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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

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 s...

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Autores principales: Abe, Takafumi, Okuyama, Kenta, Hamano, Tsuyoshi, Takeda, Miwako, Yamasaki, Masayuki, Isomura, Minoru, Nakano, Kunihiko, Sundquist, Kristina, Nabika, Toru
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8123156/
https://www.ncbi.nlm.nih.gov/pubmed/33923194
http://dx.doi.org/10.3390/ijerph18094520
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author Abe, Takafumi
Okuyama, Kenta
Hamano, Tsuyoshi
Takeda, Miwako
Yamasaki, Masayuki
Isomura, Minoru
Nakano, Kunihiko
Sundquist, Kristina
Nabika, Toru
author_facet Abe, Takafumi
Okuyama, Kenta
Hamano, Tsuyoshi
Takeda, Miwako
Yamasaki, Masayuki
Isomura, Minoru
Nakano, Kunihiko
Sundquist, Kristina
Nabika, Toru
author_sort Abe, Takafumi
collection PubMed
description 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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spelling pubmed-81231562021-05-16 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 Hamano, Tsuyoshi Takeda, Miwako Yamasaki, Masayuki Isomura, Minoru Nakano, Kunihiko Sundquist, Kristina Nabika, Toru Int J Environ Res Public Health Article 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. MDPI 2021-04-24 /pmc/articles/PMC8123156/ /pubmed/33923194 http://dx.doi.org/10.3390/ijerph18094520 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Abe, Takafumi
Okuyama, Kenta
Hamano, Tsuyoshi
Takeda, Miwako
Yamasaki, Masayuki
Isomura, Minoru
Nakano, Kunihiko
Sundquist, Kristina
Nabika, Toru
Assessing the Impact of a Hilly Environment on Depressive Symptoms among Community-Dwelling Older Adults in Japan: A Cross-Sectional Study
title Assessing the Impact of a Hilly Environment on Depressive Symptoms among Community-Dwelling Older Adults in Japan: A Cross-Sectional Study
title_full Assessing the Impact of a Hilly Environment on Depressive Symptoms among Community-Dwelling Older Adults in Japan: A Cross-Sectional Study
title_fullStr Assessing the Impact of a Hilly Environment on Depressive Symptoms among Community-Dwelling Older Adults in Japan: A Cross-Sectional Study
title_full_unstemmed Assessing the Impact of a Hilly Environment on Depressive Symptoms among Community-Dwelling Older Adults in Japan: A Cross-Sectional Study
title_short Assessing the Impact of a Hilly Environment on Depressive Symptoms among Community-Dwelling Older Adults in Japan: A Cross-Sectional Study
title_sort assessing the impact of a hilly environment on depressive symptoms among community-dwelling older adults in japan: a cross-sectional study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8123156/
https://www.ncbi.nlm.nih.gov/pubmed/33923194
http://dx.doi.org/10.3390/ijerph18094520
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