Female reproductive factors and risk of external causes of death among women: The Japan Public Health Center-based Prospective Study (JPHC Study)

Tanaka, Shiori; Abe, Sarah Krull; Sawada, Norie; Yamaji, Taiki; Shimazu, Taichi; Goto, Atsushi; Iwasaki, Motoki; Iso, Hiroyasu; Mizoue, Tetsuya; Tsugane, Shoichiro

doi:10.1038/s41598-019-50890-x

Cited by 3 publications

(8 citation statements)

References 60 publications

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“…14,15 For example, one study from Australia showed that all-cause mortality in women decreased with increasing parity. 11 Similar findings were reported in a Japanese study, 12 in which parous women had an HR of 0.67 (95% CI 0.46–0.97) for all-cause mortality. A fairly recent meta-analysis showed that those with no live birth had a significantly elevated risk of all-cause mortality compared with participants with one or more live births.…”

Section: Discussionsupporting

confidence: 81%

“…11–13 One Australian study 11 clearly shows that all-cause mortality in women decreased with increasing parity. Another study from Japan 12 showed similar findings, i.e. lower all-cause mortality in parous women.…”

Section: Influence Of Life Events On Expression Of Personality Disordersupporting

confidence: 60%

“…Still, there was a lower death risk in childbearing women even after adjustment for comorbidity and in-patient care, both of which represent more serious conditions. 3,4 Childbearing is related to both lower overall mortality in the general population 11,12 and a lower risk for suicide. 14,15 For example, one study from Australia showed that all-cause mortality in women decreased with increasing parity.…”

Section: Interpretation Of Our Resultsmentioning

confidence: 99%

“…Childbearing is related to both lower overall mortality in the general population 11,12 and a lower risk for suicide. 14,15 For example, one study from Australia showed that all-cause mortality in women decreased with increasing parity.…”

Section: Discussionmentioning

confidence: 99%

“…Typically, pregnancy has been seen as a time of emotional wellbeing and is related to lower mortality risk in the general population. [11][12][13] One Australian study 11 clearly shows that all-cause mortality in women decreased with increasing parity. Another study from Japan 12 showed similar findings, i.e.…”

Section: Influence Of Life Events On Expression Of Personality Disordermentioning

confidence: 99%

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Childbearing and mortality among women with personality disorders: nationwide registered-based cohort study

et al. 2020

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Background People with a personality disorder have a higher mortality and reduced life expectancy than the general population. Childbearing is thought to have a protective effect on morbidity and mortality. Yet, there are no studies on whether childbearing is related to a lower mortality among women with personality disorder. Aims This study examined associations between childbearing and mortality among women with personality disorder. Our hypothesis was that parity would be associated with lower mortality. Method This register-based cohort study included 27 412 women treated for personality disorder in in-patient or specialised out-patient care between 1990 and 2015. We used nationwide population-based registers to obtain information on sociodemographics, child delivery, healthcare use and mortality. Mortality risk estimates were calculated as hazard ratios (HRs) with 95% CIs using Cox regression. Adjustments were made for year of birth, educational level, age at diagnosis, comorbidity and severity of personality disorder. Results Nulliparous women had a nearly twofold increased mortality risk (adjusted HR = 1.78, 95% CI 1.50–2.12) compared with parous women and over twofold mortality risk (adjusted HR = 2.29, 95% CI 1.72–3.04) compared with those giving birth after their first personality disorder diagnosis. Those giving birth before their first personality disorder diagnosis had a 1.5-fold higher risk of mortality than those giving birth after their first personality disorder diagnosis (adjusted HR = 1.48, 95% CI 1.06–2.07). There was a threefold risk of suicide in nulliparous women compared with those giving birth after their first personality disorder diagnosis (adjusted HR = 2.90, 95% CI 1.97–4.26). Conclusions Childbearing history should be an integral part of the clinical evaluation of women with personality disorder.

