Depression among middle-aged adults in Japan: The role of the built environment design
Depression among middle-aged adults in Japan: The role of the built environment design
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DOI：
10.1016/j.landurbplan.2022.104651
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发表时间：
2022-12-01
影响因子：
9.1
通讯作者：
Oka，Koichiro
中科院分区：
文献类型：
--
作者：
Koohsari，Mohammad Javad;Yasunaga，Akitomo;Oka，Koichiro
人们对建筑环境设计对抑郁症状的影响非常感兴趣。然而，关于这一主题的实证研究仍然很少，而且在中年人中缺乏证据。本研究探讨了在日本中年人的样本之间的抑郁症状的城市设计属性的关联。对日本两个城市的居民（40-64岁）随机抽样的横截面数据进行了研究。使用流行病学研究中心抑郁症（CES-D）问卷评估抑郁症状。两种类型的感知和客观属性的建成环境进行了测量。协变量调整的多变量线性和二元逻辑模型被用来估计感知和客观建成环境属性和抑郁症状之间的关联。在女性中，更高的感知获得公共交通和总感知步行与抑郁症状的减少有关。此外，在女性中，交通安全性较高与轻度抑郁症状（CES-D ≥ 16）的几率较低之间存在显著相关性。在男性中，更高的犯罪安全性与抑郁症状的减少和轻度抑郁症状的可能性较低有关。总感知步行能力也与男性轻度抑郁症状的几率较低有关。没有一个客观的建筑环境属性与女性或男性的抑郁症状有关。我们的研究结果提供了经验证据，即改善对社区步行能力的看法，特别是加强对公共交通的利用以及免受犯罪和交通的安全，对于改善中年男性和女性的抑郁症状非常重要。
There has been considerable interest in the effect of the built environment design on depressive symptoms. However, there are still few empirical studies on this topic, and there is a dearth of evidence among middle-aged adults. The present study examined the associations of urban design attributes with depressive symptoms among a sample of middle-aged adults in Japan. Cross-sectional data from a random sample of residents (40–64 years old) in two cities in Japan were examined. Depressive symptoms were assessed using the Centre for Epidemiological Studies Depression (CES-D) questionnaire. Two types of perceived and objective attributes of the built environment were measured. Covariate-adjusted multivariable linear and binary logistic models were used to estimate associations between perceived and objective built environment attributes and depressive symptoms. Among women, higher perceived access to public transport and total perceived walkability was associated with a decrease in depressive symptoms. Furthermore, there was a significant association between higher safety from traffic and lower odds of having mild depressive symptoms (CES-D ≥ 16) in women. Among men, higher safety from crime was associated with a decrease in depressive symptoms and with lower odds of having mild depressive symptoms. Total perceived walkability was also associated with lower odds of having mild depressive symptoms in men. None of the objective built environment attributes were associated with depressive symptoms in women or men. Our findings provide empirical evidence that improving perceptions of neighbourhood walkability and, in particular, enhancing access to public transport and safety from crime and traffic are important for improving depressive symptoms among middle-aged men and women.