International Journal of Public Health

, Volume 54, Issue 2, pp 117–124 | Cite as

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

  • Tara W. Strine
  • Satvinder S. Dhingra
  • Kurt Kroenke
  • Mohamed Qayad
  • James L. Ribble
  • Catherine A. Okoro
  • Lina S. Balluz
  • Shanta R. Dube
  • James Lando
  • Ali H. Mokdad
Brief report

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.

Keywords:

Depression Anxiety Surveillance Epidemiology Patient health Questionnaire 8 

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Copyright information

© Birkhäuser Verlag, Basel 2009

Authors and Affiliations

  • Tara W. Strine
    • 1
  • Satvinder S. Dhingra
    • 1
  • Kurt Kroenke
    • 2
  • Mohamed Qayad
    • 1
  • James L. Ribble
    • 1
  • Catherine A. Okoro
    • 1
  • Lina S. Balluz
    • 1
  • Shanta R. Dube
    • 1
  • James Lando
    • 1
  • Ali H. Mokdad
    • 1
  1. 1.Division of Adult and Community HealthCenters for Disease Control and PreventionAtlantaUSA
  2. 2.Department of MedicineIndiana University School of Medicine and Regenstrief InstituteIndianapolisUSA

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