, Volume 54, Issue 2, pp 117-124
Date: 13 Feb 2009

Metropolitan and micropolitan statistical area estimates of depression and anxiety using the Patient Health Questionnaire-8 in the 2006 Behavioral Risk Factor Surveillance System

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Abstract

Objective:

To examine the prevalence of depression and anxiety in the United States by state and MMSA.

Method:

The 2006 Behavioral Risk Factor Surveillance System collected depression and anxiety data on 74 metropolitan and micropolitan statistical areas (MMSAs) and 41 states/territories (n = 217 379).

Results:

The national prevalence of current depression, lifetime diagnosis of depression, and lifetime diagnosis of anxiety is 8.7 %, 15.7 %, and 11.3 %, respectively. There is considerable variability within and across states for all three measures. The most striking within-state difference in current depression between MMSAs is in California: 5.4 % and 11.3 %.

Conclusion:

This variation in mental health at the state and MMSA levels calls for development and implementation of local programs.

Submitted: 24 April 2008; revised: 14 August 2008; accepted: 23 August 2008
An erratum to this article is available at http://dx.doi.org/10.1007/s00038-009-9013-5.