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Section: Discussionsupporting

confidence: 81%

Section: Influence Of Life Events On Expression Of Personality Disordersupporting

confidence: 60%

Section: Interpretation Of Our Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Influence Of Life Events On Expression Of Personality Disordermentioning

confidence: 99%

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Childbearing and mortality among women with personality disorders: nationwide registered-based cohort study

et al. 2020

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Parenthood and lower risk of suicide in women and men: the total Swedish population followed across adulthood

Wallin

Sjöqvist

Dehara

et al. 2022

Soc Psychiatry Psychiatr Epidemiol

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Background Previous studies suggest a protective effect of parenthood on suicide, but little is known about how the association may change across the lifespan, or in relation to sex, marital status or occurrence of psychiatric disorders. Methods We followed a cohort of over 5 million Swedish women and men, from 1991 to 2011, up to max. age 75, for death by suicide using national registers. Information on childbirths/adoptions, potential confounders and modifying factors were obtained from national registers. We assessed the associations between parenthood and suicide across adulthood using within time-stratified Cox regression models, with parenthood as a time-dependent exposure. Results Parents had a lower risk of suicide than non-parents across the lifespan, after adjusting for sociodemographic factors. The association was most pronounced in young adults, especially young women, but attenuated with increasing age and converged between sexes in older age groups. The lower risk of suicide over the life course was similar whether parents were married, unmarried or divorced, apart from married men; among them, parents only had a lower risk above age 55. The lower risk in parents was also evident in people with a history of psychiatric hospitalizations, but disappeared from age 55 in this population. Conclusion The lower risk of suicide was present in both parents, was most pronounced in young adulthood and weakened with increasing age. Our results are consistent with a plausible mechanism where feelings of responsibility and connectedness are protective against suicide in parents.

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Tendência de atendimentos por causas externas no Serviço de Atendimento Móvel de Urgência

Souza¹,

Pelloso²,

Riedo³

et al. 2022

Acta Paulista De Enfermagem

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Conflitos de interesse: nada a declarar. ResumoObjetivo: Analisar tendência e os impactos causados pela regionalização nos atendimentos de emergência por causas externas efetuados pelo Serviço de Atendimento Móvel de Urgência (SAMU), antes, durante e depois do processo de regionalização.Métodos: Estudo ecológico de tendência dos atendimentos do SAMU. Os períodos foram separados em 2010 a 2012 (pré-regionalização), 2013 a 2015 (transição) e 2016 a 2018 (consolidação). Foram coletadas as variáveis causas do atendimento, dia da semana, horário, local da ocorrência, recurso encaminhado e caracterização da vítima (sexo, idade, uso de álcool e desfecho do atendimento) totalizando 17.533 ocorrências. Foram excluídos os atendimentos que não se classificaram como causas externas. Foram realizadas estatística descritiva, tendência e teste de associação do qui-quadrado. Adotou-se nível de significância de 5% (p-valor ≤0,001).Resultados: A maioria das vítimas era do sexo masculino, com maior prevalência na faixa etária de 30 a 59 anos. Houve diminuição do óbito no local de 41,7% após a regionalização. Observou-se aumento de atendimento de causas externas nas ambulâncias de Suporte Básico de Vida no ano de 2015 em relação a 2010 (47%), além de diminuição de aproximadamente 50% do número de atendimentos do Suporte Avançado de Vida. O número de atendimento conjunto das duas ambulâncias aumentou aproximadamente 390%.Conclusão: A regionalização apresentou impacto importante na qualidade dos atendimentos prestados à população, resultando na diminuição da mortalidade no local da ocorrência.

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Female reproductive factors and risk of external causes of death among women: The Japan Public Health Center-based Prospective Study (JPHC Study)

Cited by 3 publications

References 60 publications

Childbearing and mortality among women with personality disorders: nationwide registered-based cohort study

Childbearing and mortality among women with personality disorders: nationwide registered-based cohort study

Parenthood and lower risk of suicide in women and men: the total Swedish population followed across adulthood

Tendência de atendimentos por causas externas no Serviço de Atendimento Móvel de Urgência

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