TY - JOUR
T1 - Quality of accommodation and risk of depression in later life: An analysis of prospective data from the Gospel Oak Project
AU - Stewart, R
AU - Prince, M
AU - Harwood, R
AU - Whitley, R
AU - Mann, A
PY - 2002/12/1
Y1 - 2002/12/1
N2 - Objective: To investigate the association between observer-rated quality of internal accommodation and risk of onset of depression. Design: A secondary analysis of data from a cross-sectional survey of residents aged 65 or over in a north London electoral ward who were followed up after a one-year interval. Method: Pervasive depression (SHORT-CARE) was assessed at both interviews. Quality of accommodation (on a five-point scale) was assessed by a single interviewer in a random sample at baseline. Potential confounding factors which were considered included age, sex, social class, level of handicap, level of social support, baseline sub-case depressive symptoms, cognitive function, income, accommodation tenure and area-level housing quality. Results: In participants without depression at baseline (n = 131), worse accommodation was associated with depression after one year (odds ratio (OR) between three accommodation groups 3.3, 95% confidence intervals (CI) 1.5-7.8). Adjustment for the potential confounding factors made little difference (adjusted OR 3.3). The association was principally in people cohabiting (OR 12.4) rather than living alone (OR 1.1). Conclusions: An observer's impression of accommodation quality was a strong and independent predictor of depression in this sample. The stronger association in people who were cohabiting may reflect increased exposure to the internal environment. Copyright (C) 2002 John Wiley & Sons, Ltd
AB - Objective: To investigate the association between observer-rated quality of internal accommodation and risk of onset of depression. Design: A secondary analysis of data from a cross-sectional survey of residents aged 65 or over in a north London electoral ward who were followed up after a one-year interval. Method: Pervasive depression (SHORT-CARE) was assessed at both interviews. Quality of accommodation (on a five-point scale) was assessed by a single interviewer in a random sample at baseline. Potential confounding factors which were considered included age, sex, social class, level of handicap, level of social support, baseline sub-case depressive symptoms, cognitive function, income, accommodation tenure and area-level housing quality. Results: In participants without depression at baseline (n = 131), worse accommodation was associated with depression after one year (odds ratio (OR) between three accommodation groups 3.3, 95% confidence intervals (CI) 1.5-7.8). Adjustment for the potential confounding factors made little difference (adjusted OR 3.3). The association was principally in people cohabiting (OR 12.4) rather than living alone (OR 1.1). Conclusions: An observer's impression of accommodation quality was a strong and independent predictor of depression in this sample. The stronger association in people who were cohabiting may reflect increased exposure to the internal environment. Copyright (C) 2002 John Wiley & Sons, Ltd
UR - http://www.scopus.com/inward/record.url?scp=0036905557&partnerID=8YFLogxK
U2 - 10.1002/gps.749
DO - 10.1002/gps.749
M3 - Article
SN - 1099-1166
VL - 17
SP - 1091
EP - 1098
JO - International Journal of Geriatric Psychiatry
JF - International Journal of Geriatric Psychiatry
IS - 12
ER -