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Racial and Ethnic Disparities in Depression Care in Community-Dwelling Elderly in the United States
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| Zeitschriftentitel: | American Journal of Public Health |
|---|---|
| Personen und Körperschaften: | , , , , , |
| In: | American Journal of Public Health, 102, 2012, 2, S. 319-328 |
| Format: | E-Article |
| Sprache: | Englisch |
| veröffentlicht: |
American Public Health Association
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| Schlagwörter: |
| author_facet |
Akincigil, Ayse Olfson, Mark Siegel, Michele Zurlo, Karen A. Walkup, James T. Crystal, Stephen Akincigil, Ayse Olfson, Mark Siegel, Michele Zurlo, Karen A. Walkup, James T. Crystal, Stephen |
|---|---|
| author |
Akincigil, Ayse Olfson, Mark Siegel, Michele Zurlo, Karen A. Walkup, James T. Crystal, Stephen |
| spellingShingle |
Akincigil, Ayse Olfson, Mark Siegel, Michele Zurlo, Karen A. Walkup, James T. Crystal, Stephen American Journal of Public Health Racial and Ethnic Disparities in Depression Care in Community-Dwelling Elderly in the United States Public Health, Environmental and Occupational Health |
| author_sort |
akincigil, ayse |
| spelling |
Akincigil, Ayse Olfson, Mark Siegel, Michele Zurlo, Karen A. Walkup, James T. Crystal, Stephen 0090-0036 1541-0048 American Public Health Association Public Health, Environmental and Occupational Health http://dx.doi.org/10.2105/ajph.2011.300349 <jats:p> Objectives. We investigated racial/ethnic disparities in the diagnosis and treatment of depression among community-dwelling elderly. </jats:p><jats:p> Methods. We performed a secondary analysis of Medicare Current Beneficiary Survey data (n = 33 708) for 2001 through 2005. We estimated logistic regression models to assess the association of race/ethnicity with the probability of being diagnosed and treated for depression with either antidepressant medication or psychotherapy. </jats:p><jats:p> Results. Depression diagnosis rates were 6.4% for non-Hispanic Whites, 4.2% for African Americans, 7.2% for Hispanics, and 3.8% for others. After we adjusted for a range of covariates including a 2-item depression screener, we found that African Americans were significantly less likely to receive a depression diagnosis from a health care provider (adjusted odds ratio [AOR] = 0.53; 95% confidence interval [CI] = 0.41, 0.69) than were non-Hispanic Whites; those diagnosed were less likely to be treated for depression (AOR = 0.45; 95% CI = 0.30, 0.66). </jats:p><jats:p> Conclusions. Among elderly Medicare beneficiaries, significant racial/ethnic differences exist in the diagnosis and treatment of depression. Vigorous clinical and public health initiatives are needed to address this persisting disparity in care. </jats:p> Racial and Ethnic Disparities in Depression Care in Community-Dwelling Elderly in the United States American Journal of Public Health |
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| title |
Racial and Ethnic Disparities in Depression Care in Community-Dwelling Elderly in the United States |
| title_unstemmed |
Racial and Ethnic Disparities in Depression Care in Community-Dwelling Elderly in the United States |
| title_full |
Racial and Ethnic Disparities in Depression Care in Community-Dwelling Elderly in the United States |
| title_fullStr |
Racial and Ethnic Disparities in Depression Care in Community-Dwelling Elderly in the United States |
| title_full_unstemmed |
Racial and Ethnic Disparities in Depression Care in Community-Dwelling Elderly in the United States |
| title_short |
Racial and Ethnic Disparities in Depression Care in Community-Dwelling Elderly in the United States |
| title_sort |
racial and ethnic disparities in depression care in community-dwelling elderly in the united states |
| topic |
Public Health, Environmental and Occupational Health |
| url |
http://dx.doi.org/10.2105/ajph.2011.300349 |
| publishDate |
2012 |
| physical |
319-328 |
| description |
<jats:p> Objectives. We investigated racial/ethnic disparities in the diagnosis and treatment of depression among community-dwelling elderly. </jats:p><jats:p> Methods. We performed a secondary analysis of Medicare Current Beneficiary Survey data (n = 33 708) for 2001 through 2005. We estimated logistic regression models to assess the association of race/ethnicity with the probability of being diagnosed and treated for depression with either antidepressant medication or psychotherapy. </jats:p><jats:p> Results. Depression diagnosis rates were 6.4% for non-Hispanic Whites, 4.2% for African Americans, 7.2% for Hispanics, and 3.8% for others. After we adjusted for a range of covariates including a 2-item depression screener, we found that African Americans were significantly less likely to receive a depression diagnosis from a health care provider (adjusted odds ratio [AOR] = 0.53; 95% confidence interval [CI] = 0.41, 0.69) than were non-Hispanic Whites; those diagnosed were less likely to be treated for depression (AOR = 0.45; 95% CI = 0.30, 0.66). </jats:p><jats:p> Conclusions. Among elderly Medicare beneficiaries, significant racial/ethnic differences exist in the diagnosis and treatment of depression. Vigorous clinical and public health initiatives are needed to address this persisting disparity in care. </jats:p> |
