Depressive symptoms among Chinese residents: how are the natural, built, and social environments correlated?

Abstract Background Depression has become a severe societal problem in China. Although many studies have analyzed how environmental characteristics within neighborhoods affect depression, only a few have dealt with developing countries, and even fewer have considered built, natural, and social envir...

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Main Authors: Ruoyu Wang, Ye Liu, Desheng Xue, Marco Helbich
Format: Article
Language:English
Published: BMC 2019-07-01
Series:BMC Public Health
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12889-019-7171-9
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author Ruoyu Wang
Ye Liu
Desheng Xue
Marco Helbich
author_facet Ruoyu Wang
Ye Liu
Desheng Xue
Marco Helbich
author_sort Ruoyu Wang
collection DOAJ
description Abstract Background Depression has become a severe societal problem in China. Although many studies have analyzed how environmental characteristics within neighborhoods affect depression, only a few have dealt with developing countries, and even fewer have considered built, natural, and social environments concurrently. Methods Based on a sample of 20,533 Chinese residents assessed in 2016, the present study examined associations between depressive symptoms and respondents’ built, natural, and social environments. Depressive symptoms were measured using the Center for Epidemiologic Studies Depression Scale (CES-D), and multilevel regression models were fitted accounting for potential covariates. Results Results indicated that living in neighborhoods with more green spaces and a higher population density were negatively associated with CES-D scores. Living in neighborhoods with more social capital was protective against depression. Furthermore, results showed that the social environment moderated the association between the built environment and depression. Conclusions Social environments moderate the relationship between the built environment and depression. As environments seem to interact with each other, we advise against relying on a single environment when examining associations with depressive symptoms.
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spelling doaj.art-940701fdac8449189a20df3431a70d812022-12-21T23:34:45ZengBMCBMC Public Health1471-24582019-07-011911810.1186/s12889-019-7171-9Depressive symptoms among Chinese residents: how are the natural, built, and social environments correlated?Ruoyu Wang0Ye Liu1Desheng Xue2Marco Helbich3School of Geography and Planning, Sun Yat-Sen UniversitySchool of Geography and Planning, Sun Yat-Sen UniversitySchool of Geography and Planning, Sun Yat-Sen UniversityDepartment of Human Geography and Spatial Planning, Utrecht UniversityAbstract Background Depression has become a severe societal problem in China. Although many studies have analyzed how environmental characteristics within neighborhoods affect depression, only a few have dealt with developing countries, and even fewer have considered built, natural, and social environments concurrently. Methods Based on a sample of 20,533 Chinese residents assessed in 2016, the present study examined associations between depressive symptoms and respondents’ built, natural, and social environments. Depressive symptoms were measured using the Center for Epidemiologic Studies Depression Scale (CES-D), and multilevel regression models were fitted accounting for potential covariates. Results Results indicated that living in neighborhoods with more green spaces and a higher population density were negatively associated with CES-D scores. Living in neighborhoods with more social capital was protective against depression. Furthermore, results showed that the social environment moderated the association between the built environment and depression. Conclusions Social environments moderate the relationship between the built environment and depression. As environments seem to interact with each other, we advise against relying on a single environment when examining associations with depressive symptoms.http://link.springer.com/article/10.1186/s12889-019-7171-9DepressionBuilt, natural, and social environmentsModerating effectChina
spellingShingle Ruoyu Wang
Ye Liu
Desheng Xue
Marco Helbich
Depressive symptoms among Chinese residents: how are the natural, built, and social environments correlated?
BMC Public Health
Depression
Built, natural, and social environments
Moderating effect
China
title Depressive symptoms among Chinese residents: how are the natural, built, and social environments correlated?
title_full Depressive symptoms among Chinese residents: how are the natural, built, and social environments correlated?
title_fullStr Depressive symptoms among Chinese residents: how are the natural, built, and social environments correlated?
title_full_unstemmed Depressive symptoms among Chinese residents: how are the natural, built, and social environments correlated?
title_short Depressive symptoms among Chinese residents: how are the natural, built, and social environments correlated?
title_sort depressive symptoms among chinese residents how are the natural built and social environments correlated
topic Depression
Built, natural, and social environments
Moderating effect
China
url http://link.springer.com/article/10.1186/s12889-019-7171-9
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AT marcohelbich depressivesymptomsamongchineseresidentshowarethenaturalbuiltandsocialenvironmentscorrelated