Abstract
Objective: Determine association between depression and traumatic brain injury (TBI) in the older adult home care population of Ontario, Canada (2003-2013). Method: A nested matched case control study was used, and data were retrieved for service users 65 years or older who received home care between 2003 and 2013. Incident TBI cases were matched to four controls by sex, age, and assessment date. Odds ratios and multivariable conditional logistic regression were completed. Results: 554,313 service users were included of which 5,215 (0.9%) had a TBI and 39,048 (7.0%) had depression. Fall history was an effect modifier. The association between depression and TBI was 1.10 (95% confidence interval [CI] = [0.93, 1.31]) for those without a history of falling, while for those with a history of falling it was 1.24 (95% CI = [1.03, 1.48]) after adjusting for education and Alzheimer’s disease. Discussion: Depression is associated with sustaining a TBI in those with a history of falling.
| Original language | English |
|---|---|
| Pages (from-to) | 1156-1168 |
| Number of pages | 13 |
| Journal | Journal of Aging and Health |
| Volume | 30 |
| Issue number | 7 |
| DOIs | |
| Publication status | Published - Aug 1 2018 |
| Externally published | Yes |
Bibliographical note
Funding Information:The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: Dr. Kristman is supported by the Canadian Institutes of Health Research through a New Investigator Award in Community-Based Primary Health Care.
Publisher Copyright:
© The Author(s) 2017.
ASJC Scopus Subject Areas
- Health(social science)
- Sociology and Political Science
- Life-span and Life-course Studies