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Geographic elevation, car driving, and depression among elderly residents in rural areas : The Shimane CoHRE study

Hamano, Tsuyoshi; Takeda, Miwako; Sundquist, Kristina LU and Nabika, Toru (2016) In International Journal of Environmental Research and Public Health 13(7).
Abstract

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... (More)

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.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Depression, Elderly people, Elevation, Rural area
in
International Journal of Environmental Research and Public Health
volume
13
issue
7
publisher
Multidisciplinary Digital Publishing Institute (MDPI)
external identifiers
  • scopus:84979211492
  • wos:000380759800114
ISSN
1661-7827
DOI
10.3390/ijerph13070738
language
English
LU publication?
yes
id
91338edd-522d-4704-91f9-dd4dd2e70bfd
date added to LUP
2016-08-15 14:45:56
date last changed
2017-01-01 08:31:39
@article{91338edd-522d-4704-91f9-dd4dd2e70bfd,
  abstract     = {<p>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.</p>},
  articleno    = {738},
  author       = {Hamano, Tsuyoshi and Takeda, Miwako and Sundquist, Kristina and Nabika, Toru},
  issn         = {1661-7827},
  keyword      = {Depression,Elderly people,Elevation,Rural area},
  language     = {eng},
  month        = {07},
  number       = {7},
  publisher    = {Multidisciplinary Digital Publishing Institute (MDPI)},
  series       = {International Journal of Environmental Research and Public Health},
  title        = {Geographic elevation, car driving, and depression among elderly residents in rural areas : The Shimane CoHRE study},
  url          = {http://dx.doi.org/10.3390/ijerph13070738},
  volume       = {13},
  year         = {2016},
}