The association between tourism experiences and anxiety and depression:A study based on elderly people in China
Objective:To explore the associations of tourism experiences with anxiety and depression.Methods:The participants of this study were from the cohort of Chinese Longitudinal Healthy Longevity Survey(CLHLS).We collected the baseline data of sociodemographic,tourism experiences,anxiety and depression from the 2018 wave of this cohort.Logistic regression models were performed to analyze the relationship between tourism and anxiety and depression.Results:A total of 9319 people were included in this study,among whom the prevalence rates of anxiety and depression were 11.9%and 18.9%respectively.Among the participants with tourism experiences,the rates of anxiety and depression were 8.6%and 11.6%;meanwhile,the rates of anxiety and depression were 12.9%and 20.4%in those without tourism experiences.There were statistically significant differences in the prevalence rates of anxiety and depression between the elderly with and without tourism experiences(P<0.05).Logistic regression analysis showed that,after adjusting for sociodemographic data(i.e.,age,gender,marital status,education level,residential area,and residential patterns),there were lower risks for anxiety(OR = 0.68,95%CI:0.55～0.83,P<0.01)and depression(OR = 0.66,95%CI:0.55～0.79,P<0.01)among the participants with tourism experiences.After adjusting for above mentioned sociodemographic data,smoking,alcohol consumption,BMI,and annual household income,the risk of anxiety and depression was also lower among tourists(ORanxiety = 0.77,95%CI:0.59～0.99,P = 0.04;ORdepression = 0.67,95%CI:0.54～0.85,P<0.01).Subgroup analysis indicated that the gender of male(OR = 0.56,95%CI:0.36～0.88,P = 0.01),being married(OR = 0.59,95%CI:0.41～0.83,P<0.01),sleep time less than 6 hours(OR = 0.56,95%CI:0.34～0.91,P = 0.02),and annual household income>80 000(OR = 0.09,95%CI:0.01～0.80,P = 0.03)reduced anxiety risk.Living in rural areas(OR = 0.45,95%CI:0.29～0.72,P<0.01)and normal body mass index(OR = 0.63,95%CI:0.46～0.85,P<0.01)reduced the risk of depression.Conclusion:Tourism experiences has a positive association with decline of risk for anxiety and depression in the elderly pelple of China.Tourism can serve as one of effective approaches to alleviating anxiety and depression.
万方数据
维普
