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Open Access Research article

Relationships between depressive symptoms and self-reported unintentional injuries: the cross-sectional population–based FIN-D2D survey

Katariina Korniloff12*, Arja Häkkinen12, Hannu J Koponen34, Hannu Kautiainen56, Salme Järvenpää7, Markku Peltonen8, Pekka Mäntyselkä69, Olli Kampman10, Heikki Oksa11 and Mauno Vanhala59

Author Affiliations

1 Department of Health Sciences, University of Jyväskylä, PL 35, Jyväskylä FI-40014, Finland

2 Department of Physical and Rehabilitation Medicine, Central Finland Central Hospital, Keskussairaalantie 19, FI-40620, Jyväskylä, Finland

3 Department of Psychiatry, Kuopio University Hospital, Kuopio, Finaland

4 University of Eastern Finland, Kuopio, FI-70210, Finland

5 Unit of Family Practice, Central Finland Central Hospital, Keskussairaalantie 19, FI-40620, Jyväskylä, Finland

6 Unit of Primary Health Care, Kuopio University Hospital, PO Box 1777, Kuopio FI-70211, Finland

7 Medcare foundation, Jyväskylä, Finland

8 Chronic Disease Epidemiology and Prevention Unit, National Institute for Health and Welfare, P.O. Box 30, Helsinki FI-00271, Finland

9 Unit of Primary Health Care, University of Eastern Finland, PO Box 1627, Kuopio Campus FI-70211, Finland

10 Department of Psychiatry, Seinäjoki Hospital District and Medical School, University of Tampere, Tampere FI-33014, Finland

11 Tampere University Hospital, Teiskontie 35, Tampere, FI-33521, Finland

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BMC Public Health 2012, 12:516  doi:10.1186/1471-2458-12-516

Published: 10 July 2012

Abstract

Background

There is a lack of knowledge on the influence of different levels of physical activity (PA) on unintentional injuries among those with depressive symptoms (DS). The aim of this study was to evaluate the relationship between PA categories and unintentional injuries among participants with and without DS based on a cross-sectional population–based FIN-D2D survey conducted in 2007.

Methods

Out of 4500, 2682 participants (60%) aged 45–74 years attended in this study. The unintentional injuries over the past year were captured in a questionnaire. DS were determined with the Beck Depression Inventory (≥ 10 points) and PA with the International Physical Activity Questionnaire. The statistical significance between DS and unintentional injury categories was evaluated by using t-test, chi-square test, or permutation test, analysis of covariance, or regression models. The factors related to unintentional injuries were estimated by univariate and multivariate logistic regression models.

Results

The proportion of subjects with unintentional injuries was higher among those with DS (17%) compared to those without DS (10%) (age- and gender-adjusted p = 0.023). The median (range) number of activity-loss days after injury was 22 (0–365) in participants with DS and 7 (0–120) in participants without DS ( p = 0.009). The percentage of subjects with unintentional injuries was not significantly different between PA categories in participants with DS and without DS. A stepwise multivariate logistic regression analysis showed that DS, functional ability, and musculoskeletal diseases were related to unintentional injuries.

Conclusions

PA level was not related to unintentional injuries, whereas those with DS had a higher prevalence of unintentional injuries and prolonged activity-loss after injury. These results underline the importance of injury prevention, especially among those who have DS and additional risk factors.

Keywords:
Beck depression inventory; Depressive symptoms; Injury; Physical activity