Skip directly to search Skip directly to A to Z list Skip directly to page options Skip directly to site content

NIOSHTIC-2 Publications Search

Search Results

Depressive symptoms as a risk factor for unintentional injury: a cohort study in a rural county.

Authors
Tiesman-HM; Peek-Asa-C; Whitten-P; Sprince-NL; Stromquist-A; Zwerling-C
Source
Inj Prev 2006 Jun; 12(3):172-177
NIOSHTIC No.
20040669
Abstract
OBJECTIVE: The authors used data from a population based prospective cohort study to determine if depressive symptoms predicted incidence of unintentional injury. METHODS: The Keokuk County Rural Health Study, based in Iowa, is a prospective cohort study of health status that includes injury outcomes. Depressive symptoms were measured using the 11-item Center for Epidemiologic Studies Depression Scale at the beginning of the study on 1493 participants. Quarterly follow up phone calls were made to measure injury incidence. RESULTS: 471 injuries were reported for an overall injury rate of 9.8 per 100 person-years. Crude injury rates were significantly higher for those with depressive symptoms (p = 0.0003). Those with depressive symptoms had a 41% increased risk for injury after controlling for antidepressant medication use, gender, prior injury, income, and sleepiness (RR = 1.41, 95% CI 1.10 to 1.80). Depressive symptoms remained a risk factor for injury regardless of current antidepressant medication use (no medication use, RR = 1.43, 95% CI 1.09 to 1.88; medication use, RR = 1.31, 95% CI 0.76 to 2.26). CONCLUSIONS: Depressive symptoms were found to be risk factors for unintentional injury. Medical practitioners should consider talking about safety with their patients, especially those reporting symptoms of depression, and recognize that an increased risk for injury remains until the depressive symptoms subside.
Keywords
Humans; Men; Women; Age-groups; Injuries; Epidemiology; Statistical-analysis; Psychology; Psychological-disorders; Psychological-processes
Contact
Ms H Tiesman, The University of Iowa College of Public Health, Department of Occupational and Environmental Health, 100 Oakdale Blvd. #100 IREH, Iowa City, IA 52242-5000
Publication Date
20060601
Document Type
Journal Article
Email Address
hope-tiesman@uiowa.edu
Funding Type
Cooperative Agreement; Grant
Fiscal Year
2006
NTIS Accession No.
NTIS Price
Identifying No.
Cooperative-Agreement-Number-T42-CCU-706145; Grant-Number-T42-CCT-717547; Grant-Number-T42-OH-008491
Issue of Publication
3
ISSN
1353-8047
Source Name
Injury Prevention
State
IA
Performing Organization
University of Iowa, Iowa City, Iowa
TOP