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Table 2 Change of EBSMRs and the number of healthcare resources (2015–2010)

From: Relationship between changes in the public health nurses’ workforce and the empirical Bayes estimates of standardized mortality ratio: a longitudinal ecological study of municipalities in Japan

Variables of change (2015–2010)

All municipalities

Population < 10,000

Population ≥ 10,000

Cohen's d

(n = 1601)

(n = 470)

(n = 1131)

Mean

(SD)

Mean

(SD)

Mean

(SD)

EBSMRs in males

 All causes of death

-7.8

(5.6)

-7.6

(7.2)

-7.8

(4.9)

0.04

 Malignant neoplasms

-7.1

(6.6)

-6.8

(8.7)

-7.2

(5.5)

0.06

 Heart disease in males

-10.7

(13.0)

-10.4

(18.1)

-10.9

(10.1)

0.04

 Cerebrovascular disease

-23.1

(16.2)

-23.0

(21.4)

-23.1

(13.5)

0.01

EBSMRs in females

 All causes of death

-3.7

(7.0)

-2.4

(9.7)

-4.3

(5.4)

0.27

 Malignant neoplasms

-2.6

(8.1)

-1.9

(11.4)

-2.9

(6.3)

0.12

 Heart disease

-10.4

(13.3)

-8.8

(18.3)

-11.0

(10.5)

0.17

 Cerebrovascular disease

-22.0

(16.8)

-20.3

(23.0)

-22.7

(13.3)

0.15

Number of healthcare resources

 PHNs a

2.8

(22.2)

6.6

(38.9)

1.2

(7.8)

0.24

  Full-time PHNs a

2.4

(22.1)

5.9

(38.8)

0.9

(7.6)

0.23

  Part-time PHNs a

0.4

(5.2)

0.6

(9.1)

0.3

(2.1)

0.06

 Physicians a

2.1

(27.8)

-3.9

(36.1)

4.6

(23.0)

-0.31

 Medical clinics a

0.2

(10.4)

-0.3

(16.3)

0.4

(6.5)

-0.07

 General hospitals in a secondary healthcare area a

-0.3

(0.6)

-0.4

(0.7)

-0.2

(0.5)

-0.27

 Welfare facilities for the elderly requiring long-term care a

1.5

(6.6)

1.7

(11.3)

1.4

(2.9)

0.05

 Population

-883.7

(2040.6)

-387.5

(308.9)

-1089.9

(2389.9)

-1.08

  1. EBSMR, empirical Bayes estimate of standardized mortality ratio; PHN, public health nurse
  2. a Per 100,000 population