{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T05:01:09Z","timestamp":1782104469789,"version":"3.54.5"},"reference-count":50,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,12,30]],"date-time":"2020-12-30T00:00:00Z","timestamp":1609286400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000142","name":"Arthritis Society","doi-asserted-by":"publisher","award":["YIO\u201017\u20100095"],"award-info":[{"award-number":["YIO\u201017\u20100095"]}],"id":[{"id":"10.13039\/501100000142","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["acrjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthritis Care &amp; Research"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To examine the relationship between depressive symptoms, arthritis, and employment, and to determine whether this relationship differs across young, middle\u2010age, and older working\u2010age adults with arthritis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data from the US National Health Interview Survey from 2013\u20132017 were analyzed. Analyses were restricted to adults with doctor\u2010diagnosed arthritis of working age (ages 18\u201364 years) with complete data on depressive symptoms (n = 11,380). Covariates were sociodemographic information, health, and health system utilization variables. Employment prevalence was compared by self\u2010reported depressive symptoms. We estimated percentages, as well as univariable and multivariable logistic regression models, to examine the relationship between depression and employment among young adults (ages 18\u201334 years), middle\u2010age adults (ages 35\u201354 years), and older adults (ages 55\u201364 years).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among all working\u2010age US adults with arthritis, the prevalence of depressive symptoms was 13%. Those reporting depressive symptoms had a higher prevalence of fair\/worse health (60%) and arthritis\u2010attributable activity limitations (70%) compared to those not reporting depression (23% and 39%, respectively). Respondents with depressive symptoms reported significantly lower employment prevalence (30%) when compared to those not reporting depressive symptoms (66%) and lower multivariable\u2010adjusted association with employment (prevalence ratio 0.88 [95% confidence interval (95% CI) 0.83\u20130.93]). Middle\u2010age adults reporting depression were significantly less likely to be employed compared to their counterparts without depression (prevalence ratio 0.83 [95% CI 0.77\u20130.90]); similar but borderline statistically significant relationships were observed for both young adults (prevalence ratio 0.86 [95% CI 0.74\u20130.99]) and older adults (prevalence ratio 0.94 [95% CI 0.86\u20131.03]).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>For adults with arthritis, depressive symptoms are associated with not participating in employment. Strategies to reduce arthritis\u2010related work disability may be more effective if they simultaneously address mental health.<\/jats:p><\/jats:sec>","DOI":"10.1002\/acr.24381","type":"journal-article","created":{"date-parts":[[2020,7,23]],"date-time":"2020-07-23T13:58:23Z","timestamp":1595512703000},"page":"65-77","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Depressive Symptoms and the Arthritis\u2013Employment Interface: A Population\u2010Level Study"],"prefix":"10.1002","volume":"73","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0322-7027","authenticated-orcid":false,"given":"Arif","family":"Jetha","sequence":"first","affiliation":[{"name":"University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristina A.","family":"Theis","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention  Atlanta 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