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Local area deprivation and urban-rural differences in anxiety and depression among people older than 75 years in Britain

Author

Listed:
  • Walters, K.
  • Breeze, E.
  • Wilkinson, P.
  • Price, G.M.
  • Bulpitt, C.J.
  • Fletcher, A.

Abstract

Objectives. We sought to determine the association of depression and anxiety with "area deprivation" (neighborhood socioeconomic deprivation) and population density among people older than 75 years in Britain. Methods. Postal codes were used to link census area information to individual data on depression and anxiety in 13349 people aged 75 years and older taking part in a trial of health screening. Results. Living in the most socioeconomically deprived areas was associated with depression (OR = 1.4), but this relation disappeared after adjusting for individual deprivation characteristics. There was no association with anxiety. Living in the highest density and intermediate low-density areas was associated with depression (OR = 1.6 and 1.5) and anxiety (OR = 1.5 and 1.3) compared with the lowest density areas. Conclusions. An association between area deprivation and depression in older people was explained by individual health, demographic, and socioeconomic factors. Higher population density was consistently associated with increased depression and anxiety.

Suggested Citation

  • Walters, K. & Breeze, E. & Wilkinson, P. & Price, G.M. & Bulpitt, C.J. & Fletcher, A., 2004. "Local area deprivation and urban-rural differences in anxiety and depression among people older than 75 years in Britain," American Journal of Public Health, American Public Health Association, vol. 94(10), pages 1768-1774.
    • Handle: RePEc:aph:ajpbhl:2004:94:10:1768-1774_4
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    Cited by:

    1. Cláudia Jardim Santos & Inês Paciência & Ana Isabel Ribeiro, 2022. "Neighbourhood Socioeconomic Processes and Dynamics and Healthy Ageing: A Scoping Review," IJERPH, MDPI, vol. 19(11), pages 1-26, May.
    2. Bowling, Ann & Stafford, Mai, 2007. "How do objective and subjective assessments of neighbourhood influence social and physical functioning in older age? Findings from a British survey of ageing," Social Science & Medicine, Elsevier, vol. 64(12), pages 2533-2549, June.
    3. Susan C. Hu & Yu-Hsuan Tsai & Der-Chiang Li & Wan-Chen Hsu & Nuan-Ching Huang, 2021. "Social-Economic Environments and Depressive Symptoms in Community-Dwelling Adults: A Multi-Level Analysis for Two Nationwide Datasets in Taiwan," IJERPH, MDPI, vol. 18(14), pages 1-11, July.
    4. Emma Bassett & Spencer Moore, 2013. "Gender Differences in the Social Pathways Linking Neighborhood Disadvantage to Depressive Symptoms in Adults," PLOS ONE, Public Library of Science, vol. 8(10), pages 1-8, October.
    5. Masashige Saito & Katsunori Kondo & Naoki Kondo & Aya Abe & Toshiyuki Ojima & Kayo Suzuki & the JAGES group, 2014. "Relative Deprivation, Poverty, and Subjective Health: JAGES Cross-Sectional Study," PLOS ONE, Public Library of Science, vol. 9(10), pages 1-9, October.
    6. Sabela Siaba, & Bruno Casal & Berta Rivera, 2024. "The Impact of Financial Constraints on Quality of Life and Mental Health in the Elderly: Evidence from Spain," Hacienda Pública Española / Review of Public Economics, IEF, vol. 249(2), pages 9-34, June.
    7. Julián Alfredo Fernández-Niño & Betty Soledad Manrique-Espinoza & Ietza Bojorquez-Chapela & Aarón Salinas-Rodríguez, 2014. "Income Inequality, Socioeconomic Deprivation and Depressive Symptoms among Older Adults in Mexico," PLOS ONE, Public Library of Science, vol. 9(9), pages 1-8, September.
    8. Gill Hubbard & Chantal den Daas & Marie Johnston & Peter Murchie & Catharine Ward Thompson & Diane Dixon, 2021. "Are Rurality, Area Deprivation, Access to Outside Space, and Green Space Associated with Mental Health during the COVID-19 Pandemic? A Cross Sectional Study (CHARIS-E)," IJERPH, MDPI, vol. 18(8), pages 1-17, April.
    9. Wilson-Genderson, Maureen & Pruchno, Rachel, 2013. "Effects of neighborhood violence and perceptions of neighborhood safety on depressive symptoms of older adults," Social Science & Medicine, Elsevier, vol. 85(C), pages 43-49.
    10. Nina Rautio & Svetlana Filatova & Heli Lehtiniemi & Jouko Miettunen, 2018. "Living environment and its relationship to depressive mood: A systematic review," International Journal of Social Psychiatry, , vol. 64(1), pages 92-103, February.
    11. Manuela Alcañiz & Maria-Carme Riera-Prunera & Aïda Solé-Auró, 2020. "“When I Retire, I’ll Move Out of the City”: Mental Well-being of the Elderly in Rural vs. Urban Settings," IJERPH, MDPI, vol. 17(7), pages 1-14, April.
    12. Yuri Sasaki & Yugo Shobugawa & Ikuma Nozaki & Daisuke Takagi & Yuiko Nagamine & Masafumi Funato & Yuki Chihara & Yuki Shirakura & Kay Thi Lwin & Poe Ei Zin & Thae Zarchi Bo & Tomofumi Sone & Hla Hla W, 2021. "Rural–Urban Differences in the Factors Affecting Depressive Symptoms among Older Adults of Two Regions in Myanmar," IJERPH, MDPI, vol. 18(6), pages 1-12, March.
    13. Mishra, Sandeep & Carleton, R. Nicholas, 2015. "Subjective relative deprivation is associated with poorer physical and mental health," Social Science & Medicine, Elsevier, vol. 147(C), pages 144-149.
    14. Mõttus, René & Gale, Catharine R. & Starr, John M. & Deary, Ian J., 2012. "‘On the street where you live’: Neighbourhood deprivation and quality of life among community-dwelling older people in Edinburgh, Scotland," Social Science & Medicine, Elsevier, vol. 74(9), pages 1368-1374.

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