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Am J Public Health. 2004 Oct;94(10):1768-74.

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

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1
Department of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, Keppel St, London WC1E 7HT United Kingdom.

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.

PMID:
15451748
PMCID:
PMC1448532
[Indexed for MEDLINE]
Free PMC Article
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