Abstract：
BACKGROUND AND OBJECTIVES:Rural populations experience more adverse living circumstances than urban populations, but the evidence regarding the prevalence of mental health disorders in rural areas is contradictory. We examined the prevalence of depression in rural versus urban areas. METHODS:We performed a cross-sectional study using the 1999 National Health Interview Survey (NHIS). In face-to-face interviews, the NHIS administered the Composite International Diagnostic Interview Short Form (CIDI-SF) depression scale to a nationally representative sample of 30,801 adults, ages 18 and over. RESULTS:An estimated 2.6 million rural adults suffer from depression. The unadjusted prevalence of depression was significantly higher among rural than urban populations (6.1% versus 5.2% ). After adjusting for rural/urban population characteristics, however, the odds of depression did not differ by residence. Depression risk was higher among persons likely to be encountered in a primary care setting: those with fair or poor self-reported health, hypertension, with limitations in daily activities, or whose health status changed during the previous year. CONCLUSIONS:The prevalence of depression is slightly but significantly higher in residents of rural areas compared to urban areas, possibly due to differing population characteristics.
journal_name
Fam Medjournal_title
Family medicineauthors
Probst JC,Laditka SB,Moore CG,Harun N,Powell MP,Baxley EGsubject
Has Abstractpub_date
2006-10-01 00:00:00pages
653-60issue
9eissn
0742-3225issn
1938-3800journal_volume
38pub_type
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