Heat impacts on an aging society: a spatio-temporal analysis of heatstroke deaths in Japan

Climate change, especially through heatwaves, significantly affects human health and is a growing global concern. Concurrently, population aging is occurring worldwide, with many countries experiencing an increase in their elderly populations. As the elderly are particularly susceptible to extreme t...

Full description

Saved in:
Bibliographic Details
Main Authors: Ming Zeng, Emerson Augusto Baptista, Kaoru Kakinuma
Format: Article
Language:English
Published: IOP Publishing 2024-01-01
Series:Environmental Research Communications
Subjects:
Online Access:https://doi.org/10.1088/2515-7620/ad8990
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850178465358151680
author Ming Zeng
Emerson Augusto Baptista
Kaoru Kakinuma
author_facet Ming Zeng
Emerson Augusto Baptista
Kaoru Kakinuma
author_sort Ming Zeng
collection DOAJ
description Climate change, especially through heatwaves, significantly affects human health and is a growing global concern. Concurrently, population aging is occurring worldwide, with many countries experiencing an increase in their elderly populations. As the elderly are particularly susceptible to extreme temperatures and unevenly distributed due to internal migration of younger populations, a spatio-temporal analysis integrating temperature changes and demographic data is essential. This study focuses on Japan, a super-aged society where over 25% of the total population is 65 years or older. We examined the effects of climate and the proportion of the elderly population on heatstroke deaths through spatio-temporal analysis within a Bayesian framework. We estimated the annual relative risk of heatstroke-related deaths at the prefecture level from 2008 to 2019. The results indicate a strong spatial autocorrelation in heatstroke deaths across Japan. The spatio-temporal interaction model was the best-performing, showing that regional and temporal variations significantly impact heatstroke mortality. In this model, a one-degree increase in temperature anomaly was linked to a 0.35 (95% CI 0.25 to 0.46) times higher odds of heatstroke deaths, while a 1% increase in the population aged 65 years or older was associated with 4.85 (95% CI 0.92 to 8.65) times higher odds. We found that not only metropolitan areas but also rural areas, such as the Tohoku and Shikoku regions, face a high risk of heatstroke, emphasizing the need to address the challenges in rural communities. Our study highlights the necessity of integrating temperature changes and demographic data in a spatio-temporal context for heatstroke risk assessment. It demonstrates the profound effects of temperature anomalies and the proportion of the elderly population on heatstroke mortality. This research framework could be applicable to other countries experiencing aging and heatwave issues, aiding in the development of targeted public health interventions.
format Article
id doaj-art-df7f44d7a63042438d7afbbbf878cf54
institution OA Journals
issn 2515-7620
language English
publishDate 2024-01-01
publisher IOP Publishing
record_format Article
series Environmental Research Communications
spelling doaj-art-df7f44d7a63042438d7afbbbf878cf542025-08-20T02:18:43ZengIOP PublishingEnvironmental Research Communications2515-76202024-01-0161111500310.1088/2515-7620/ad8990Heat impacts on an aging society: a spatio-temporal analysis of heatstroke deaths in JapanMing Zeng0https://orcid.org/0009-0000-0776-4888Emerson Augusto Baptista1https://orcid.org/0000-0001-7582-2736Kaoru Kakinuma2https://orcid.org/0000-0003-4647-9582Asian Demographic Research Institute, Shanghai University , Shanghai, People’s Republic of ChinaEl Colegio de México A.C., Center for Demographic, Urban and Environmental Studies (CEDUA), Mexico City, MexicoMoon Soul Graduate School of Future Strategy, Korea Adcanced Institute of Science and Technology , Daejeon, Republic of Korea; National Institute of Population and Social Security Research , Tokyo, JapanClimate change, especially through heatwaves, significantly affects human health and is a growing global concern. Concurrently, population aging is occurring worldwide, with many countries experiencing an increase in their elderly populations. As the elderly are particularly susceptible to extreme temperatures and unevenly distributed due to internal migration of younger populations, a spatio-temporal analysis integrating temperature changes and demographic data is essential. This study focuses on Japan, a super-aged society where over 25% of the total population is 65 years or older. We examined the effects of climate and the proportion of the elderly population on heatstroke deaths through spatio-temporal analysis within a Bayesian framework. We estimated the annual relative risk of heatstroke-related deaths at the prefecture level from 2008 to 2019. The results indicate a strong spatial autocorrelation in heatstroke deaths across Japan. The spatio-temporal interaction model was the best-performing, showing that regional and temporal variations significantly impact heatstroke mortality. In this model, a one-degree increase in temperature anomaly was linked to a 0.35 (95% CI 0.25 to 0.46) times higher odds of heatstroke deaths, while a 1% increase in the population aged 65 years or older was associated with 4.85 (95% CI 0.92 to 8.65) times higher odds. We found that not only metropolitan areas but also rural areas, such as the Tohoku and Shikoku regions, face a high risk of heatstroke, emphasizing the need to address the challenges in rural communities. Our study highlights the necessity of integrating temperature changes and demographic data in a spatio-temporal context for heatstroke risk assessment. It demonstrates the profound effects of temperature anomalies and the proportion of the elderly population on heatstroke mortality. This research framework could be applicable to other countries experiencing aging and heatwave issues, aiding in the development of targeted public health interventions.https://doi.org/10.1088/2515-7620/ad8990bayesian frameworkclimate changeheatstroke deathspopulation agingspatio-temporal assessment
spellingShingle Ming Zeng
Emerson Augusto Baptista
Kaoru Kakinuma
Heat impacts on an aging society: a spatio-temporal analysis of heatstroke deaths in Japan
Environmental Research Communications
bayesian framework
climate change
heatstroke deaths
population aging
spatio-temporal assessment
title Heat impacts on an aging society: a spatio-temporal analysis of heatstroke deaths in Japan
title_full Heat impacts on an aging society: a spatio-temporal analysis of heatstroke deaths in Japan
title_fullStr Heat impacts on an aging society: a spatio-temporal analysis of heatstroke deaths in Japan
title_full_unstemmed Heat impacts on an aging society: a spatio-temporal analysis of heatstroke deaths in Japan
title_short Heat impacts on an aging society: a spatio-temporal analysis of heatstroke deaths in Japan
title_sort heat impacts on an aging society a spatio temporal analysis of heatstroke deaths in japan
topic bayesian framework
climate change
heatstroke deaths
population aging
spatio-temporal assessment
url https://doi.org/10.1088/2515-7620/ad8990
work_keys_str_mv AT mingzeng heatimpactsonanagingsocietyaspatiotemporalanalysisofheatstrokedeathsinjapan
AT emersonaugustobaptista heatimpactsonanagingsocietyaspatiotemporalanalysisofheatstrokedeathsinjapan
AT kaorukakinuma heatimpactsonanagingsocietyaspatiotemporalanalysisofheatstrokedeathsinjapan