Regional incidence risk of heat stroke in elderly individuals considering population, household structure, and local industrial sector

Sci Total Environ. 2022 Dec 20:853:158548. doi: 10.1016/j.scitotenv.2022.158548. Epub 2022 Sep 9.

Abstract

This study aims to clarify the regional characteristics of heat stroke incidence patterns inside and outside residences among the elderly from the perspective of working and living conditions. The study area comprised 41 municipalities belonging to Hyogo Prefecture in Japan. Based on information on heat stroke emergency medical evacuees in each municipality from 2011 to 2020, the regional differences in the incidence risk of heat stroke were analyzed. The results revealed that the number of cases and the proportion of males and females among them were related to the demographic structure of each municipality. A grouping analysis was conducted to classify the characteristics of each municipality based on the relationship between the incidence risk of heat stroke and the industrial structure. A factor analysis and binomial logistic regression analysis were also conducted to investigate the effect of demographic structure on the incidence risk of heat stroke. The results indicate that the incidence risk of heat stroke is correlated with industrial and demographic structures, and the risk is likely to vary regionally.

Keywords: Elderly people; Heat stroke; Industrial structure; Population and household structure; Regional characteristics; Spatial analysis.

MeSH terms

  • Aged
  • Family Characteristics
  • Female
  • Heat Stroke* / epidemiology
  • Humans
  • Incidence
  • Industry
  • Japan / epidemiology
  • Male