School of Health Service Management, Anhui Medical University, Hefei 230032, China.
Department of Geriatrics, The First Affiliated Hospital of University of Science and Technology of China, Gerontology Institute of Anhui Province, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei 230001, China.
Int J Environ Res Public Health. 2022 May 10;19(10):5819. doi: 10.3390/ijerph19105819.
In this study, we explored the cross-sectional associations between living and built environments and depression among older Chinese adults. Data from 5822 participants were obtained. Depression symptoms were evaluated through the use of the Patient Health Questionnaire (PHQ-9), with a score higher than 4 categorized as having depression symptoms. The living environment was assessed by asking about dust in the environment and barrier-free facilities. We considered the presence of amenities within a 10 min walking distance and the proportion of green space within an 800 m distance from participants' dwellings to reflect the built environment. Data were analyzed by multilevel logistic regression. Participants living in a non-dusty environment with proximity to green space had a lower risk of depression (non-dusty environment: OR = 0.784, 95% CI = 0.642, 0.956; green space: OR = 0.834, 95% CI = 0.697, 0.998). However, having no access to barrier-free facilities and hospital proximity increased the depression risk (barrier-free facilities: OR = 1.253, 95% CI = 1.078, 1.457; hospital: OR = 1.318, 95% CI = 1.104, 1.574). Dusty environments, access to barrier-free facilities and proximity to hospitals and green spaces were associated with depression symptoms among older Chinese adults.
在这项研究中，我们探讨了中老年人群生活和建筑环境与抑郁之间的横断面关联。共纳入了 5822 名参与者。使用患者健康问卷（PHQ-9）评估抑郁症状，得分高于 4 分被归类为存在抑郁症状。生活环境通过询问环境中的灰尘和无障碍设施来评估。我们考虑了在 10 分钟步行距离内的便利设施以及参与者住所 800 米范围内的绿地比例，以反映建筑环境。通过多水平逻辑回归分析数据。居住在无灰尘环境且靠近绿地的参与者患抑郁的风险较低（无灰尘环境：OR = 0.784，95%CI = 0.642，0.956；绿地：OR = 0.834，95%CI = 0.697，0.998）。然而，没有无障碍设施和靠近医院会增加患抑郁的风险（无障碍设施：OR = 1.253，95%CI = 1.078，1.457；医院：OR = 1.318，95%CI = 1.104，1.574）。灰尘环境、无障碍设施的获取以及靠近医院和绿地与中老年人群的抑郁症状有关。
