142nd APHA Annual Meeting and Exposition

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Investigating the Time Interval between Infertility and Mental Disorders Onset as well as Risk Factors among Patients with Infertility Using Survival Analysis and Data Mining

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Wednesday, November 19, 2014 : 1:35 PM - 1:50 PM

Jong-Yi Wang, PHD , Department of Health Services Administration, China Medical University, Taichung, Taiwan
Chia-Woei Wang, MD , Department of Obstetrics and Gynecology, Taipei Medical University Hospital, Taipei, Taiwan
Jen-De Chen, PHD , Office of the President, National Changhua University of Education, Changhua, Taiwan
Background: The 2010 total fertility rate in Taiwan was 0.90 and the issue of the fewer children trend becomes extraordinarily severe. Patients with infertility may suffer from depression and anxiety disorders. However, there is a dearth of nationally-representative analyses on infertility-to-mental-disorders time interval as well as risk factors by using survival analysis and data mining. Therefore, this study sought to investigate the relative risks of mental disorders, with a highlight of the interval, among this vulnerable group.

Methods: In the retrospective cohort design, the present research conducted longitudinal analyses by utilizing the medical claims data from 1,000,000 randomly sampled beneficiaries recorded in the 2002-2012 Taiwan National Health Insurance (NHI) Research Database. A total of 16,413 subjects with the principal infertility diagnosis code was identified and analyzed in SAS 9.3 and PASW Modeler 13. Infertility-related mental disorders include depression and anxiety.

Results: The average interval between the diagnosis of infertility and the diagnosis of mental disorder was 21.16 months. Factors significantly associated with mental disorders among the subjects with infertility were identified. The results of data mining indicated that high income, hormone medicine use, and surgery were the risk factors of infertility, whereas low income, veterans and religious persons, and high comorbidity were the risk factors of mental disorders among patients with infertility.

Conclusions: The intervention for mental disorders prevention is suggested to conduct no later than the first year of infertility diagnosis. Policymakers might target the high-risk individuals, in the attempt to conduct timely medical interventions for preventing mental disorders.

Learning Areas:

Other professions or practice related to public health
Planning of health education strategies, interventions, and programs
Public health administration or related administration
Public health or related organizational policy, standards, or other guidelines
Social and behavioral sciences

Learning Objectives:
Identify the relative risks of mental disorders, with a highlight of the interval between infertility and mental disorders onset, among patients with infertility by using survival analysis and data Mining

Keyword(s): Reproductive Health, Mental Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the principal of several Taiwan nationally funded grants focusing on reproductive health, mental health, and psychological well-being of patients with infertility. Among my scientific interests has been the planning for preventive interventions for mental disorders among patients with infertility.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.