The effects of social capital and built environment on depression in urban residents in South Korea
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Euji University School of Medicine, Department of Neuropsychiatry Korea, Republic Of
Publication date: 2023-04-26
Popul. Med. 2023;5(Supplement):A1317
ABSTRACT
Background and Objective:
Social capital is an important factor related to health inequalities and has been reported to be related to depression independently of individual factors. Built environment associated with social capital. The purpose of this study was to find out how social capital and the built environment affect depressive symptoms in a Korean city resident.
Methods:
A cross-sectional study was conducted with 20–69 aged people living in a city in South Korea through an online survey. Based on the literature review, questions related to social capital and built environment were collected, and finally a 23-item self-report questionnaire (5 items of cognitive social capital, 6 items of structural social capital, 12 items of built environment) was prepared. The social capital and built environment questionnaire’s Cronbachs α was 0.91. Depressive symptoms were evaluated using the Patien Health Questionnaire-9(PHQ-9) and depression was determined based on a score of 9. Logistic regression was used to find the relationship between related variables and depression.
Results:
A total number of participants was 555, 163 males (35.8%) and 292 females (64.2%). In simple logistic regression analysis, cognitive social capital (OR=0.36, CI: 0.26-0.48), structural social capital (OR=0.44, CI: 0.35-0.57) and crime/safety-related built environment (OR=045, CI=0.33-0.61), Aesthetics-related built environment 0.61 (0.47-0.81) were all related to depression. After adjusting for gender, age, education level, family income, marital status, number of physical diseases, and presence of chronic diseases, structural social capital (social network/human resources) (OR=0.60, CI:43-0.84) and crime/safety-related built environment (OR=0.66, CI: 0.44-0.99) were still associated with depressive symptoms, however, cognitive social capital(social cohesion/trust), and aesthetics of built environments were not associated with depression.
Conclusion:
This study shows that social capital and built environment are associated with depressive symptoms in urban residents.