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Incidence of disability among preretirement adults: The impact of depression

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  • Dunlop, D.D.
  • Manheim, L.M.
  • Song, J.
  • Lyons, J.S.
  • Chang, R.W.

Abstract

Objectives. We evaluated the effect of depression on risk, on the basis of standardized assessment, for developing activities of daily living (ADL) disability. Methods. Depression-related risk on 2-year ADL disability is estimated from 6871 participants in a population-based national sample aged 54-65 years and free of baseline ADL disability. We evaluated the effects of factors amenable to clinical and public health intervention that may explain the relationship between depression and incident disability. Results. The odds of ADL disability were 4.3 times greater for depressed adults than their non-depressed peers (95% confidence interval = 3.1, 6.0). Among depressed adults, 18.7% of African Americans, 8.0% of Whites, and 7.8% of Hispanics developed disability within 2 years. The attributable population fraction because of depression is 17.3% (95% confidence interval = 11%, 24%). Concurrent health factors moderated depression-associated risk. Conclusions. Elevated risk of ADL disability onset because of depression, in a cohort whose medical costs will imminently be covered via Medicare, is attenuated by factors amenable to public health intervention. Prevention and/or public health/policy programs that lead to more accessible and effective mental health and medical care could reduce the development of ADL disability among depressed adults.

Suggested Citation

  • Dunlop, D.D. & Manheim, L.M. & Song, J. & Lyons, J.S. & Chang, R.W., 2005. "Incidence of disability among preretirement adults: The impact of depression," American Journal of Public Health, American Public Health Association, vol. 95(11), pages 2003-2008.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2004.050948_0
    DOI: 10.2105/AJPH.2004.050948
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    Cited by:

    1. Takafumi Monma & Fumi Takeda & Haruko Noguchi & Hideto Takahashi & Nanako Tamiya, 2016. "The Impact of Leisure and Social Activities on Activities of Daily Living of Middle-Aged Adults: Evidence from a National Longitudinal Survey in Japan," PLOS ONE, Public Library of Science, vol. 11(10), pages 1-13, October.
    2. Víctor Juan Vera-Ponce & Jenny Raquel Torres-Malca & Willy Ramos & Rubén Espinoza Rojas & Jamee Guerra Valencia & Joan A. Loayza-Castro & Fiorella E. Zuzunaga-Montoya & Gianella Zulema Zeñas-Trujillo , 2023. "Factors Associated with Symptoms of Depression among People with Obesity: Analysis of a 3-Year-Peruvian National Survey," IJERPH, MDPI, vol. 20(3), pages 1-10, January.

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