School of Public Health, Soochow University Medical College, Suzhou, Jiangsu, China.
School of Public Health, Soochow University Medical College, Suzhou, Jiangsu, China
BMJ Open. 2020 Dec 10;10(12):e038572. doi: 10.1136/bmjopen-2020-038572.
Few data on the association between housing structure and depression among rural elders in China are available. We examined the impact of built forms on depression.
This is a cross-sectional study.
A representative sample of rural residents aged 60 years or older in China.
A total of 5090 older adults in 2019 in rural Suzhou, China.
Associations of built form with odds of probable and possible depression.
There was significant difference among elders living in varied sizes of house. Older age (vs 60-64 years: 75-79 years AdjOR, 1.737; 95% CI, 1.309 to 2.305; ≥80 years AdjOR, 2.072; 95% CI, 1.439 to 2.981), male sex (AdjOR, 0.719; 95% CI, 0.593 to 0.871), single (AdjOR, 1.303; 95% CI, 1.032 to 1.646), self-care disability (AdjOR, 4.761; 95% CI, 3.960 to 5.724), three or more chronic diseases (AdjOR, 2.200; 95% CI, 1.657 to 2.920), living alone (AdjOR, 1.443; 95% CI, 1.059 to 1.966), living in cottage (AdjOR, 1.426; 95% CI, 1.033 to 1.967), living space (vs <50 m: 201-250 m AdjOR, 0.566; 95% CI, 0.359 to 0.893; >250 m AdjOR, 0.337; 95% CI, 0.223 to 0.511) and space per person (vs <30 m: 30- m AdjOR, 0.502; 95% CI, 0.362 to 0.697; 40- m AdjOR, 0.473; 95% CI, 0.347 to 0.646; 50- m AdjOR, 0.418; 95% CI, 0.339 to 0.515) were associated with risk of depression among Chinese rural elders.
The built form was significantly and meaningfully associated with depression among Chinese rural elders. More attention should be paid to preventing mental illness among the rural elderly living in the small housing area and cottages in China.
关于中国农村老年人住房结构与抑郁之间的关系，可用数据很少。本研究旨在探讨建筑形式对抑郁的影响。
这是一项横断面研究。
中国苏州农村地区有代表性的 60 岁及以上的农村居民样本。
2019 年中国苏州农村地区共有 5090 名老年人。
不同居住形式与可能和可能发生的抑郁的比值比。
居住在不同大小房屋中的老年人之间存在显著差异。老年人年龄较大（与 60-64 岁相比：75-79 岁调整比值比[AdjOR]，1.737；95%可信区间[CI]，1.309 至 2.305；≥80 岁 AdjOR，2.072；95%CI，1.439 至 2.981）、男性（AdjOR，0.719；95%CI，0.593 至 0.871）、单身（AdjOR，1.303；95%CI，1.032 至 1.646）、自理能力障碍（AdjOR，4.761；95%CI，3.960 至 5.724）、三种或三种以上慢性疾病（AdjOR，2.200；95%CI，1.657 至 2.920）、独居（AdjOR，1.443；95%CI，1.059 至 1.966）、居住在农舍（AdjOR，1.426；95%CI，1.033 至 1.967）、居住空间（与<50m 相比：201-250m AdjOR，0.566；95%CI，0.359 至 0.893；>250m AdjOR，0.337；95%CI，0.223 至 0.511）和人均空间（与<30m 相比：30-m AdjOR，0.502；95%CI，0.362 至 0.697；40-m AdjOR，0.473；95%CI，0.347 至 0.646；50-m AdjOR，0.418；95%CI，0.339 至 0.515）与中国农村老年人的抑郁风险相关。
建筑形式与中国农村老年人的抑郁显著相关。中国农村老年人住房面积小、居住在农舍的老年人应更加关注预防精神疾病。
