Incidence, risk, and associated factors of depression in adults with physical and sensory disabilities: A nationwide population-based study.

BACKGROUND: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. METHODS:Two national databases were used to retrospectively analyze 749,491 ≥20-year-old Taiwa...

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Main Authors: Szu-Ching Shen, Kuang-Hua Huang, Pei-Tseng Kung, Li-Ting Chiu, Wen-Chen Tsai
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2017-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC5376337?pdf=render
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author Szu-Ching Shen
Kuang-Hua Huang
Pei-Tseng Kung
Li-Ting Chiu
Wen-Chen Tsai
author_facet Szu-Ching Shen
Kuang-Hua Huang
Pei-Tseng Kung
Li-Ting Chiu
Wen-Chen Tsai
author_sort Szu-Ching Shen
collection DOAJ
description BACKGROUND: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. METHODS: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. RESULTS: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. CONCLUSIONS AND IMPLICATIONS: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.
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spelling doaj.art-08c3792d89ca40e6ad6a34f4d2ce0b6a2022-12-21T18:29:10ZengPublic Library of Science (PLoS)PLoS ONE1932-62032017-01-01123e017514110.1371/journal.pone.0175141Incidence, risk, and associated factors of depression in adults with physical and sensory disabilities: A nationwide population-based study.Szu-Ching ShenKuang-Hua HuangPei-Tseng KungLi-Ting ChiuWen-Chen TsaiBACKGROUND: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. METHODS: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. RESULTS: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. CONCLUSIONS AND IMPLICATIONS: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.http://europepmc.org/articles/PMC5376337?pdf=render
spellingShingle Szu-Ching Shen
Kuang-Hua Huang
Pei-Tseng Kung
Li-Ting Chiu
Wen-Chen Tsai
Incidence, risk, and associated factors of depression in adults with physical and sensory disabilities: A nationwide population-based study.
PLoS ONE
title Incidence, risk, and associated factors of depression in adults with physical and sensory disabilities: A nationwide population-based study.
title_full Incidence, risk, and associated factors of depression in adults with physical and sensory disabilities: A nationwide population-based study.
title_fullStr Incidence, risk, and associated factors of depression in adults with physical and sensory disabilities: A nationwide population-based study.
title_full_unstemmed Incidence, risk, and associated factors of depression in adults with physical and sensory disabilities: A nationwide population-based study.
title_short Incidence, risk, and associated factors of depression in adults with physical and sensory disabilities: A nationwide population-based study.
title_sort incidence risk and associated factors of depression in adults with physical and sensory disabilities a nationwide population based study
url http://europepmc.org/articles/PMC5376337?pdf=render
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