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Assessing the impact of a hilly environment on depressive symptoms among community-dwelling older adults in japan : A cross-sectional study

Abe, Takafumi ; Okuyama, Kenta LU ; Hamano, Tsuyoshi ; Takeda, Miwako ; Yamasaki, Masayuki ; Isomura, Minoru ; Nakano, Kunihiko ; Sundquist, Kristina LU and Nabika, Toru (2021) In International Journal of Environmental Research and Public Health 18(9).
Abstract

Although some neighborhood environmental factors have been found to affect depressive symptoms, few studies have focused on the impact of living in a hilly environment, i.e., land slope, on depressive symptoms among rural older adults. This cross-sectional study aimed to investigate whether a land slope is associated with depressive symptoms among older adults living in rural areas. Data were collected from 935 participants, aged 65 years and older, who lived in Shimane prefecture, Japan. Depressive symptoms were assessed using the Zung Self-Rating Depression Scale (SDS) and defined on the basis of an SDS score ≥ 40. Land slopes within a 400 m network buffer were assessed using geographic information systems. Odds ratios (ORs) with 95%... (More)

Although some neighborhood environmental factors have been found to affect depressive symptoms, few studies have focused on the impact of living in a hilly environment, i.e., land slope, on depressive symptoms among rural older adults. This cross-sectional study aimed to investigate whether a land slope is associated with depressive symptoms among older adults living in rural areas. Data were collected from 935 participants, aged 65 years and older, who lived in Shimane prefecture, Japan. Depressive symptoms were assessed using the Zung Self-Rating Depression Scale (SDS) and defined on the basis of an SDS score ≥ 40. Land slopes within a 400 m network buffer were assessed using geographic information systems. Odds ratios (ORs) with 95% confidence intervals (CIs) of depressive symptoms were estimated using logistic regression. A total of 215 (23.0%) participants reported depressive symptoms. The land slope was positively associated with depressive symptoms (OR = 1.04; 95% CI = 1.01–1.08) after adjusting for all confounders. In a rural setting, living in a hillier environment was associated with depressive symptoms among community-dwelling older adults in Japan.

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author
; ; ; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Depression, Land slope, Public health, Rural area
in
International Journal of Environmental Research and Public Health
volume
18
issue
9
article number
4520
publisher
MDPI AG
external identifiers
  • pmid:33923194
  • scopus:85104640343
ISSN
1661-7827
DOI
10.3390/ijerph18094520
language
English
LU publication?
yes
id
dd0318f6-1f8b-4953-8b20-1f870b91152f
date added to LUP
2021-05-11 12:56:50
date last changed
2024-04-06 03:28:55
@article{dd0318f6-1f8b-4953-8b20-1f870b91152f,
  abstract     = {{<p>Although some neighborhood environmental factors have been found to affect depressive symptoms, few studies have focused on the impact of living in a hilly environment, i.e., land slope, on depressive symptoms among rural older adults. This cross-sectional study aimed to investigate whether a land slope is associated with depressive symptoms among older adults living in rural areas. Data were collected from 935 participants, aged 65 years and older, who lived in Shimane prefecture, Japan. Depressive symptoms were assessed using the Zung Self-Rating Depression Scale (SDS) and defined on the basis of an SDS score ≥ 40. Land slopes within a 400 m network buffer were assessed using geographic information systems. Odds ratios (ORs) with 95% confidence intervals (CIs) of depressive symptoms were estimated using logistic regression. A total of 215 (23.0%) participants reported depressive symptoms. The land slope was positively associated with depressive symptoms (OR = 1.04; 95% CI = 1.01–1.08) after adjusting for all confounders. In a rural setting, living in a hillier environment was associated with depressive symptoms among community-dwelling older adults in Japan.</p>}},
  author       = {{Abe, Takafumi and Okuyama, Kenta and Hamano, Tsuyoshi and Takeda, Miwako and Yamasaki, Masayuki and Isomura, Minoru and Nakano, Kunihiko and Sundquist, Kristina and Nabika, Toru}},
  issn         = {{1661-7827}},
  keywords     = {{Depression; Land slope; Public health; Rural area}},
  language     = {{eng}},
  month        = {{05}},
  number       = {{9}},
  publisher    = {{MDPI AG}},
  series       = {{International Journal of Environmental Research and Public Health}},
  title        = {{Assessing the impact of a hilly environment on depressive symptoms among community-dwelling older adults in japan : A cross-sectional study}},
  url          = {{http://dx.doi.org/10.3390/ijerph18094520}},
  doi          = {{10.3390/ijerph18094520}},
  volume       = {{18}},
  year         = {{2021}},
}