
- Neighborhood farm density, types of agriculture, and depressive symptoms among older farmers: a cross-sectional study.BMC public health · 2021Article
- Suicide and Types of Agriculture: A Time-Series Analysis in Japan.Suicide & life-threatening behavior · 2020Article
- Can Financial Support Reduce Suicide Mortality Rates?International journal of environmental research and public health · 2019Article
- Female reproductive factors and risk of external causes of death among women: The Japan Public Health Center-based Prospective Study (JPHC Study).Scientific reports · 2019Article
- Relationship between workplace social capital and suicidal ideation in the past year among employees in Japan: a cross-sectional study.BMC public health · 2019Article
- Suicide Trends over Time by Occupation in Korea and Their Relationship to Economic Downturns.International journal of environmental research and public health · 2019Article
- Occupational Class and Risk of Cardiovascular Disease Incidence in Japan: Nationwide, Multicenter, Hospital-Based Case-Control Study.Journal of the American Heart Association · 2019Article
- Occupational class and risk of renal cell cancer.Health science reports · 2018Article
- Retirement and mental health: dose social participation mitigate the association? A fixed-effects longitudinal analysis.BMC public health · 2017Article
- Association between the Density of Physicians and Suicide Rates in Japan: Nationwide Ecological Study Using a Spatial Bayesian Model.PloS one · 2016Article
- Article
- Social support and suicidal ideation in Japan: are home visits by commissioned welfare volunteers associated with a lower risk of suicidal ideation among elderly people in the community?Social psychiatry and psychiatric epidemiology · 2014Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundDespite advances in our understanding of the countercyclical association between economic contraction and suicide, less is known about the levels of and changes in inequalities in suicide. The authors examined social and geographical inequalities in suicide in Japan from 1975 through 2005.
methodsBased on quinquennial vital statistics and census data, the authors analyzed the entire population aged 25-64 years. The total number of suicides was 75,840 men and 30,487 women. For each sex, the authors estimated odds ratios (ORs) and 95% credible intervals (CIs) for suicide using multilevel logistic regression models with "cells" (cross-tabulated by age and occupation) at level 1, seven different years at level 2, and 47 prefectures at level 3. Prefecture-level variance was used as an estimate of geographical inequalities in suicide.
resultsAdjusting for age and time-trends, the lowest odds for suicide was observed among production process and related workers (the reference group) in both sexes. The highest OR for men was 2.52 (95% CI: 2.43, 2.61) among service workers, whereas the highest OR for women was 9.24 (95% CI: 7.03, 12.13) among security workers. The degree of occupational inequalities increased among men with a striking change in the pattern. Among women, we observed a steady decline in suicide risk across all occupations, except for administrative and managerial workers and transport and communication workers. After adjusting for individual age, occupation, and time-trends, prefecture-specific ORs ranged from 0.76 (Nara Prefecture) to 1.36 (Akita Prefecture) for men and from 0.79 (Kanagawa Prefecture) to 1.22 (Akita Prefecture) for women. Geographical inequalities have increased primarily among men since 1995.
conclusionsThe present findings demonstrate a striking temporal change in the pattern of social inequalities in suicide among men. Further, geographical inequalities in suicide have considerably increased across 47 prefectures, primarily among men, since 1995.
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