Back to Search Start Over

What Types of Greenspaces Are Associated with Depression in Urban and Rural Older Adults? A Multilevel Cross-Sectional Study from JAGES.

Authors :
Nishigaki M
Hanazato M
Koga C
Kondo K
Source :
International journal of environmental research and public health [Int J Environ Res Public Health] 2020 Dec 11; Vol. 17 (24). Date of Electronic Publication: 2020 Dec 11.
Publication Year :
2020

Abstract

Depression in older adults is a public health challenge. We aimed to clarify the relationship between depression in older adults and three types of neighborhood greenspaces: trees, grasslands, and fields. We utilized data from the Japan Gerontological Evaluation Study (JAGES) performed in 2016. Multilevel logistic regression analysis was used for non-stratified and stratified analyses for the urban-rural regions. The target population comprised 126,878 older adults (age ≥ 65 years) who responded to the depression questions and were living in 881 neighborhoods in Japan. Depression was diagnosed based on a Geriatric Depression Scale score ≥5, and 20.4% of the study population had depression. In the pre-stratification analysis, areas with more greenspaces revealed lower odds of depression (odds ratio (OR) 0.95, 95% confidence interval (CI) 0.85-0.95). In urban areas, more trees correlated with lower odds of depression (OR 0.94, 95% CI 0.89-1.00). In rural areas, moderate amounts of grassland were associated with lower odds of depression compared to areas with fewer grasslands (OR 0.91, 95% CI 0.83-1.00). We found that urban areas with higher tree density and rural areas with moderate amounts of grassland were associated with lower odds of depression.

Details

Language :
English
ISSN :
1660-4601
Volume :
17
Issue :
24
Database :
MEDLINE
Journal :
International journal of environmental research and public health
Publication Type :
Academic Journal
Accession number :
33322467
Full Text :
https://doi.org/10.3390/ijerph17249276