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Cross-sectional associations of objectively assessed neighbourhood attributes with depressive symptoms in older adults of an ultra-dense urban environment: the Hong Kong ALECS study.
Zhang, Casper J P; Barnett, Anthony; Sit, Cindy H P; Lai, Poh-Chin; Johnston, Janice M; Lee, Ruby S Y; Cerin, Ester.
Afiliación
  • Zhang CJP; School of Public Health, The University of Hong Kong, Hong Kong, China.
  • Barnett A; Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, Victoria, Australia.
  • Sit CHP; Department of Sports Science and Physical Education, Faculty of Education, The Chinese University of Hong Kong, Hong Kong, China.
  • Lai PC; Department of Geography, Faculty of Social Sciences, The University of Hong Kong, Hong Kong, China.
  • Johnston JM; School of Public Health, The University of Hong Kong, Hong Kong, China.
  • Lee RSY; Elderly Health Service, Department of Health, The Government of Hong Kong Special Administration Region, Hong Kong, China.
  • Cerin E; School of Public Health, The University of Hong Kong, Hong Kong, China.
BMJ Open ; 8(3): e020480, 2018 03 25.
Article en En | MEDLINE | ID: mdl-29581207
OBJECTIVES: This study aimed to examine the associations between objectively assessed neighbourhood environmental attributes and depressive symptoms in Hong Kong Chinese older adults and the moderating effects of neighbourhood environmental attributes on the associations between living arrangements and depressive symptoms. DESIGN: Cross-sectional observational study. SETTING: Hong Kong. PARTICIPANTS: 909 Hong Kong Chinese community dwellers aged 65+ years residing in preselected areas stratified by walkability and socioeconomic status. EXPOSURE AND OUTCOME MEASURES: Attributes of participants' neighbourhood environment were objectively assessed using geographic information systems and environmental audits. Depressive symptoms were measured using the Geriatric Depression Scale. RESULTS: Overall, pedestrian infrastructure (OR=1.025; P=0.008), connectivity (OR=1.039; P=0.002) and prevalence of public transport stops (OR=1.056; P=0.012) were positively associated with the odds of reporting depressive symptoms. Older adults living alone were at higher risk of reporting any depressive symptoms than those living with others (OR=1.497; P=0.039). This association was moderated by neighbourhood crowdedness, perceptible pollution, access to destinations and presence of people. Residing in neighbourhoods with lower levels of these attributes was associated with increased deleterious effects of living alone. Living in neighbourhoods with lower public transport density also increased the deleterious effects of living alone on the number of depressive symptoms. Those living alone and residing in neighbourhoods with higher levels of connectivity tended to report more depressive symptoms than their counterparts. CONCLUSIONS: The level of access to destinations and social networks across Hong Kong may be sufficiently high to reduce the risk of depressive symptoms in older adults. Yet, exposure to extreme levels of public transport density and associated traffic volumes may increase the risk of depressive symptoms. The provision of good access to a variety of destinations, public transport and public open spaces for socialising in the neighbourhood may help reduce the risk of depressive symptoms in older adults who live alone.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Características de la Residencia / Trastorno Depresivo / Planificación Ambiental Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Prevalence_studies Límite: Aged / Aged80 / Female / Humans / Male País/Región como asunto: Asia Idioma: En Revista: BMJ Open Año: 2018 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Características de la Residencia / Trastorno Depresivo / Planificación Ambiental Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Prevalence_studies Límite: Aged / Aged80 / Female / Humans / Male País/Región como asunto: Asia Idioma: En Revista: BMJ Open Año: 2018 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido