Geographic elevation, car driving, and depression among elderly residents in rural areas : The Shimane CoHRE study
(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.
(Less)
- author
- Hamano, Tsuyoshi ; Takeda, Miwako ; Sundquist, Kristina LU and Nabika, Toru
- organization
- publishing date
- 2016-07-21
- 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
- article number
- 738
- publisher
- MDPI AG
- external identifiers
-
- pmid:27455292
- wos:000380759800114
- scopus:84979211492
- 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
- 2024-05-17 10:25:02
@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>}},
author = {{Hamano, Tsuyoshi and Takeda, Miwako and Sundquist, Kristina and Nabika, Toru}},
issn = {{1661-7827}},
keywords = {{Depression; Elderly people; Elevation; Rural area}},
language = {{eng}},
month = {{07}},
number = {{7}},
publisher = {{MDPI AG}},
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}},
doi = {{10.3390/ijerph13070738}},
volume = {{13}},
year = {{2016}},
}