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Xiaofan Yuan1, Yang Gao1, Fan Yang1

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Age-friendly community (AFC) factors like housing and civic engagement can reduce post-stroke depression (PSD). Improving these areas aids stroke recovery and lessens the PSD burden.

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Area of Science:

  • Gerontology
  • Public Health
  • Neurology

Background:

  • Adverse environmental factors are linked to depressive symptoms.
  • The relationship between age-friendly communities (AFC) and post-stroke depression (PSD) is not well understood.

Purpose of the Study:

  • To investigate the association between age-friendly community (AFC) domains and post-stroke depression (PSD).
  • To identify protective factors within AFC that may mitigate PSD.

Main Methods:

  • Prospective cohort study of 335 elderly stroke patients.
  • Assessment at six months post-discharge using AFC framework and Hamilton Depression Scale (HAMD).
  • Correlation and logistic regression analyses were employed.

Main Results:

  • 144 participants (43%) were diagnosed with PSD.
  • Higher AFC scores correlated negatively with PSD severity (r = -0.63, P < 0.01).
  • Housing, outdoor spaces, and civic participation/employment were protective against PSD (ORs 0.76-0.70).

Conclusions:

  • Enhancing housing, outdoor spaces, and civic engagement can reduce the burden of PSD.
  • Integrating AFC principles into stroke recovery strategies is recommended.
  • These findings support a community-centered approach to post-stroke care.