Pathways from neighborhood poverty to depression among older adults

被引:59
|
作者
Joshi, Spruha [1 ]
Mooney, Stephen J. [2 ]
Rundle, Andrew G. [2 ]
Quinn, James W. [2 ]
Beard, John R. [3 ]
Cerda, Magdalena [4 ]
机构
[1] Univ Minnesota, Div Epidemiol & Community Hlth, 1300 S 2nd St, Minneapolis, MN 55455 USA
[2] Columbia Univ, Dept Epidemiol, 722 W 168th St, New York, NY 10032 USA
[3] Univ Sydney, Sch Publ Hlth, Edward Ford Bldg A27,Fisher Rd, Sydney, NSW 2006, Australia
[4] Univ Calif Davis, Dept Emergency Med, 2315 Stockton Blvd, Sacramento, CA 95817 USA
关键词
Neighborhood poverty; Older adults; Depression; Crime; R PSYCHIATRIC-DISORDERS; MENTAL-HEALTH; SOCIAL ENGAGEMENT; VIOLENT CRIME; LATE-LIFE; SYMPTOMS; POPULATION; PREVALENCE; ASSOCIATIONS; ENVIRONMENT;
D O I
10.1016/j.healthplace.2016.12.003
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
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.
引用
收藏
页码:138 / 143
页数:6
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