Evidence map›Paper›PMID 29727132›Full record

ArticleEnvironmental health perspectives2018

Changing Susceptibility to Non-Optimum Temperatures in Japan, 1972-2012: The Role of Climate, Demographic, and Socioeconomic Factors.

Yeonseung Chung, Daewon Yang, Antonio Gasparrini, Ana M Vicedo-Cabrera, Chris Fook Sheng Ng, Yoonhee Kim, Yasushi Honda, Masahiro Hashizume

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In one paragraph

Article in Environmental health perspectives, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  16. Enhancing health resilience in Japan in a changing climate.The Lancet regional health. Western Pacific · 2023
    Review
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  19. Increasing global temperatures threaten gains in maternal and newborn health in Africa: A review of impacts and an adaptation framework.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2023
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Yeonseung ChungDepartment of Mathematical Sciences, Korea Advanced Institute of Science and Technology, Daejeon, South Korea
Daewon YangDepartment of Mathematical Sciences, Korea Advanced Institute of Science and Technology, Daejeon, South Korea
Antonio GasparriniDepartment of Public Health, Environment and Society, London School of Hygiene and Tropical Medicine, London, UK
Ana M Vicedo-CabreraDepartment of Public Health, Environment and Society, London School of Hygiene and Tropical Medicine, London, UK
Chris Fook Sheng NgDepartment of Pediatric Infectious Diseases, Institute of Tropical Medicine, Nagasaki University, Nagasaki, Japan
Yoonhee KimDepartment of Global Environmental Health, School of Public Health, University of Tokyo, Tokyo, Japan
Yasushi HondaFaculty of Health and Sport Sciences, University of Tsukuba, Tsukuba, Japan
Masahiro HashizumeDepartment of Pediatric Infectious Diseases, Institute of Tropical Medicine, Nagasaki University, Nagasaki, Japan

Funding

Medical Research Council MR/M022625/1
6 · The paper itself

Abstract

backgroundPrevious studies have shown that population susceptibility to non-optimum temperatures has changed over time, but little is known about the related time-varying factors that underlie the changes.

objectiveOur objective was to investigate the changing population susceptibility to non-optimum temperatures in 47 prefectures of Japan over four decades from 1972 to 2012, addressing three aspects: minimum mortality temperature (MMT) and heat- and cold-related mortality risks. In addition, we aimed to examine how these aspects of susceptibility were associated with climate, demographic, and socioeconomic variables.

methodsWe first used a two-stage time-series design with a time-varying distributed lag nonlinear model and multivariate meta-analysis to estimate the time-varying MMT, heat- and cold-related mortality risks. We then applied linear mixed effects models to investigate the association between each of the three time-varying aspects of susceptibility and various time-varying factors.

resultsMMT increased from 23.2 [95% confidence interval (CI): 23, 23.6] to 28.7 (27.0, 29.7) °C. Heat-related mortality risk [relative risk (RR) for the 99th percentile of temperature vs. the MMT] decreased from 1.18 (1.15, 1.21) to 1.01 (0.98, 1.04). Cold-related mortality risk (RR for the first percentile vs. the MMT) generally decreased from 1.48 (1.41, 1.54) to 1.35 (1.32, 1.40), with the exception of a few eastern prefectures that showed increased risk. The changing patterns in all three aspects differed by region, sex, and causes of death. Higher mean temperature was associated (

conclusionsPopulation susceptibility to heat has decreased over the last four decades in Japan. Susceptibility to cold has decreased overall except for several eastern prefectures where it has either increased or remained unchanged. Certain climate, demographic, and socioeconomic factors explored in the current study might underlie this changing susceptibility. https://doi.org/10.1289/EHP2546.

Indexed as

ClimateHot TemperatureAgedChildChild, PreschoolDemographyHumansJapanRisk FactorsSocioeconomic FactorsTemperature

Identifiers

PMID29727132
PMCPMC6071988

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.