Local Area Deprivation and UrbanRural Differences in Anxiety and Depression Among People Older Than 75 Years in Britain
Kate Walters, MRCGP,
Elizabeth Breeze, PhD,
Paul Wilkinson, MRCP,
Gill M. Price, PhD,
Chris J. Bulpitt, MD, FRCP and
Astrid Fletcher, PhD
At the time of the study, Kate Walters, Paul Wilkinson, Gill M. Price, Astrid Fletcher, and Elizabeth Breeze were with the London School of Hygiene and Tropical Medicine. Chris J. Bulpitt is with Imperial College London.
Correspondence: Requests for reprints should be sent to Astrid Fletcher, Department of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, Keppel St, London WC1E 7HT United Kingdom (e-mail: astrid. fletcher{at}lshtm.ac.uk).
Objectives. We sought to determine the association of depressionand anxiety with "area deprivation" (neighborhood socioeconomicdeprivation) and population density among people older than75 years in Britain.
Methods. Postal codes were used to link census area informationto individual data on depression and anxiety in 13349 peopleaged 75 years and older taking part in a trial of health screening.
Results. Living in the most socioeconomically deprived areaswas associated with depression (OR=1.4), but this relation disappearedafter adjusting for individual deprivation characteristics.There was no association with anxiety. Living in the highestdensity and intermediate low-density areas was associated withdepression (OR=1.6 and 1.5) and anxiety (OR=1.5 and 1.3) comparedwith the lowest density areas.
Conclusions. An association between area deprivation and depressionin older people was explained by individual health, demographic,and socioeconomic factors. Higher population density was consistentlyassociated with increased depression and anxiety.
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