Kathleen A. Cagney is with the Department of Sociology and Population Research Center, University of Chicago, Chicago, IL. Christopher R. Browning is with the Department of Sociology, Ohio State University, Columbus. James Iveniuk is with the Department of Sociology, University of Chicago. Ned English is with the National Opinion Research Center, Chicago, IL.
Am J Public Health. 2014 Mar;104(3):498-505. doi: 10.2105/AJPH.2013.301566. Epub 2014 Jan 21.
We examined neighborhood-level foreclosure rates and their association with onset of depressive symptoms in older adults.
We linked data from the National Social Life, Health, and Aging Project (2005-2006 and 2010-2011 waves), a longitudinal, nationally representative survey, to data on zip code-level foreclosure rates, and predicted the onset of depressive symptoms using logit-linked regression.
Multiple stages of the foreclosure process predicted the onset of depressive symptoms, with adjustment for demographic characteristics and changes in household assets, neighborhood poverty, and visible neighborhood disorder. A large increase in the number of notices of default (odds ratio [OR] = 1.75; 95% confidence interval [CI] = 1.14, 2.67) and properties returning to ownership by the bank (OR = 1.62; 95% CI = 1.06, 2.47) were associated with depressive symptoms. A large increase in properties going to auction was suggestive of such an association (OR = 1.45; 95% CI = 0.96, 2.19). Age, fewer years of education, and functional limitations also were predictive.
Increases in neighborhood-level foreclosure represent an important risk factor for depression in older adults. These results accord with previous studies suggesting that the effects of economic crises are typically first experienced through deficits in emotional well-being.
我们研究了社区层面的止赎率及其与老年人抑郁症状发作的关系。
我们将来自全国社会生活、健康和老龄化项目（2005-2006 年和 2010-2011 年波次）的数据与邮政编码层面的止赎率数据进行了关联，并使用对数链接回归预测抑郁症状的发作。
止赎过程的多个阶段预测了抑郁症状的发作，调整了人口统计学特征以及家庭资产、社区贫困和可见社区混乱的变化。大量增加违约通知（优势比[OR] = 1.75；95%置信区间[CI] = 1.14, 2.67）和银行收回所有权的房产（OR = 1.62；95% CI = 1.06, 2.47）与抑郁症状相关。大量增加的房产被拍卖表明存在这种关联（OR = 1.45；95% CI = 0.96, 2.19）。年龄、受教育年限较少和功能限制也是预测因素。
社区层面止赎率的增加是老年人抑郁的一个重要危险因素。这些结果与先前的研究一致，表明经济危机的影响通常首先通过情感幸福感的下降而显现。
