A longitudinal study of neighbourhood conditions and depression in ageing European adults: Do the associations vary by exposure to childhood stressors?
A longitudinal study of neighbourhood conditions and depression in ageing European adults: Do the associations vary by exposure to childhood stressors?
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DOI：
10.1016/j.ypmed.2019.105764
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发表时间：
2019-09-01
影响因子：
5.1
通讯作者：
Cullati, Stephane
中科院分区：
文献类型：
--
作者：
Baranyi, Gergo;Sieber, Stefan;Cullati, Stephane
新兴文学强调邻里关系和晚年抑郁之间的联系。童年经历对心理健康的一生发展至关重要，它可能会改变邻里关系对随后抑郁的影响。这项研究评估了老年人中获得服务的机会和邻里滋扰与抑郁的纵向联系，并测试了这些联系是否随着童年压力的暴露而变化。数据来自欧洲健康、老龄化和退休跨国调查，这是一项2004/2005至2015年间的前瞻性队列研究，代表了50岁以上的欧洲成年人。在基线上衡量个人对邻里关系的看法；回顾收集童年时期的压力源，定义为社会经济条件、不良经历和健康问题。多水平Logistic回归估计抑郁风险(n=10,328)。随访期抑郁发生率与获得服务呈负相关(OR=0.78，95%CI为0.68~0.90)，与邻里滋扰呈正相关(OR=1.36，95%CI为1.18~1.56)。我们发现邻居和儿童的社会经济状况之间存在相互作用，但与不良经历和健康问题没有关系。虽然在童年社会经济条件较好的地区长大的老年人从居住在获得良好服务的住宅区中受益更多，但如果居住在邻里滋扰较多的地区，他们患抑郁症的风险就更高。老年人的心理健康可以受益于更好地利用公共交通和社区设施，而当地的身体和社会问题增加了患抑郁症的风险。重要的是，早年的社会经济环境可能会影响老年人对邻里效应的脆弱性。
Emerging literature emphasises the association between neighbourhood conditions and late life depression. Childhood experiences, crucial for life course development of mental health, may modify how neighbourhood affects subsequent depression. This study assessed the longitudinal associations of access to services and neighbourhood nuisance with depression among older adults, and tested whether these associations varied by exposure to childhood stressors. Data were drawn from the cross-national Survey of Health, Ageing and Retirement in Europe, a prospective cohort study between 2004/2005 and 2015, representative for European adults over the age of 50. Individual perceptions of neighbourhood were measured at baseline; childhood stressors, defined as socioeconomic conditions, adverse experiences and health problems, were collected retrospectively. Multilevel logistic regression estimated the risk of depression (n = 10,328). Access to services were negatively (OR = 0.78, 95% CI 0.68-0.90) and neighbourhood nuisance positively (OR = 1.36, 95% CI 1.18-1.56) associated with the probability of depression during follow-up. We found interactions between neighbourhood and childhood socioeconomic conditions, but not with adverse experiences and health problems. While older adults who grew up in better childhood socioeconomic conditions benefited more from living in a residential area with good access to services, they were at higher risk of developing depression when residing in areas with more neighbourhood nuisances. Older adults' mental health can benefit from better access to public transportation and neighbourhood amenities, while physical and social problems in the local area increase the risk of depression. Importantly, socioeconomic circumstances in early life may influence vulnerability to neighbourhood effects in older age.