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Int. J. Environ. Res. Public Health 2016, 13(11), 1077;

Gender Differences in the Longitudinal Association between Work-Related Injury and Depression

Department of Preventive Medicine, College of Medicine, Keimyung University, Daegu 42601, Korea
Author to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Received: 1 July 2016 / Revised: 19 October 2016 / Accepted: 28 October 2016 / Published: 2 November 2016
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Little is known about gender differences in the association between occupational injury and depression. We investigated the bidirectional association and gender differences between work-related injury and depression using the same cohort in the US Medical Expenditure Panel Survey (MEPS). In Analysis 1, the association of occupational injury and subsequent depression was investigated from 35,155 employees without depression. Analysis 2 included 32,355 participants without previous injury and examined the association of depression and work-related injury. The multivariable-adjusted odds ratio was estimated using a discrete time-proportional odds model. Male workers who had experienced workplace injury were more vulnerable to post-injury depression than non-injured male workers (OR = 2.35, 95% CI: 1.52, 3.65). Female workers with depression were more prone to get injured at the workplace than the non-depressed female workers (OR = 1.44, 95% CI: 1.07, 1.96). These results did not hold in the reverse direction for both genders. Workers compensation benefit was positively associated with the risk of post-injury depression among males, whereas anti-depressant medication and duration of depression were related to workplace injury among females. Gender differences in the direction and associated factors of the relationship between occupational injury and depression highlight the need for gender-specific intervention to the vicious cycle of workplace injury and depression. View Full-Text
Keywords: gender; depression; occupational injury; longitudinal study; bidirectional association gender; depression; occupational injury; longitudinal study; bidirectional association
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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Kim, J.; Choi, Y. Gender Differences in the Longitudinal Association between Work-Related Injury and Depression. Int. J. Environ. Res. Public Health 2016, 13, 1077.

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