{"title":"利用多层次分析评估长期暴露于细颗粒物（PM2.5）对韩国老年人抑郁情绪的影响","authors":"Kyunghee Jo","doi":"10.18502/ijph.v53i8.16284","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The harmful effects of particulate matter (PM) are amplified in older adults, who experience a decline in physiological function, reducing their ability to expel and detoxify inhaled PM. Moreover, older adults may be more vulnerable to fine particulate toxicity due to underlying medical conditions. We assessed the effects of long-term exposure to fine particulate matter (PM<sub>2.5</sub>) on depressive mood (DM) in adults aged > 65 yr using community-based data.</p><p><strong>Methods: </strong>In the 2017, Korean Community Health Survey (KCHS) data, data of PM<sub>2.5</sub> and community factors were constructed based on participants who responded to DM in a sample of 67,802 individuals. To evaluate the effect of PM<sub>2.5</sub> on DM among older adults, a multilevel regression model was constructed using individual-(KCHS) and community-level data (PM<sub>2.5</sub>, green area per capita, urban area, social welfare budget, health, and social business). For PM<sub>2.5</sub>, an independent variable, quartiles were used to classify regions according to concentration.</p><p><strong>Results: </strong>A positive correlation was found between PM<sub>2.5</sub> and DM of older adults. Compared to Q1, the odds ratio increased to 1.15 (95% CI 0.76-1.74) in Q2, 1.55 (95% CI 1.02-2.35) in Q3, and 1.60 (95% CI 1.16-2.20) in Q4.</p><p><strong>Conclusion: </strong>DM may increase in older individuals living in areas with high PM<sub>2.5</sub>. Systematic mental health management is required for older individuals residing in such areas.</p>","PeriodicalId":49173,"journal":{"name":"Iranian Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":1.3000,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11475172/pdf/","citationCount":"0","resultStr":"{\"title\":\"Evaluating the Effects of Long-Term Exposure to Fine Particulate Matter (PM<sub>2.5</sub>) on Depressive Mood among Korean Older Adults Using Multilevel Analysis.\",\"authors\":\"Kyunghee Jo\",\"doi\":\"10.18502/ijph.v53i8.16284\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>The harmful effects of particulate matter (PM) are amplified in older adults, who experience a decline in physiological function, reducing their ability to expel and detoxify inhaled PM. Moreover, older adults may be more vulnerable to fine particulate toxicity due to underlying medical conditions. We assessed the effects of long-term exposure to fine particulate matter (PM<sub>2.5</sub>) on depressive mood (DM) in adults aged > 65 yr using community-based data.</p><p><strong>Methods: </strong>In the 2017, Korean Community Health Survey (KCHS) data, data of PM<sub>2.5</sub> and community factors were constructed based on participants who responded to DM in a sample of 67,802 individuals. To evaluate the effect of PM<sub>2.5</sub> on DM among older adults, a multilevel regression model was constructed using individual-(KCHS) and community-level data (PM<sub>2.5</sub>, green area per capita, urban area, social welfare budget, health, and social business). For PM<sub>2.5</sub>, an independent variable, quartiles were used to classify regions according to concentration.</p><p><strong>Results: </strong>A positive correlation was found between PM<sub>2.5</sub> and DM of older adults. Compared to Q1, the odds ratio increased to 1.15 (95% CI 0.76-1.74) in Q2, 1.55 (95% CI 1.02-2.35) in Q3, and 1.60 (95% CI 1.16-2.20) in Q4.</p><p><strong>Conclusion: </strong>DM may increase in older individuals living in areas with high PM<sub>2.5</sub>. Systematic mental health management is required for older individuals residing in such areas.</p>\",\"PeriodicalId\":49173,\"journal\":{\"name\":\"Iranian Journal of Public Health\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.3000,\"publicationDate\":\"2024-08-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11475172/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Iranian Journal of Public Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.18502/ijph.v53i8.16284\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Iranian Journal of Public Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.18502/ijph.v53i8.16284","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
摘要
背景：微粒物质（PM）对老年人的有害影响更大，因为老年人的生理机能会下降，从而降低他们排出吸入的微粒物质并对其进行解毒的能力。此外，由于潜在的疾病，老年人可能更容易受到细颗粒物毒性的影响。我们利用社区数据评估了长期暴露于细颗粒物（PM2.5）对年龄大于65岁的成年人抑郁情绪（DM）的影响：在2017年韩国社区健康调查（KCHS）数据中，根据67802人样本中回答DM的参与者构建了PM2.5和社区因素数据。为了评估 PM2.5 对老年人 DM 的影响，我们利用个人（KCHS）和社区层面的数据（PM2.5、人均绿地面积、城市面积、社会福利预算、健康和社会商业）构建了一个多层次回归模型。对于 PM2.5（自变量），使用四分位数根据浓度对地区进行分类：结果：PM2.5与老年人糖尿病之间存在正相关。与第一季度相比，第二季度的几率上升到 1.15（95% CI 0.76-1.74），第三季度上升到 1.55（95% CI 1.02-2.35），第四季度上升到 1.60（95% CI 1.16-2.20）：结论：生活在 PM2.5 高发地区的老年人的 DM 可能会增加。结论：居住在 PM2.5 高发地区的老年人的 DM 可能会增加，因此需要对居住在这些地区的老年人进行系统的心理健康管理。
Evaluating the Effects of Long-Term Exposure to Fine Particulate Matter (PM2.5) on Depressive Mood among Korean Older Adults Using Multilevel Analysis.
Background: The harmful effects of particulate matter (PM) are amplified in older adults, who experience a decline in physiological function, reducing their ability to expel and detoxify inhaled PM. Moreover, older adults may be more vulnerable to fine particulate toxicity due to underlying medical conditions. We assessed the effects of long-term exposure to fine particulate matter (PM2.5) on depressive mood (DM) in adults aged > 65 yr using community-based data.
Methods: In the 2017, Korean Community Health Survey (KCHS) data, data of PM2.5 and community factors were constructed based on participants who responded to DM in a sample of 67,802 individuals. To evaluate the effect of PM2.5 on DM among older adults, a multilevel regression model was constructed using individual-(KCHS) and community-level data (PM2.5, green area per capita, urban area, social welfare budget, health, and social business). For PM2.5, an independent variable, quartiles were used to classify regions according to concentration.
Results: A positive correlation was found between PM2.5 and DM of older adults. Compared to Q1, the odds ratio increased to 1.15 (95% CI 0.76-1.74) in Q2, 1.55 (95% CI 1.02-2.35) in Q3, and 1.60 (95% CI 1.16-2.20) in Q4.
Conclusion: DM may increase in older individuals living in areas with high PM2.5. Systematic mental health management is required for older individuals residing in such areas.
期刊介绍：
Iranian Journal of Public Health has been continuously published since 1971, as the only Journal in all health domains, with wide distribution (including WHO in Geneva and Cairo) in two languages (English and Persian). From 2001 issue, the Journal is published only in English language. During the last 41 years more than 2000 scientific research papers, results of health activities, surveys and services, have been published in this Journal. To meet the increasing demand of respected researchers, as of January 2012, the Journal is published monthly. I wish this will assist to promote the level of global knowledge. The main topics that the Journal would welcome are: Bioethics, Disaster and Health, Entomology, Epidemiology, Health and Environment, Health Economics, Health Services, Immunology, Medical Genetics, Mental Health, Microbiology, Nutrition and Food Safety, Occupational Health, Oral Health. We would be very delighted to receive your Original papers, Review Articles, Short communications, Case reports and Scientific Letters to the Editor on the above mentioned research areas.
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