{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T10:42:53Z","timestamp":1792233773705,"version":"4.4.0"},"reference-count":47,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T00:00:00Z","timestamp":1785801600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["West J Nurs Res"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Depression is a leading cause of global disability. Although women consistently exhibit a higher incidence, little is known about how sex and age influence severe outcomes, such as hospitalization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Utilizing one of the world\u2019s largest nationwide cohorts, this study aimed to elucidate these disparities and their implications for nursing practice and mental health care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>In this nationwide nested case\u2013control study, we identified more than 1.9 million incident cases of depression from Taiwan\u2019s National Health Insurance Research Database. We compared hospitalization risks by sex, age, and socioeconomic status (SES) using multivariable-adjusted odds ratios (aORs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Women exhibited a higher incidence of depression than men (female-to-male adjusted rate ratio\u2009=\u20091.54; 95% confidence interval [CI], 1.53-1.56). Conversely, men with depression had a greater risk of hospitalization (aOR\u2009=\u20091.42; 95% CI, 1.41-1.43). Young adults (18-29\u2009years) had more than a tenfold increased risk of depression-related hospitalization compared with individuals aged 75\u2009years and older. Low-income and blue-collar groups faced nearly threefold higher risks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>This dissociation between the incidence and severity of depression challenges conventional assumptions and carries significant implications for nursing practice. Nurses and other healthcare professionals play a crucial role in identifying high-risk individuals\u2014particularly men, younger adults, and those of low SES\u2014who may delay seeking help until their condition severely deteriorates. Nursing-led early screening, psychosocial assessment, and continuous follow-up are essential to prevent hospitalization and promote mental health equity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/01939459261464350","type":"journal-article","created":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T06:02:31Z","timestamp":1785909751000},"page":"958-966","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Sex and Age Disparities in Depression Incidence and Subsequent Hospitalization: A Nationwide Population-Based Cohort Study and Implications for Nursing Practice"],"prefix":"10.1177","volume":"48","author":[{"given":"Ya-Wen","family":"Lin","sequence":"first","affiliation":[{"name":"Department of Nursing, China Medical University, Taichung, Taiwan"},{"name":"Department of Nursing, China Medical University Hospital, Taichung, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fung-Chang","family":"Sung","sequence":"additional","affiliation":[{"name":"Department of Health Services Administration, China Medical University, Taichung, Taiwan"},{"name":"Management Office for Health Data, China Medical University Hospital, Taichung, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei-Fen","family":"Ma","sequence":"additional","affiliation":[{"name":"Department of Nursing, China Medical University, Taichung, Taiwan"},{"name":"Department of Nursing, China Medical University Hospital, Taichung, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cheng-Li","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Health Services Administration, China Medical University, Taichung, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3128-7468","authenticated-orcid":false,"given":"Ming-Hung","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Pharmacy and Master Program, Tajen University, Pingtung, Taiwan"},{"name":"Department of Nursing, National Taichung University of Science and Technology, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,4]]},"reference":[{"key":"e_1_3_2_2_2","unstructured":"World Health Organization. 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