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We conducted secondary data analysis of nationally representative data to measure the association between disability and depression among pre-elderlies, age 45 to 59 years old. This analysis involved 70,301 pre-elderlies with normal body mass index, and 70,090 with complete data for further analysis with multilevel logistic regression. We found 1.6% pre-elderlies experience depression, 19.1% have disability, while 3.3% of those with disability were depressed. We found likelihood of depression almost three time among pre-elderly with disability (AOR = 2.81). Other variables with independent association are residential area, sex, history of chronic illness, socio-economic, and education level. Preventive measures are needed to improve awareness and to screen for both disability and depression among these age-group, as well as rehabilitative programs to improve their wellbeing.<\/jats:p>","DOI":"10.1177\/10105395221090047","type":"journal-article","created":{"date-parts":[[2022,4,18]],"date-time":"2022-04-18T07:29:29Z","timestamp":1650266969000},"page":"501-509","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Disability and Lower Social Gradient Increased Risk of Depression Among Pre-Elderly in Indonesia: Finding From a Nationwide Health and Socio-Economic Survey"],"prefix":"10.1177","volume":"34","author":[{"given":"Lisda","family":"Mardiana","sequence":"first","affiliation":[{"name":"Magister of Public Health Program, Faculty of Medicine, Udayana University, Denpasar, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4723-212X","authenticated-orcid":false,"given":"Putu Ayu Swandewi","family":"Astuti","sequence":"additional","affiliation":[{"name":"Department of Public Health and Preventive Medicine, Faculty of Medicine, Udayana University, Denpasar, Indonesia"},{"name":"Udayana Center for Non-Communicable Diseases, Tobacco Control and Lung Health (Central), Udayana University, Denpasar, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3848-1009","authenticated-orcid":false,"given":"Ni Luh Putu","family":"Suariyani","sequence":"additional","affiliation":[{"name":"Department of Public Health and Preventive Medicine, Faculty of Medicine, Udayana University, Denpasar, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dewa Nyoman","family":"Wirawan","sequence":"additional","affiliation":[{"name":"Magister of Public Health Program, Faculty of Medicine, Udayana University, Denpasar, Indonesia"},{"name":"Department of Public Health and Preventive Medicine, Faculty of Medicine, Udayana University, Denpasar, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,4,18]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"Kementerian Kesehatan Republik Indonesia. 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