Walters Kate, Breeze Elizabeth, Wilkinson Paul, Price Gill M, Bulpitt Chris J, Fletcher Astrid
Department of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, Keppel St, London WC1E 7HT United Kingdom.
Am J Public Health. 2004 Oct;94(10):1768-74. doi: 10.2105/ajph.94.10.1768.
We sought to determine the association of depression and anxiety with "area deprivation" (neighborhood socioeconomic deprivation) and population density among people older than 75 years in Britain.
Postal codes were used to link census area information to individual data on depression and anxiety in 13349 people aged 75 years and older taking part in a trial of health screening.
Living in the most socioeconomically deprived areas was associated with depression (OR=1.4), but this relation disappeared after adjusting for individual deprivation characteristics. There was no association with anxiety. Living in the highest density and intermediate low-density areas was associated with depression (OR=1.6 and 1.5) and anxiety (OR=1.5 and 1.3) compared with the lowest density areas.
An association between area deprivation and depression in older people was explained by individual health, demographic, and socioeconomic factors. Higher population density was consistently associated with increased depression and anxiety.
我们试图确定在英国75岁以上人群中,抑郁和焦虑与“地区贫困”(邻里社会经济贫困)及人口密度之间的关联。
利用邮政编码将人口普查区域信息与13349名75岁及以上参与健康筛查试验的人群的抑郁和焦虑个体数据相联系。
生活在社会经济最贫困地区与抑郁相关(比值比=1.4),但在调整个体贫困特征后这种关系消失。与焦虑无关联。与人口密度最低的地区相比,生活在人口密度最高和中等低密度地区与抑郁(比值比分别为1.6和1.5)及焦虑(比值比分别为1.5和1.3)相关。
老年人中地区贫困与抑郁之间的关联可由个体健康、人口统计学和社会经济因素来解释。较高的人口密度一直与抑郁和焦虑增加相关。