Incidence, risk, and associated factors of depression in adults with physical and sensory disabilities: A nationwide population-based study
Physical disability has been associated with the risk of depression. We examined the incidence, risk, and associated factors of depression in Taiwanese adults with physical/sensory disabilities. Two national databases were used to retrospectively analyze 749,491 ≥20-year-old Taiwanese with physical/...
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| creator | Shen, Szu-Ching Huang, Kuang-Hua Kung, Pei-Tseng Chiu, Li-Ting Tsai, Wen-Chen |
| description | Physical disability has been associated with the risk of depression. We examined the incidence, risk, and associated factors of depression in Taiwanese adults with physical/sensory disabilities.
Two national databases were used to retrospectively analyze 749,491 ≥20-year-old Taiwanese with physical/sensory disabilities in 2002-2008. The incidence of depression was analyzed by univariate Poisson regression. Risk factors of depression were followed up through 2014 and examined with a Cox proportional hazards model.
Among the study subjects, the incidence of depression was 6.29 per 1000 person-years, with 1.83 per 1000 person-years corresponding to major depression. The subjects' depression risk was affected by disability type, disability severity, gender, age, education, marital status, aboriginal status, monthly salary, residence urbanization level, and Charlson comorbidity index (CCI). Subjects with rare diseases, mild disability, female gender, age 35-44 years, a high school education level, divorced/widowed status, non-aboriginal status, a NT$22,801-28,800 monthly salary, a highly urbanized residence area, or a CCI≥3 were at higher risk for depression.
Adults with physical/sensory disabilities have a 3.7-fold higher incidence of depression than the general population. Social services departments and family members should take extra measures toward preventing and treating depression in this subpopulation. |
| doi_str_mv | 10.1371/journal.pone.0175141 |
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Two national databases were used to retrospectively analyze 749,491 ≥20-year-old Taiwanese with physical/sensory disabilities in 2002-2008. The incidence of depression was analyzed by univariate Poisson regression. Risk factors of depression were followed up through 2014 and examined with a Cox proportional hazards model.
Among the study subjects, the incidence of depression was 6.29 per 1000 person-years, with 1.83 per 1000 person-years corresponding to major depression. The subjects' depression risk was affected by disability type, disability severity, gender, age, education, marital status, aboriginal status, monthly salary, residence urbanization level, and Charlson comorbidity index (CCI). Subjects with rare diseases, mild disability, female gender, age 35-44 years, a high school education level, divorced/widowed status, non-aboriginal status, a NT$22,801-28,800 monthly salary, a highly urbanized residence area, or a CCI≥3 were at higher risk for depression.
Adults with physical/sensory disabilities have a 3.7-fold higher incidence of depression than the general population. Social services departments and family members should take extra measures toward preventing and treating depression in this subpopulation.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0175141</identifier><identifier>PMID: 28362849</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Adults ; Age Distribution ; Aged ; Analysis ; Comorbidity ; Depression (Mood disorder) ; Depression - epidemiology ; Disabilities ; Education ; Educational Status ; Female ; Hazards ; Health risks ; Humans ; Incidence ; Indexing ; Male ; Marital Status ; Medicine and Health Sciences ; Mental depression ; Middle Aged ; Older people ; People and Places ; Population studies ; Population-based studies ; Prevalence studies (Epidemiology) ; Proportional Hazards Models ; Rare diseases ; Regression analysis ; Retrospective Studies ; Risk analysis ; Risk Factors ; Sex Distribution ; Social Sciences ; Social services ; Urbanization ; Womens health ; Young Adult</subject><ispartof>PloS one, 2017-03, Vol.12 (3), p.e0175141-e0175141</ispartof><rights>COPYRIGHT 2017 Public Library of Science</rights><rights>2017 Shen et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2017 Shen et al 2017 Shen et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c622t-f2d36deece1ba905e1f1909f1e860ef68dac62aac3ef41e5ff9b6f651fa90c783</citedby><cites>FETCH-LOGICAL-c622t-f2d36deece1ba905e1f1909f1e860ef68dac62aac3ef41e5ff9b6f651fa90c783</cites><orcidid>0000-0002-9684-0789</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5376337/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5376337/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793,79600,79601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28362849$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Li, Dongmei</contributor><creatorcontrib>Shen, Szu-Ching</creatorcontrib><creatorcontrib>Huang, Kuang-Hua</creatorcontrib><creatorcontrib>Kung, Pei-Tseng</creatorcontrib><creatorcontrib>Chiu, Li-Ting</creatorcontrib><creatorcontrib>Tsai, Wen-Chen</creatorcontrib><title>Incidence, risk, and associated factors of depression in adults with physical and sensory disabilities: A nationwide population-based study</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Physical disability has been associated with the risk of depression. We examined the incidence, risk, and associated factors of depression in Taiwanese adults with physical/sensory disabilities.
