Abstract:
BACKGROUND:Anxiety and depression are the most common psychiatric disorders and are the cause of a large and increasing amount of sick-leave in most developed countries. They are also implicated as an increasing mortality risk in community surveys. In this study we addressed, whether sick leave due to anxiety, depression or comorbid anxiety and depression was associated with increased risk of retirement due to permanent disability and increased mortality in a cohort of German workers. METHODS:128,001 German workers with statutory health insurance were followed for a mean of 6.4 years. We examined the associations between 1) depression/anxiety-related sick leave managed on an outpatient basis and 2) anxiety/depression-related psychiatric inpatient treatment, and later permanent disability/mortality using Cox proportional hazard regression models (stratified by sex and disorder) adjusted for age, education and job code classification. RESULTS:Outpatient-managed depression/anxiety-related sick leave was significantly associated with higher permanent disability (hazard ratio (95% confidence interval)) 1.48 (1.30, 1.69) for depression, 1.25 (1.07, 1.45) for anxiety, 1.91 (1.56, 2.35) for both). Among outpatients, comorbidly ill men (2.59 (1.97,3.41)) were more likely to retire early than women (1.42 (1.04,1.93)). Retirement rates were higher for depressive and comorbidly ill patients who needed inpatient treatment (depression 3.13 (2,51, 3,92), both 3.54 (2.80, 4.48)). Inpatient-treated depression was also associated with elevated mortality (2.50 (1.80, 3.48)). Anxiety (0.53 (0.38, 0.73)) and female outpatients with depression (0.61 (0.38, 0.97)) had reduced mortality compared to controls. CONCLUSIONS:Depression/anxiety diagnoses increase the risk of early retirement; comorbidity and severity further increase that risk, depression more strikingly than anxiety. Sickness-absence diagnoses of anxiety/depression identified a population at high risk of retiring early due to ill health, suggesting a target group for the development of interventions.
journal_name
BMC Public Healthjournal_title
BMC public healthauthors
Wedegaertner F,Arnhold-Kerri S,Sittaro NA,Bleich S,Geyer S,Lee WEdoi
10.1186/1471-2458-13-145subject
Has Abstractpub_date
2013-02-17 00:00:00pages
145issn
1471-2458pii
1471-2458-13-145journal_volume
13pub_type
杂志文章abstract:BACKGROUND:The study was conducted at a high TB-HIV burden primary health community clinic in Cape Town, South Africa. We describe the management of children under five years of age in household contact with a smear and/or culture-positive adult TB case. METHODS:This study was a record review of routinely-collected pr...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-11-544
更新日期:2011-07-08 00:00:00
abstract:BACKGROUND:Nutritional status of pre adolescent children is not widely studied in Sri Lanka. The purpose of this study was to determine the nutritional status among pre-adolescent school children in a rural province of Sri Lanka. METHODS:A school based cross sectional study was carried out in North Central Province in...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-016-4001-1
更新日期:2017-01-10 00:00:00
abstract:BACKGROUND:Thyroid hormone replacement is one of the most commonly prescribed and cost effective treatments for a chronic disease. There have been recent changes in community prescribing policies in many areas of the UK that have changed patient access to necessary medications. This study aimed to provide a picture of ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-9-132
更新日期:2009-05-11 00:00:00
abstract:BACKGROUND:To evaluate the association between weight misperception and psychological symptoms in the Determinants of young Adults Social well-being and Health (DASH) longitudinal study. METHODS:A longitudinal sample of 3227 adolescents, in 49 secondary schools in London, aged 11-16 years participated in 2002/2003 and...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-08823-1
更新日期:2020-05-18 00:00:00
abstract:BACKGROUND:Developing effective prevention and intervention programs for the formative preschool years is seen as an essential step in combating the obesity epidemic across the lifespan. The overall goal of the current project is to measure the effectiveness of a healthy eating and childhood obesity prevention interven...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2458-10-220
更新日期:2010-04-28 00:00:00
abstract:BACKGROUND:The Sahrawi people fled their homes in 1975 as the conflict in Western Sahara escalated and settled down near Tindouf, Algeria, where they still live. High prevalence of overweight and obesity and type 2 diabetes had been found in this protracted refugee setting. Scaling up national policy efforts to promote...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-021-10217-w
更新日期:2021-01-19 00:00:00
abstract:BACKGROUND:People with a condition subject to stigmatisation, such as chronic hepatitis B, face the dilemma of whether or not to disclose their status. In Ghana, 12.3% of the adult population has the hepatitis B virus (HBV). One key strategy for breaking the cycle of hepatitis B transmission is the disclosure of hepati...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-08811-5
