Neighborhood features and depression in Mexican older adults: A longitudinal analysis based on the study on global AGEing and adult health (SAGE), waves 1 and 2 (2009-2014)

Julián Alfredo Fernández-Nino, Laura Juliana Bonilla-Tinoco, Betty Soledad Manrique-Espinoza, Aaron Salinas-Rodríguez, René Santos-Luna, Susana Román-Pérez, Evangelina Morales-Carmona, Dustin T. Duncan

Research output: Contribution to journalArticle

Abstract

A growing body of literature shows that neighborhood characteristics influence older adults' mental health. Therefore, the aim of this study was to examine the association between structural and social characteristics of the neighborhood, and depression in Mexican older adults. A longitudinal study was conducted based on waves 1 (2009-2010) and 2 (2014) of the Mexican sample from the Study on global AGEing and adult health (SAGE). A street-network buffer around each participant's household was used to define neighborhood, so that built environment and social characteristics were assessed within it. Depression was ascertained by using an algorithm based on the Composite International Diagnostic Interview. In the analysis, multilevel logistic regression models were constructed separately for each built and social environments measurement, adjusted for socioeconomic, demographic and health-related covariates, and stratified by area of residence (urban versus rural). The results showed that a length of space between 15-45 meters restricted to vehicles was significantly associated with a lower risk of depression in older adults from the urban area (OR: 0.44; IC 95% 0.23-0.83) and the protective association appeared to be larger with increasing space with this restriction, although it lacked significance. Contrarily, the built environment measures were not predictive of depression in the rural setting. On the other hand, none of the variables from the social environment had a significant association, although safety appeared to behave as a risk factor in the overall (OR: 1.48; CI 95% 0.96-2.30; p = 0.08) and rural (OR: 3.44; CI 95% 0.95-12.45; p = 0.06) samples, as it reached marginal significance. Research about neighborhood effects on older adults' mental health is an emergent field that has shown that depression might be treated not only from the individual-level, but also from the neighborhood-level. Additionally, further research is needed, especially in low- and middle-income countries, to help guide neighborhood policies.

Original languageEnglish (US)
Article numbere0219540
JournalPloS one
Volume14
Issue number7
DOIs
StatePublished - Jan 1 2019

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Aging of materials
Health
Depression
mental health
social environment
Social Environment
Mental Health
logit analysis
longitudinal studies
Logistic Models
urban areas
Logistics
socioeconomics
households
interviews
Buffers
income
risk factors
demographic statistics
buffers

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)
  • Agricultural and Biological Sciences(all)
  • General

Cite this

Fernández-Nino, J. A., Bonilla-Tinoco, L. J., Manrique-Espinoza, B. S., Salinas-Rodríguez, A., Santos-Luna, R., Román-Pérez, S., ... Duncan, D. T. (2019). Neighborhood features and depression in Mexican older adults: A longitudinal analysis based on the study on global AGEing and adult health (SAGE), waves 1 and 2 (2009-2014). PloS one, 14(7), [e0219540]. https://doi.org/10.1371/journal.pone.0219540

Neighborhood features and depression in Mexican older adults : A longitudinal analysis based on the study on global AGEing and adult health (SAGE), waves 1 and 2 (2009-2014). / Fernández-Nino, Julián Alfredo; Bonilla-Tinoco, Laura Juliana; Manrique-Espinoza, Betty Soledad; Salinas-Rodríguez, Aaron; Santos-Luna, René; Román-Pérez, Susana; Morales-Carmona, Evangelina; Duncan, Dustin T.

In: PloS one, Vol. 14, No. 7, e0219540, 01.01.2019.

Research output: Contribution to journalArticle

Fernández-Nino, JA, Bonilla-Tinoco, LJ, Manrique-Espinoza, BS, Salinas-Rodríguez, A, Santos-Luna, R, Román-Pérez, S, Morales-Carmona, E & Duncan, DT 2019, 'Neighborhood features and depression in Mexican older adults: A longitudinal analysis based on the study on global AGEing and adult health (SAGE), waves 1 and 2 (2009-2014)', PloS one, vol. 14, no. 7, e0219540. https://doi.org/10.1371/journal.pone.0219540
Fernández-Nino JA, Bonilla-Tinoco LJ, Manrique-Espinoza BS, Salinas-Rodríguez A, Santos-Luna R, Román-Pérez S et al. Neighborhood features and depression in Mexican older adults: A longitudinal analysis based on the study on global AGEing and adult health (SAGE), waves 1 and 2 (2009-2014). PloS one. 2019 Jan 1;14(7). e0219540. https://doi.org/10.1371/journal.pone.0219540
Fernández-Nino, Julián Alfredo ; Bonilla-Tinoco, Laura Juliana ; Manrique-Espinoza, Betty Soledad ; Salinas-Rodríguez, Aaron ; Santos-Luna, René ; Román-Pérez, Susana ; Morales-Carmona, Evangelina ; Duncan, Dustin T. / Neighborhood features and depression in Mexican older adults : A longitudinal analysis based on the study on global AGEing and adult health (SAGE), waves 1 and 2 (2009-2014). In: PloS one. 2019 ; Vol. 14, No. 7.
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abstract = "A growing body of literature shows that neighborhood characteristics influence older adults' mental health. Therefore, the aim of this study was to examine the association between structural and social characteristics of the neighborhood, and depression in Mexican older adults. A longitudinal study was conducted based on waves 1 (2009-2010) and 2 (2014) of the Mexican sample from the Study on global AGEing and adult health (SAGE). A street-network buffer around each participant's household was used to define neighborhood, so that built environment and social characteristics were assessed within it. Depression was ascertained by using an algorithm based on the Composite International Diagnostic Interview. In the analysis, multilevel logistic regression models were constructed separately for each built and social environments measurement, adjusted for socioeconomic, demographic and health-related covariates, and stratified by area of residence (urban versus rural). The results showed that a length of space between 15-45 meters restricted to vehicles was significantly associated with a lower risk of depression in older adults from the urban area (OR: 0.44; IC 95{\%} 0.23-0.83) and the protective association appeared to be larger with increasing space with this restriction, although it lacked significance. Contrarily, the built environment measures were not predictive of depression in the rural setting. On the other hand, none of the variables from the social environment had a significant association, although safety appeared to behave as a risk factor in the overall (OR: 1.48; CI 95{\%} 0.96-2.30; p = 0.08) and rural (OR: 3.44; CI 95{\%} 0.95-12.45; p = 0.06) samples, as it reached marginal significance. Research about neighborhood effects on older adults' mental health is an emergent field that has shown that depression might be treated not only from the individual-level, but also from the neighborhood-level. Additionally, further research is needed, especially in low- and middle-income countries, to help guide neighborhood policies.",
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