老年人中从邻里贫困到抑郁的途径。
Pathways from neighborhood poverty to depression among older adults.
作者信息
Joshi Spruha, Mooney Stephen J, Rundle Andrew G, Quinn James W, Beard John R, Cerdá Magdalena
机构信息
Division of Epidemiology and Community Health, University of Minnesota, 1300 S 2nd St, Minneapolis, MN 55455, USA.
Department of Epidemiology, Columbia University, 722 W 168th St, New York, NY 10032, USA.
出版信息
Health Place. 2017 Jan;43:138-143. doi: 10.1016/j.healthplace.2016.12.003. Epub 2017 Jan 1.
Abstract
The pathways through which neighborhood poverty can affect resident depression are still unknown. We investigated mechanisms through which neighborhood poverty may influence depression among older adults. Participants were drawn from the New York City Neighborhood and Mental Health in the Elderly Study II, a 3-wave study of adults aged 65-75 (n=3,497) at baseline. Neighborhood poverty and homicide were associated with depressive symptoms at follow-up waves (RR:1.20, 95%CI: 1.05, 1.36; RR: 1.09, 95%CI: 1.02, 1.17, respectively). Homicide accounted for 30% of the effect of neighborhood poverty on depressive symptoms. Neighborhood exposure to violence may be a key mechanism through which neighborhood poverty influences depression among older adults.
摘要
邻里贫困影响居民抑郁的途径尚不清楚。我们调查了邻里贫困可能影响老年人抑郁的机制。参与者来自纽约市老年人邻里与心理健康研究II，这是一项针对65 - 75岁成年人（基线时n = 3497）的三波研究。在后续各波中，邻里贫困和凶杀案与抑郁症状相关（相对风险分别为：1.20，95%置信区间：1.05，1.36；1.09，95%置信区间：1.02，1.17）。凶杀案占邻里贫困对抑郁症状影响的30%。邻里间接触暴力可能是邻里贫困影响老年人抑郁的关键机制。
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