更新日期:2020-05-12 00:00:00
abstract:BACKGROUND:The inadequate management of solid waste impacts populations' health and quality of life, and disproportionately affects developing countries. This study aims to describe a protocol for epidemiological diagnosis, the purpose being to estimate the prevalence of chronic and communicable and non communicable di...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-019-6879-x
更新日期:2019-05-16 00:00:00
abstract:BACKGROUND:Highly publicized water supply problems highlight the importance of safe drinking water to the public. Boil water advisories (BWAs) are an important precautionary measure meant to protect public health by ensuring drinking water safety. Newfoundland and Labrador, Canada is a prime location for exploring publ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-015-2688-z
更新日期:2016-01-05 00:00:00
abstract:BACKGROUND:While homelessness among youth is a serious problem, there is little information about evidence-based interventions for homeless youth. In cooperation with professionals and youths, Wolf (2012) developed Houvast (Dutch for 'grip'): a strengths based method grounded in scientific and practice evidence. The ma...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2458-13-359
更新日期:2013-04-18 00:00:00
abstract:BACKGROUND:Area deprivation is a known determinant of health. It is also known that area deprivation is associated with lower impact health promotion. It is less well known, however, whether deprived areas are less responsive to health promotion, or whether they are less exposed. Using data from a national, school-base...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-10-473
更新日期:2010-08-10 00:00:00
abstract:BACKGROUND:Recent terrorist attacks and natural disasters have led to an increased awareness of the importance of emergency planning. However, the extent to which emergency planners can access or use evidence remains unclear. The aim of this study was to identify, analyse and assess the location, source and quality of ...
journal_title:BMC public health
pub_type: 杂志文章,评审
doi:10.1186/1471-2458-12-542
更新日期:2012-07-23 00:00:00
abstract:BACKGROUND:Weight misperception is the discordance between an individual's actual weight status and the perception of his/her weight. It is a common problem in the youth population as enumerated by many international studies. However data from Pakistan in this area is deficient. METHODS:A multi-center cross-sectional ...
journal_title:BMC public health
pub_type: 杂志文章,多中心研究
doi:10.1186/1471-2458-13-707
更新日期:2013-08-02 00:00:00
abstract:BACKGROUND:Aboriginal and Torres Strait Islander children experience some of the highest rates of otitis media in the world. Key risk factors for otitis media in Aboriginal children in Australia are largely social and environmental factors such as overcrowded housing, poverty and limited access to services. Despite thi...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-08570-3
更新日期:2020-04-15 00:00:00
abstract:BACKGROUND:Fertility choice is a critical women's right. Although researchers have studied the positive effects of fertility desire, its different components have, unfortunately, been neither established nor implemented for parents. A reliable and valid scale is required to measure this vital aspiration of a couple. Th...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-019-7413-x
更新日期:2019-08-14 00:00:00
abstract:BACKGROUND:Adverse psychosocial work environments may lead to impaired mental health, but it is still a matter of conjecture if demonstrated associations are causal or biased. We aimed at verifying whether poor psychosocial working climate is related to increase of redeemed subscription of antidepressant medication. M...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-9-262
更新日期:2009-07-27 00:00:00
abstract:BACKGROUND:Increased serum levels of homocysteine and uric acid have each been associated with cardiovascular risk. We analyzed whether homocysteine and uric acid were associated with glomerular filtration rate (GFR) and albuminuria independently of each other. We also investigated the association of MTHFR polymorphism...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-11-733
更新日期:2011-09-26 00:00:00
abstract:BACKGROUND:The likelihood of large-scale outbreaks of multidrug-resistant organisms (MDRO) is growing. MDRO outbreaks can affect a wide range of healthcare institutions. Control of such outbreaks requires structured collaboration between professionals from all involved healthcare institutions, but guidelines for cross-...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-018-6376-7
更新日期:2019-01-11 00:00:00
abstract:UNLABELLED: BACKGROUND:Although physical inactivity has been linked with numerous chronic health conditions and overall mortality, the majority of English adults report doing insufficient physical activity. To increase population physical activity levels, researchers have called for more community-level interventions....
