Regional disparities in suicide among patients with cancer: A nationwide population‐based study in Japan
Abstract Background This study aimed to explore prefecture‐level differences in suicide risk among patients with cancer in Japan. Methods Data from the National Cancer Registry, which covers the entire Japanese population, were used. Patients diagnosed with cancer between 2016 and 2017 were included...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2023-10-01
|
| Series: | Cancer Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/cam4.6574 |
| _version_ | 1797654509173866496 |
|---|---|
| author | Ken Kurisu Saki Harashima Maiko Fujimori Tatsuo Akechi Kazuhiro Yoshiuchi Yosuke Uchitomi |
| author_facet | Ken Kurisu Saki Harashima Maiko Fujimori Tatsuo Akechi Kazuhiro Yoshiuchi Yosuke Uchitomi |
| author_sort | Ken Kurisu |
| collection | DOAJ |
| description | Abstract Background This study aimed to explore prefecture‐level differences in suicide risk among patients with cancer in Japan. Methods Data from the National Cancer Registry, which covers the entire Japanese population, were used. Patients diagnosed with cancer between 2016 and 2017 were included. The standardized mortality ratio (SMR) for suicide within 2 years after cancer diagnosis was quantified compared with the general population for each prefecture. Multivariate Poisson regression analysis was conducted to quantify the adjusted relative risk using Hokkaido as the reference. Results The analysis included 2,133,502 patients. The SMRs were high among patients with cancer residing in certain prefectures, such as the Hokuriku region (the middle and western parts of Japan's main island). These areas also exhibited a significant relative risk in the Poisson regression model. Conclusion The results demonstrated that patients with cancer in certain prefectures in Japan have a high suicide risk. |
| first_indexed | 2024-03-11T17:00:30Z |
| format | Article |
| id | doaj.art-9b2f20a4f39c48d38e10b65fbe7936cd |
| institution | Directory Open Access Journal |
| issn | 2045-7634 |
| language | English |
| last_indexed | 2024-03-11T17:00:30Z |
| publishDate | 2023-10-01 |
| publisher | Wiley |
| record_format | Article |
| series | Cancer Medicine |
| spelling | doaj.art-9b2f20a4f39c48d38e10b65fbe7936cd2023-10-20T10:25:45ZengWileyCancer Medicine2045-76342023-10-011219200522005810.1002/cam4.6574Regional disparities in suicide among patients with cancer: A nationwide population‐based study in JapanKen Kurisu0Saki Harashima1Maiko Fujimori2Tatsuo Akechi3Kazuhiro Yoshiuchi4Yosuke Uchitomi5Division of Survivorship Research National Cancer Center Institute for Cancer Control Tokyo JapanDivision of Survivorship Research National Cancer Center Institute for Cancer Control Tokyo JapanDivision of Survivorship Research National Cancer Center Institute for Cancer Control Tokyo JapanDepartment of Psychiatry and Cognitive‐Behavioral Medicine Nagoya City University, Graduate School of Medical Sciences Nagoya JapanDepartment of Stress Sciences and Psychosomatic Medicine, Graduate School of Medicine The University of Tokyo Tokyo JapanDivision of Survivorship Research National Cancer Center Institute for Cancer Control Tokyo JapanAbstract Background This study aimed to explore prefecture‐level differences in suicide risk among patients with cancer in Japan. Methods Data from the National Cancer Registry, which covers the entire Japanese population, were used. Patients diagnosed with cancer between 2016 and 2017 were included. The standardized mortality ratio (SMR) for suicide within 2 years after cancer diagnosis was quantified compared with the general population for each prefecture. Multivariate Poisson regression analysis was conducted to quantify the adjusted relative risk using Hokkaido as the reference. Results The analysis included 2,133,502 patients. The SMRs were high among patients with cancer residing in certain prefectures, such as the Hokuriku region (the middle and western parts of Japan's main island). These areas also exhibited a significant relative risk in the Poisson regression model. Conclusion The results demonstrated that patients with cancer in certain prefectures in Japan have a high suicide risk.https://doi.org/10.1002/cam4.6574cancergeographical inequalityprefectureregional disparitiessuicide |
| spellingShingle | Ken Kurisu Saki Harashima Maiko Fujimori Tatsuo Akechi Kazuhiro Yoshiuchi Yosuke Uchitomi Regional disparities in suicide among patients with cancer: A nationwide population‐based study in Japan Cancer Medicine cancer geographical inequality prefecture regional disparities suicide |
| title | Regional disparities in suicide among patients with cancer: A nationwide population‐based study in Japan |
| title_full | Regional disparities in suicide among patients with cancer: A nationwide population‐based study in Japan |
| title_fullStr | Regional disparities in suicide among patients with cancer: A nationwide population‐based study in Japan |
| title_full_unstemmed | Regional disparities in suicide among patients with cancer: A nationwide population‐based study in Japan |
| title_short | Regional disparities in suicide among patients with cancer: A nationwide population‐based study in Japan |
| title_sort | regional disparities in suicide among patients with cancer a nationwide population based study in japan |
| topic | cancer geographical inequality prefecture regional disparities suicide |
| url | https://doi.org/10.1002/cam4.6574 |
| work_keys_str_mv | AT kenkurisu regionaldisparitiesinsuicideamongpatientswithcanceranationwidepopulationbasedstudyinjapan AT sakiharashima regionaldisparitiesinsuicideamongpatientswithcanceranationwidepopulationbasedstudyinjapan AT maikofujimori regionaldisparitiesinsuicideamongpatientswithcanceranationwidepopulationbasedstudyinjapan AT tatsuoakechi regionaldisparitiesinsuicideamongpatientswithcanceranationwidepopulationbasedstudyinjapan AT kazuhiroyoshiuchi regionaldisparitiesinsuicideamongpatientswithcanceranationwidepopulationbasedstudyinjapan AT yosukeuchitomi regionaldisparitiesinsuicideamongpatientswithcanceranationwidepopulationbasedstudyinjapan |