Pathways from neighborhood poverty to depression among older adults.

Pathways from neighborhood poverty to depression among older adults.
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DOI:
10.1016/j.healthplace.2016.12.003
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发表时间:
2017-01
期刊:
影响因子:
4.8
通讯作者:
Cerdá M
Cerdá M
中科院分区:
医学2区
文献类型:
--
作者:
Joshi S;Mooney SJ;Rundle AG;Quinn JW;Beard JR;Cerdá M

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邻里贫困影响居民抑郁症的途径仍然未知。我们调查了邻里贫困可能影响老年人抑郁症的机制。参与者来自纽约市社区和老年人心理健康研究II,这是一项基线年龄为65-75岁的成年人(n= 3,497)的3波研究。在随访波中,邻里贫困和凶杀与抑郁症状相关(RR:1.20,95%CI:1.05,1.36; RR:1.09,95%CI:1.02,1.17)。凶杀案占30%的影响,邻里贫困的抑郁症状。邻里接触暴力可能是邻里贫困影响老年人抑郁症的一个关键机制。
The pathways through which neighborhood poverty can affect resident depression are still unknown. We investigated mechanisms through which neighborhood poverty may influence depression among older adults. Participants were drawn from the New York City Neighborhood and Mental Health in the Elderly Study II, a 3-wave study of adults aged 65–75 (n=3,497) at baseline. Neighborhood poverty and homicide were associated with depressive symptoms at follow-up waves (RR:1.20, 95%CI: 1.05, 1.36; RR: 1.09, 95%CI: 1.02, 1.17, respectively). Homicide accounted for 30% of the effect of neighborhood poverty on depressive symptoms. Neighborhood exposure to violence may be a key mechanism through which neighborhood poverty influences depression among older adults.