空气污染,社会参与和老年人的抑郁症:来自瑞典基于人口的队列研究的结果
Jing Wu1, Giulia Grande1, Federico Triolo1
1Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Stockholm, Sweden.
Environmental pollution (Barking, Essex : 1987)
|August 19, 2023
概括
长期暴露于空气污染,包括细颗粒物 (PM2.5) 和氧化 (NOx),会增加老年人抑郁症的风险. 然而,积极的社会参与可以显著降低这种风险,强调社会联系的保护作用.
科学领域:
- 环境健康 环境健康
- 老年学是一门学科.
- 精神病学是一个精神病学.
背景情况:
- 新兴研究表明,户外空气污染与老年人抑郁症之间存在联系,但研究结果不一致.
- 了解老年人群中抑郁症的环境风险因素对于公共卫生倡议至关重要.
研究的目的:
- 调查长期暴露于环境空气污染 (PM2.5,PM10,NOx) 和老年人患抑郁症的风险之间的关联.
- 探索积极的社会参与是否会改变空气污染暴露与抑郁风险之间的关系.
主要方法:
- 一项基于人口的纵向队列研究 (瑞典国家关于Kungsholmen老龄化和护理的研究,SNAC-K) 包括2812名没有抑郁症的老年人.
- 在2004-2013年期间,使用DSM-IV标准确定了发生抑郁症的病例.
- 估计空气污染水平 (PM2.5,PM10,NOx) 使用住宅分散模型;通过自我报告的活动频率来评估社会参与.
主要成果:
- 对PM2.5,NOx和PM10的更高暴露与抑郁症的风险增加有关 (HR:分别为1.53,1.26,1.07).
- 这些关联在积极参与社会活动的个人中显著减弱.
- 积极的社会参与似乎降低了与空气污染暴露相关的抑郁症风险.
结论:
- 长期暴露于环境空气污染是老年人抑郁症的潜在危险因素.
- 积极的社会参与可以作为一种保护因素,减轻空气污染对这一人口群体心理健康的不利影响.
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