 
 <prompt> ```Answer the questions at the end based on the text.

Some months ago, Dr. Ken Duckworth, wey be psychiatrist for Massachusetts, dey swim for im community pool, dey gist with other swimmers. Wen e talk say e be psychiatrist, one man ask Duckworth for im opinion on top im struggle with depression; anoda person ask for advice on top family member wey get mental illness.

"I bin dey amazed. Dem dey talk openly about their mental disabilities with stranger for swimming locker room," Duckworth talk, "That kind thing no fit happen 15 years ago."

New research don show say these swimmers no be di only ones wey dey open up. According to one new study, more American adults pass before dey report say dem dey disabled by di symptoms of depression, anxiety or other emotional problems.

Di report, wey dem publish on Thursday for di American Journal of Public Health, talk say people wey talk say dem no fit do everyday tasks or engage for social and leisure activities because of mental illness don increase from 2 percent for 1999 reach 2.7 percent for 2009. Di increase mean say almost 2 million more people dey disabled by mental distress for di past decade, di report talk.

Even though people no talk say dem dey feel more mental distress compared to before, dem talk say their mental health problems don get greater impact for their daily lives.

Dr. Ramin Mojtabai, di person wey write di study, talk say e no clear whether di findings dey tell one sad story of greater mental distress for recent times or e dey show say public education about di importance of acknowledging and evaluating mental illness don dey successful.

"E fit be say people dey realize di effects of mental illness more now pass before," e talk. "People fit dey more aware."

Mojtabai talk say e fit also be say plenty factors fit dey affect di mental well-being of di population. High unemployment, economic hardships and di growing sense of isolation fit dey put more stress on top Americans.

But Duckworth talk say e fit also get one positive explanation -- like im fellow swimmers, people fit dey more comfortable to talk about their mental distress.

"I dey reason say if this thing dey show us say American culture dey become more open and dey give people di ability to talk about am," e talk. "If people get this problem and dem dey ready to acknowledge am, then we dey closer to solve am."

1. Where Dr. Duckworth dey work?``` <response>: ```1. Massachusetts``` 