Li Chenshuang, Zhou Ying
Center for Smart and Healthy Buildings, Huazhong Univ. of Science and Technology, Wuhan, Hubei, 430074, China.
Center for Smart and Healthy Buildings, Huazhong Univ. of Science and Technology, Wuhan, Hubei, 430074, China.
Health Place. 2020 Nov;66:102463. doi: 10.1016/j.healthplace.2020.102463. Epub 2020 Oct 15.
Despite growing evidence of the relationship between residential environment and depressive symptoms, little is known about this longitudinal relationship for elderly. Based on the follow-up survey (2011, 2013, and 2015) of the China Health and Retirement Longitudinal Study (CHARLS), this study investigated the association between residential environment and depressive symptoms among Chinese middle- and old-aged adults using repeated measures mixed models and Cox proportional hazards regression models. We found that external building characteristics, indoor space layout, household facilities, and indoor environment have significant effects on depressive symptoms in the elderly. Therefore, residential environment interventions such as external built environments promotion, reasonable indoor space layout, and indoor household facilities and environment improvement can be effective ways to reduce risk of depressive symptoms among Chinese middle- and old-aged adults as well as decrease related public health burden.
尽管越来越多的证据表明居住环境与抑郁症状之间存在关联，但对于老年人的这种纵向关系却知之甚少。基于中国健康与养老追踪调查（CHARLS）的随访调查（2011年、2013年和2015年），本研究使用重复测量混合模型和Cox比例风险回归模型，调查了中国中老年成年人居住环境与抑郁症状之间的关联。我们发现，建筑外部特征、室内空间布局、家庭设施和室内环境对老年人的抑郁症状有显著影响。因此，诸如促进外部建筑环境、合理布局室内空间以及改善室内家庭设施和环境等居住环境干预措施，可能是降低中国中老年成年人抑郁症状风险以及减轻相关公共卫生负担的有效途径。
