Hamano Tsuyoshi, Takeda Miwako, Sundquist Kristina, Nabika Toru
Institute of General Education, Kyoto Sangyo University, Motoyama, Kamigamo, Kita-ku, Kyoto 603-8555, Japan.
Department of Functional Pathology, School of Medicine, Shimane University, 89-1 Enya-cho, Izumo, Shimane 693-8501, Japan.
Int J Environ Res Public Health. 2016 Jul 21;13(5):738. doi: 10.3390/ijerph13070738.
Given that public transportation networks are often worse in rural areas than in urban areas, it is difficult for elderly non-drivers to access health-promoting goods, services, and resources related to mental health. Moreover, geographical location, assessed by elevation, could modify this association in a rural area. The aim of this study was to test whether the association between car driving (being a driver or not) and depression, as measured by the Zung Self-Rating Depression Scale (SDS), varied by elevation. Data were collected from a cross-sectional study conducted in the town of Ohnan located in a rural area of Japan. After excluding participants with missing data (n = 26), 876 participants were analysed in this study. After adjustment for potential confounders, being a non-driver had a significantly higher odds ratio of SDS (40+) among elderly people living at a low elevation (odds ratio = 2.17, 95% confidence interval = 1.28-3.71). However, similar findings were not observed among elderly people living at a high elevation. These results suggest that car driving importantly predicts depression in elderly people living at relatively low elevations in rural areas.
鉴于农村地区的公共交通网络往往比城市地区更差，老年非驾驶者难以获得与心理健康相关的促进健康的商品、服务和资源。此外，通过海拔高度评估的地理位置可能会改变农村地区的这种关联。本研究的目的是测试驾驶汽车（是否为驾驶者）与抑郁之间的关联（通过zung自评抑郁量表（SDS）测量）是否因海拔高度而异。数据来自于在日本农村地区大南镇进行的一项横断面研究。在排除数据缺失的参与者（n = 26）后，本研究对876名参与者进行了分析。在对潜在混杂因素进行调整后，在低海拔地区生活的老年人中，非驾驶者的SDS（40分以上）比值比显著更高（比值比 = 2.17，95%置信区间 = 1.28 - 3.71）。然而，在高海拔地区生活的老年人中未观察到类似结果。这些结果表明，在农村地区相对低海拔生活的老年人中，驾驶汽车是抑郁的重要预测因素。
