Geographic Elevation, Car Driving, and Depression among Elderly Residents in Rural Areas: The Shimane CoHRE Study.
Geographic Elevation, Car Driving, and Depression among Elderly Residents in Rural Areas: The Shimane CoHRE Study.
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DOI：
10.3390/ijerph13070738
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发表时间：
2016-07-21
影响因子：
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通讯作者：
Nabika T
中科院分区：
文献类型：
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作者：
Hamano T;Takeda M;Sundquist K;Nabika T
鉴于农村地区的公共交通网络往往比城市地区差，老年人很难获得促进健康的商品、服务和与心理健康有关的资源。此外，通过海拔评估的地理位置可以改变农村地区的这种关联。本研究的目的是测试汽车驾驶（是否是一名司机）和抑郁症之间的关联，通过Zung抑郁自评量表（SDS）测量，海拔不同。数据收集的横断面研究在位于日本农村地区的Ohnan镇进行。在排除数据缺失的参与者（n = 26）后，本研究分析了876名参与者。调整潜在混杂因素后，居住在低海拔地区的老年人中，非驾驶员的SDS（40+）比值比显着更高（比值比= 2.17，95%置信区间= 1.28-3.71）。然而，在生活在高海拔地区的老年人中没有观察到类似的结果。这些结果表明，汽车驾驶重要预测抑郁症的老年人生活在相对低海拔的农村地区。
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.