Association between receiving public welfare assistance and attempted suicide among older adults in Japan (N=16 135)
Model 1 | Model 2 | Model 3 | Model 4 | Model 5 | ||||||
PR | 95% CI | PR | 95% CI | PR | 95% CI | PR | 95% CI | PR | 95% CI | |
Receipt of public assistance | 4.30 | (2.78 to 6.66) | 4.38 | (2.83 to 6.79) | 2.51 | (1.60 to 3.96) | 1.97 | (1.24 to 3.13) | 1.91 | (1.20 to 3.04) |
Age (ref: 65–69) | ||||||||||
70–74 | 0.75 | (0.58 to 0.97) | 0.72 | (0.55 to 0.94) | 0.72 | (0.56 to 0.94) | 0.72 | (0.56 to 0.94) | ||
75–79 | 0.53 | (0.39 to 0.72) | 0.46 | (0.33 to 0.63) | 0.47 | (0.34 to 0.64) | 0.47 | (0.34 to 0.65) | ||
80–84 | 0.58 | (0.40 to 0.83) | 0.47 | (0.32 to 0.69) | 0.49 | (0.33 to 0.71) | 0.48 | (0.33 to 0.70) | ||
85+ | 0.87 | (0.57 to 1.33) | 0.69 | (0.44 to 1.06) | 0.65 | (0.42 to 0.99) | 0.65 | (0.42 to 1.02) | ||
Sex (ref. male) | 1.12 | (0.91 to 1.37) | 1.02 | (0.82 to 1.26) | 1.07 | (0.86 to 1.31) | 0.99 | (0.78 to 1.25) | ||
A no of household members (Ref: living alone) | ||||||||||
2 | 0.64 | (0.50 to 0.83) | 0.71 | (0.55 to 0.92) | 0.76 | (0.58 to 0.99) | ||||
3+ | 0.66 | (0.49 to 0.90) | 0.71 | (0.52 to 0.96) | 0.77 | (0.56 to 1.05) | ||||
Education >9 years (ref: ≤9 years) | 0.72 | (0.56 to 0.92) | 0.75 | (0.58 to 0.97) | 0.74 | (0.58 to 0.95) | ||||
Equivalised household income (JPY 10 000; Ref:<100) | ||||||||||
≥JPY100 to <JPY200 | 0.61 | (0.45 to 0.83) | 0.67 | (0.49 to 0.90) | 0.66 | (0.49 to 0.89) | ||||
≥JPY200 to <JPY300 | 0.54 | (0.38 to 0.76) | 0.65 | (0.46 to 0.92) | 0.65 | (0.46 to 0.91) | ||||
≥JPY300 to <JPY400 | 0.30 | (0.20 to 0.47) | 0.39 | (0.25 to 0.60) | 0.38 | (0.25 to 0.59) | ||||
≥JPY400 | 0.65 | (0.44 to 0.97) | 0.90 | (0.60 to 1.33) | 0.89 | (0.60 to 1.32) | ||||
Depressive symptoms | 3.30 | (2.66 to 4.08) | 3.26 | (2.62 to 4.07) | ||||||
Medical conditions (Ref: none) | ||||||||||
1 or 2 | 0.99 | (0.76 to 1.30) | ||||||||
3+ | 1.32 | (0.96 to 1.83) | ||||||||
Completed IADL | 1.25 | (0.97 to 1.62) |
Bold font is used to show statistically significant results. Model 1 was a null model that included only receipt of public welfare assistance. Model 2 additionally included age and sex. Model 3 included the same variables as in model 2 and the number of household members, education and equivalent household income. Model 4 included the same variables as in model 3 and depressive symptoms. The fully adjusted model 5 had the same variables as in model 4 and IADL and medical conditions. To adjust for geographical variation, the individual municipalities were coded as dummy variables and included in the analysis.
IADL, Instrumental Activities of Daily Living; PR, prevalence ratio.