Prevalence rates for depression by industry: a claims database analysis.
Prevalence rates for depression by industry: a claims database analysis.
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DOI：
10.1007/s00127-014-0891-3
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发表时间：
2014-11
影响因子：
4.4
通讯作者：
Shen R
中科院分区：
文献类型：
--
作者：
Wulsin L;Alterman T;Timothy Bushnell P;Li J;Shen R
使用大型团体医疗索赔数据库，估计和解释不同行业抑郁症患病率的差异。2002年至2005年期间，在宾夕法尼亚州西部的雇主雇用的214,413人中，通过ICD-9诊断代码确定了抑郁症病例。数据由Highmark，Inc.提供。（Pittsburgh and Camp Hill，PA）。费率根据年龄、性别和员工分担的医疗保健费用进行了调整。国家行业对心理困扰、工作压力和工作中的体力活动的衡量标准也是从其他数据来源汇编的。55个行业的临床抑郁症发病率为6.9%至16.2%（人口发病率= 10.45%）。在国家一级，失业率最高的行业往往是那些需要与公众或客户进行频繁或困难的互动、压力大、体力活动少的行业。需要进一步的研究来帮助确定其他地区和国家一级抑郁症发病率相对较高的行业，并确定这些差异是否部分归因于特定的工作压力暴露和工作中的身体活动不足。索赔数据库分析可以提供一种具有成本效益的方式来确定工作场所抑郁症治疗和预防的优先事项。
To estimate and interpret differences in depression prevalence rates among industries, using a large, group medical claims database. Depression cases were identified by ICD-9 diagnosis code in a population of 214,413 individuals employed during 2002–2005 by employers based in western Pennsylvania. Data were provided by Highmark, Inc. (Pittsburgh and Camp Hill, PA). Rates were adjusted for age, gender, and employee share of health care costs. National industry measures of psychological distress, work stress, and physical activity at work were also compiled from other data sources. Rates for clinical depression in 55 industries ranged from 6.9 to 16.2 %, (population rate = 10.45 %). Industries with the highest rates tended to be those which, on the national level, require frequent or difficult interactions with the public or clients, and have high levels of stress and low levels of physical activity. Additional research is needed to help identify industries with relatively high rates of depression in other regions and on the national level, and to determine whether these differences are due in part to specific work stress exposures and physical inactivity at work. Claims database analyses may provide a cost-effective way to identify priorities for depression treatment and prevention in the workplace.