Two national databases were used to retrospectively analyze 749,491 ≥20-year-old Taiwanese with physical/sensory disabilities in 2002-2008. The incidence of depression was analyzed by univariate Poisson regression. Risk factors of depression were followed up through 2014 and examined with a Cox proportional hazards model.
Among the study subjects, the incidence of depression was 6.29 per 1000 person-years, with 1.83 per 1000 person-years corresponding to major depression. The subjects' depression risk was affected by disability type, disability severity, gender, age, education, marital status, aboriginal status, monthly salary, residence urbanization level, and Charlson comorbidity index (CCI). Subjects with rare diseases, mild disability, female gender, age 35-44 years, a high school education level, divorced/widowed status, non-aboriginal status, a NT$22,801-28,800 monthly salary, a highly urbanized residence area, or a CCI≥3 were at higher risk for depression.
Adults with physical/sensory disabilities have a 3.7-fold higher incidence of depression than the general population. Social services departments and family members should take extra measures toward preventing and treating depression in this subpopulation.</description><subject>Adult</subject><subject>Adults</subject><subject>Age Distribution</subject><subject>Aged</subject><subject>Analysis</subject><subject>Comorbidity</subject><subject>Depression (Mood disorder)</subject><subject>Depression - epidemiology</subject><subject>Disabilities</subject><subject>Education</subject><subject>Educational Status</subject><subject>Female</subject><subject>Hazards</subject><subject>Health risks</subject><subject>Humans</subject><subject>Incidence</subject><subject>Indexing</subject><subject>Male</subject><subject>Marital Status</subject><subject>Medicine and Health Sciences</subject><subject>Mental depression</subject><subject>Middle Aged</subject><subject>Older people</subject><subject>People and Places</subject><subject>Population studies</subject><subject>Population-based studies</subject><subject>Prevalence studies (Epidemiology)</subject><subject>Proportional Hazards Models</subject><subject>Rare diseases</subject><subject>Regression analysis</subject><subject>Retrospective Studies</subject><subject>Risk analysis</subject><subject>Risk Factors</subject><subject>Sex Distribution</subject><subject>Social Sciences</subject><subject>Social services</subject><subject>Urbanization</subject><subject>Womens health</subject><subject>Young 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with physical and sensory disabilities: A nationwide population-based study</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2017-03-31</date><risdate>2017</risdate><volume>12</volume><issue>3</issue><spage>e0175141</spage><epage>e0175141</epage><pages>e0175141-e0175141</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Physical disability has been associated with the risk of depression. We examined the incidence, risk, and associated factors of depression in Taiwanese adults with physical/sensory disabilities.
Two national databases were used to retrospectively analyze 749,491 ≥20-year-old Taiwanese with physical/sensory disabilities in 2002-2008. The incidence of depression was analyzed by univariate Poisson regression. Risk factors of depression were followed up through 2014 and examined with a Cox proportional hazards model.
Among the study subjects, the incidence of depression was 6.29 per 1000 person-years, with 1.83 per 1000 person-years corresponding to major depression. The subjects' depression risk was affected by disability type, disability severity, gender, age, education, marital status, aboriginal status, monthly salary, residence urbanization level, and Charlson comorbidity index (CCI). Subjects with rare diseases, mild disability, female gender, age 35-44 years, a high school education level, divorced/widowed status, non-aboriginal status, a NT$22,801-28,800 monthly salary, a highly urbanized residence area, or a CCI≥3 were at higher risk for depression.
Adults with physical/sensory disabilities have a 3.7-fold higher incidence of depression than the general population. Social services departments and family members should take extra measures toward preventing and treating depression in this subpopulation.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>28362849</pmid><doi>10.1371/journal.pone.0175141</doi><tpages>e0175141</tpages><orcidid>https://orcid.org/0000-0002-9684-0789</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS) Journals Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Adult Adults Age Distribution Aged Analysis Comorbidity Depression (Mood disorder) Depression - epidemiology Disabilities Education Educational Status Female Hazards Health risks Humans Incidence Indexing Male Marital Status Medicine and Health Sciences Mental depression Middle Aged Older people People and Places Population studies Population-based studies Prevalence studies (Epidemiology) Proportional Hazards Models Rare diseases Regression analysis Retrospective Studies Risk analysis Risk Factors Sex Distribution Social Sciences Social services Urbanization Womens health Young Adult |
| title | Incidence, risk, and associated factors of depression in adults with physical and sensory disabilities: A nationwide population-based study |
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