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首页> 外文期刊>Journal of epidemiology / >Community Social Capital, Built Environment, and Income-Based Inequality in Depressive Symptoms Among Older People in Japan: An Ecological Study From the JAGES Project
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Community Social Capital, Built Environment, and Income-Based Inequality in Depressive Symptoms Among Older People in Japan: An Ecological Study From the JAGES Project

机译：日本老年人抑郁症状的社区社会资本，建筑环境和收入不平等：来自JAGES项目的生态研究

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Background: Although reducing socioeconomic inequalities in depression is necessary, their associated factors have rarely been studied. This study aimed to screen the potential contextual factors associated with income-based inequality in older adults’ depression. Methods: Using data from the Japan Gerontological Evaluation Study (JAGES) of 2013, we conducted an ecological study covering 77 communities in Japan. Our measures of socioeconomic inequalities in depression were the slope index of inequalities (SII) and the relative index of inequalities (RII) of the prevalence of depressive symptoms across three income levels. We categorized available community-level factors, including socio-demographic factors, social participation, social relationships, subjective changes in the residential area, and the built environment. These indicators were aggregated from individual responses of 51,962 and 52,958 physically independent men and women, respectively, aged 65 years or more. We performed multiple linear regression analyses to explore factors with statistical significance of a two-tailed P -value less than 0.05. Results: Factors associated with shallower gradients in depression for men included higher participation in local activities and reception or provision of social support, which did not show significant association among women. Perceived increases in unemployment and economic inequalities were positively associated with larger inequalities in both genders ( P Conclusions: A community environment fostering social activities and relationships might be associated with smaller income-based inequalities in depression. There is a need for more deterministic studies for planning of effective community interventions to address socioeconomic inequalities in depression.
机译：背景：尽管有必要减少抑郁症的社会经济不平等现象，但很少研究其相关因素。这项研究旨在筛选与老年人抑郁症中基于收入的不平等相关的潜在背景因素。方法：我们使用来自2013年日本老年医学评估研究（JAGES）的数据，进行了涵盖日本77个社区的生态研究。我们对抑郁症的社会经济不平等程度的度量是不平等的斜率指数（SII）和抑郁症状在三个收入水平中的普遍程度的相对不平等指数（RII）。我们对可用的社区级因素进行了分类，包括社会人口因素，社会参与，社会关系，居住区的主观变化以及建筑环境。这些指标分别来自年龄分别在65岁以上的51,962和52,958位身体独立的男性和女性的个人回答。我们进行了多个线性回归分析，以探究具有两尾P值小于0.05的统计学意义的因素。结果：与男性抑郁较浅的梯度有关的因素包括更多地参与当地活动和接受或提供社会支持，而女性之间没有显着关联。失业率和经济不平等现象的增加与性别不平等程度正相关（P结论：促进社交活动和人际关系的社区环境可能与抑郁症中基于收入的不平等程度较小有关。有必要进行更多的确定性研究以进行规划解决抑郁症的社会经济不平等问题的有效社区干预措施。

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