Neighborhood Effect on Elderly Depression in Republic of Korea

Int J Environ Res Public Health. 2023 Mar 15;20(6):5200. doi: 10.3390/ijerph20065200.

Abstract

This study analyzed the spatial distribution patterns of depression among vulnerable elderly across Republic of Korea. The average level of depression in the basic administrative districts was derived using the individual depression scores from the Health Interview Survey data. Results of the spatial autocorrelation analysis revealed that the Moran's I value was 0.3138, indicating the existence of a neighborhood effect in the depression of the vulnerable older adults at the regional level. Subsequently, cluster analysis and one-way ANOVA were conducted for the hot spots where vulnerable older adult depression was concentrated. Based on the cluster analysis results, hot spots were the areas where the facilities that are necessary for the daily lives of older adults were insufficient and were categorized into three types. The findings indicate that environmental characteristics at the regional level should be considered in addition to the environmental characteristics of the house and neighborhood, which have been primarily addressed in previous studies.

Keywords: cluster analysis; depression; hot spot; neighborhood effect; spatial autocorrelation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Health Surveys
  • Humans
  • Neighborhood Characteristics*
  • Republic of Korea / epidemiology
  • Residence Characteristics*
  • Spatial Analysis

Grants and funding

This work was supported by the National Research Foundation of Republic of Korea (NRF) grant funded by the Republic of Korea government (MSIT) (No. 2022R1C1C2012615). The APC was funded by the Republic of Korea government (MSIT) (No. 2022R1C1C2012615).