1285Distinctive variations in accident and suicide mortality rates among Japanese elderly in 2020

Autor: Mihoko Takahashi, Makiko Uemura, Midori Kamei
Rok vydání: 2021
Předmět:
Zdroj: International Journal of Epidemiology
ISSN: 1464-3685
0300-5771
DOI: 10.1093/ije/dyab168.644
Popis: Background In April 2020, the Japanese government requested that people stay home except when unavoidable for their livelihood, as a COVID-19 emergency measure. Especially, elderly people refrained from going out. We investigated mortality rates from external causes in 2020 among Japanese elderly people. Methods The monthly mortality rates from accidents (V01-X59), traffic accidents (V01-V99) and suicides (X60-X84) among elderly from 2015 to November 2020 were analyzed. Ordinary monthly expected values and reference ranges (RR: 95% range) were calculated by cause and sex and compared with the observed values. Results All accidents: Abnormal increases (beyond the RR) occurred in August for both sexes. Traffic accidents: Extreme decreases (below the RR) occurred in at least 3 months from March to October for each sex. Suicides: Extreme decreases occurred in at least 2 months from February to May for each sex. Abnormal increases occurred in November for males, and in September to November for females. Conclusions Extreme decreases in traffic accident mortalities can be explained by people staying home. Abnormal increases in accident mortalities in summer might be explained by the heat. The increases might also be related to wearing face masks. Suicide results suggest that females are especially vulnerable to the social environment created by the preventive measures against COVID-19. Key messages COVID-19 measures might have affected the physical, mental, and social well-being of elderly people. Acknowledgements This study was supported by Mitsui Sumitomo Insurance Welfare Foundation.
Databáze: OpenAIRE