title: Psychiatric disorders after occupational injury among National Health Insurance enrollees in Taiwan.
abstract: This study aimed to determine the incidence rates of psychiatric disorders within 1 year after occupational injury and to examine the association between occupational injury and the incidence of psychiatric disorders using National Health Insurance Research Database (NHIRD). We used cohort approach in this investigation. All eligible subjects were from the NHIRD, and aged 18-65 years old. A total of 542,208 patients were enrolled in this study. Among them, 1038 patients sustained occupational injury, 6891 patients sustained non-occupational injury. The reference group in this study was 534,279 patients who ever used the NHI for any medical condition in 2001. The incidence rates of any psychiatric disorders within 1 year after occupational injury (inpatient), occupational injury (outpatient), non-occupational injury (inpatient), non-occupational injury (outpatient), and any disease were 9.5%, 2.5%, 7.4%, 1.5%, and 1.1%, respectively. Occupational injury was found as a significant factor for developing psychiatric disorders within 1 year after the target injury. The incidence rate of any psychiatric disorders was higher in patients after occupational injury than those after non-occupational injury and any medical condition.
authors.affiliation: Institute of Occupational Medicine and Industrial Hygiene, National Taiwan University School of Public Health, Taipei, Taiwan; Department of Environmental and Occupational Medicine, National Taiwan University (NTU) College of Medicine and NTU Hospital, Taipei, Taiwan.
authors.forename: Kuan-Han
authors.initials: KH
authors.lastname: Lin
authors.affiliation: Department of Environmental and Occupational Medicine, National Taiwan University (NTU) College of Medicine and NTU Hospital, Taipei, Taiwan.
authors.forename: Po-Ching
authors.initials: PC
authors.lastname: Chu
authors.affiliation: Department of Psychiatry, Chung Shan Medical University Hospital, Taichung, Taiwan.
authors.forename: Chun-Ya
authors.initials: CY
authors.lastname: Kuo
authors.affiliation: Institute of Occupational Medicine and Industrial Hygiene, National Taiwan University School of Public Health, Taipei, Taiwan.
authors.forename: Yaw-Huei
authors.initials: YH
authors.lastname: Hwang
authors.affiliation: Institute of Health and Welfare Policy, National Yang-Ming University, Taipei, Taiwan.
authors.forename: Shiao-Chi
authors.initials: SC
authors.lastname: Wu
authors.affiliation: Institute of Occupational Medicine and Industrial Hygiene, National Taiwan University School of Public Health, Taipei, Taiwan; Department of Environmental and Occupational Medicine, National Taiwan University (NTU) College of Medicine and NTU Hospital, Taipei, Taiwan. Electronic address: leonguo@ntu.edu.tw.
authors.forename: Yue Leon
authors.initials: YL
authors.lastname: Guo
mesh_terms: D000062:Accidents, Occupational / Q000523:psychology / Q000706:statistics & numerical data*; D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D015994:Incidence; D007297:Inpatients / Q000706:statistics & numerical data; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology*; D008875:Middle Aged; D009313:National Health Programs / Q000706:statistics & numerical data*; D060051:Occupational Injuries / Q000453:epidemiology / Q000523:psychology*; D010045:Outpatients / Q000706:statistics & numerical data; D013313:Stress Disorders, Post-Traumatic / Q000453:epidemiology* / Q000523:psychology; D013624:Taiwan / Q000453:epidemiology; D055815:Young Adult
keywords: Epidemiology; Major depression; Mental health; Occupational health; Post-traumatic stress disorder