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-12-581
更新日期:2012-08-01 00:00:00
abstract:BACKGROUND:Although China's modern education for public health was developing over the past 60 years, there is a lack of authoritative statistics and analyses on the nation's development of education for public health at higher education institutions (HEIs). Few quantitative studies on this topic have been published in...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-018-5605-4
更新日期:2018-05-31 00:00:00
abstract:BACKGROUND:Recent research has used cardiovascular risk scores intended to estimate "total cardiovascular disease (CVD) risk" in individuals to assess the distribution of risk within populations. The research suggested that the adoption of the total risk approach, in comparison to treatment decisions being based on the...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-13-539
更新日期:2013-06-05 00:00:00
abstract:BACKGROUND:Increases in the number of salmonellosis cases due to Salmonella Enteritidis (SE) in 2010 and 2011 prompted a public health investigation in Ontario, Canada. In this report, we describe the current epidemiology of travel-related (TR) SE, compare demographics, symptoms and phage types (PTs) of TR and domestic...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-12-310
更新日期:2012-05-18 00:00:00
abstract:BACKGROUND:Smoking is Australia's leading preventable cause of premature mortality and a major contributor to the national disease burden. If quit rates do not dramatically improve, then smoking will continue to be a major public health issue for decades to come. Harm-reduction approaches using novel nicotine products ...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12889-015-2366-1
更新日期:2015-10-06 00:00:00
abstract:BACKGROUND:Regarding demographic changes in Germany it can be assumed that the number of elderly and the resulting need for long term care is increasing in the near future. It is not only an individual's interest but also of public concern to avoid a nursing home admission. Current evidence indicates that preventive ho...
journal_title:BMC public health
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1186/1471-2458-8-185
更新日期:2008-05-28 00:00:00
abstract:BACKGROUND:Hypertension is an important public health issue in China, but there are few studies examining hypertension in ethnic groups in Yunnan, China. This study, Yunnan Minority Eye Study (YMES), was initially designed to determine the prevalence and impact of eye diseases, including hypertension and diabetes melli...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-015-1687-4
更新日期:2015-04-15 00:00:00
abstract:BACKGROUND:To evaluate the impact of a walking school bus (WSB) program on student transport in a low-income, urban neighborhood. METHODS:The design was a controlled, quasi-experimental trial with consecutive cross-sectional assessments. The setting was three urban, socioeconomically disadvantaged, public elementary s...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-9-122
更新日期:2009-05-04 00:00:00
abstract:BACKGROUND:Increasing evidence on associations between mental health and chronic diseases like cardio-vascular disease and diabetes together with the fact that little is known about the prevalence of anxiety/depression and associated risk factors among Iraqi immigrants to Sweden, warrants a study in this group. The aim...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-14-502
更新日期:2014-05-25 00:00:00
abstract:BACKGROUND:The increasing prevalence of type 2 diabetes poses both clinical and public health challenges. Cost-effective approaches to prevent progression of the disease in primary care are needed. Evidence suggests that intensive multifactorial interventions including medication and behaviour change can significantly ...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2458-11-211
更新日期:2011-04-04 00:00:00
abstract:BACKGROUND:Epidemiological studies over the last decade have supplied growing evidence of an association between urbanization and the prevalence of psychiatric disorders. Our aim was to examine the link between levels of urbanization and 12-month prevalence rates of psychiatric disorders in a nationwide German populati...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-8-17
更新日期:2008-01-17 00:00:00
abstract:BACKGROUND:Physical activity is likely to be determined as a complex interplay between personal, interpersonal, and environmental factors. Studying the built environment involves expanding the focus from the individual perspective to a public health one. Therefore, the objetive of this study was to examine the associat...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-017-4538-7
更新日期:2017-07-03 00:00:00