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| author | Akincigil, Ayse, Olfson, Mark, Siegel, Michele, Zurlo, Karen A., Walkup, James T., Crystal, Stephen |
| author_facet | Akincigil, Ayse, Olfson, Mark, Siegel, Michele, Zurlo, Karen A., Walkup, James T., Crystal, Stephen, Akincigil, Ayse, Olfson, Mark, Siegel, Michele, Zurlo, Karen A., Walkup, James T., Crystal, Stephen |
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| description | <jats:p> Objectives. We investigated racial/ethnic disparities in the diagnosis and treatment of depression among community-dwelling elderly. </jats:p><jats:p> Methods. We performed a secondary analysis of Medicare Current Beneficiary Survey data (n = 33 708) for 2001 through 2005. We estimated logistic regression models to assess the association of race/ethnicity with the probability of being diagnosed and treated for depression with either antidepressant medication or psychotherapy. </jats:p><jats:p> Results. Depression diagnosis rates were 6.4% for non-Hispanic Whites, 4.2% for African Americans, 7.2% for Hispanics, and 3.8% for others. After we adjusted for a range of covariates including a 2-item depression screener, we found that African Americans were significantly less likely to receive a depression diagnosis from a health care provider (adjusted odds ratio [AOR] = 0.53; 95% confidence interval [CI] = 0.41, 0.69) than were non-Hispanic Whites; those diagnosed were less likely to be treated for depression (AOR = 0.45; 95% CI = 0.30, 0.66). </jats:p><jats:p> Conclusions. Among elderly Medicare beneficiaries, significant racial/ethnic differences exist in the diagnosis and treatment of depression. Vigorous clinical and public health initiatives are needed to address this persisting disparity in care. </jats:p> |
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| spelling | Akincigil, Ayse Olfson, Mark Siegel, Michele Zurlo, Karen A. Walkup, James T. Crystal, Stephen 0090-0036 1541-0048 American Public Health Association Public Health, Environmental and Occupational Health http://dx.doi.org/10.2105/ajph.2011.300349 <jats:p> Objectives. We investigated racial/ethnic disparities in the diagnosis and treatment of depression among community-dwelling elderly. </jats:p><jats:p> Methods. We performed a secondary analysis of Medicare Current Beneficiary Survey data (n = 33 708) for 2001 through 2005. We estimated logistic regression models to assess the association of race/ethnicity with the probability of being diagnosed and treated for depression with either antidepressant medication or psychotherapy. </jats:p><jats:p> Results. Depression diagnosis rates were 6.4% for non-Hispanic Whites, 4.2% for African Americans, 7.2% for Hispanics, and 3.8% for others. After we adjusted for a range of covariates including a 2-item depression screener, we found that African Americans were significantly less likely to receive a depression diagnosis from a health care provider (adjusted odds ratio [AOR] = 0.53; 95% confidence interval [CI] = 0.41, 0.69) than were non-Hispanic Whites; those diagnosed were less likely to be treated for depression (AOR = 0.45; 95% CI = 0.30, 0.66). </jats:p><jats:p> Conclusions. Among elderly Medicare beneficiaries, significant racial/ethnic differences exist in the diagnosis and treatment of depression. Vigorous clinical and public health initiatives are needed to address this persisting disparity in care. </jats:p> Racial and Ethnic Disparities in Depression Care in Community-Dwelling Elderly in the United States American Journal of Public Health |
| spellingShingle | Akincigil, Ayse, Olfson, Mark, Siegel, Michele, Zurlo, Karen A., Walkup, James T., Crystal, Stephen, American Journal of Public Health, Racial and Ethnic Disparities in Depression Care in Community-Dwelling Elderly in the United States, Public Health, Environmental and Occupational Health |
| title | Racial and Ethnic Disparities in Depression Care in Community-Dwelling Elderly in the United States |
| title_full | Racial and Ethnic Disparities in Depression Care in Community-Dwelling Elderly in the United States |
| title_fullStr | Racial and Ethnic Disparities in Depression Care in Community-Dwelling Elderly in the United States |
| title_full_unstemmed | Racial and Ethnic Disparities in Depression Care in Community-Dwelling Elderly in the United States |
| title_short | Racial and Ethnic Disparities in Depression Care in Community-Dwelling Elderly in the United States |
| title_sort | racial and ethnic disparities in depression care in community-dwelling elderly in the united states |
| title_unstemmed | Racial and Ethnic Disparities in Depression Care in Community-Dwelling Elderly in the United States |
| topic | Public Health, Environmental and Occupational Health |
| url | http://dx.doi.org/10.2105/ajph.2011.300349 |