Behavioral Surveillance Branch, Division of Adult and Community Health, National Center for Chronic Disease Prevention and Health Promotion, US Centers for Disease Control and Prevention, 4770 Buford Highway, NE, Mailstop K66, Atlanta, GA 30341, USA.
Prev Med. 2010 Apr;50(4):204-9. doi: 10.1016/j.ypmed.2010.01.008. Epub 2010 Jan 25.
To estimate the prevalence of current depressive symptoms (CDS) among adults that reported disabilities requiring the use of assistive technology (AT) and those that did not, and to examine the sociodemographic, comorbidity, health behavior, and social support correlates of this condition in adults who use AT.
Data from the 2006 Behavioral Risk Factor Surveillance System, a standardized telephone survey among U.S. adults, were analyzed (n=195,033). The Patient Health Questionnaire diagnostic algorithm was used to identify CDS.
AT users were significantly more likely than AT non-users to have CDS (age-standardized: 30.4% vs. 7.4%). Among AT users, there was a dose-response relationship between depression severity and increased prevalence of health conditions, obesity, smoking, and physical inactivity. In the full covariate logistic regression model, the strongest sociodemographic variables associated with CDS among AT users were age and employment status. Other variables strongly associated with CDS were lack of social support and anxiety.
An integrated approach to health care should be taken with adults who use AT. AT service providers, primary health care providers, and other care givers should be alert to the possibility of depression in AT users; and opportunities to prevent, detect, and treat depression among this population should not be missed.
评估报告有残疾需要使用辅助技术（AT）的成年人和没有残疾需要使用 AT 的成年人中当前抑郁症状（CDS）的患病率，并探讨使用 AT 的成年人中与 CDS 相关的社会人口统计学、合并症、健康行为和社会支持因素。
对美国成年人的 2006 年行为风险因素监测系统（一项标准化的电话调查）的数据进行了分析（n=195033）。使用患者健康问卷诊断算法来识别 CDS。
与 AT 非使用者相比，AT 使用者更有可能出现 CDS（年龄标准化：30.4% vs. 7.4%）。在 AT 使用者中，抑郁严重程度与健康状况、肥胖、吸烟和缺乏身体活动的发生率增加之间存在剂量反应关系。在全协变量逻辑回归模型中，与 AT 使用者 CDS 最强相关的社会人口统计学变量是年龄和就业状况。与 CDS 强烈相关的其他变量是缺乏社会支持和焦虑。
应该对使用 AT 的成年人采取综合的医疗保健方法。AT 服务提供者、初级卫生保健提供者和其他护理人员应该警惕 AT 用户中可能出现的抑郁情况；不应错过为该人群预防、发现和治疗抑郁的机会。
