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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Pickett, Yolonda Renee Weissman, Judith Bruce, Martha L. |
| Spatial Coverage | United States |
| Description | Country affiliation: United States Author Affiliation: Pickett YR ( Department of Psychiatry, Weill Cornell Medical College, 21 Bloomingdale Rd,White Plains, NY 10605, USA. yop2003@med.cornell.edu) |
| Abstract | OBJECTIVE: The objective of this study was to determine the association of race (black and white) with depression diagnosis and antidepressant use among older home health care patients. METHODS: Cross-sectional data were obtained from the 2007 National Home and Hospice Care Survey of patients 65 years and older (N=3,157). Data were analyzed by race, antidepressant use, and charted depression diagnosis. RESULTS: Whites had greater odds than blacks of receiving a depression diagnosis (adjusted odds ratio [AOR]=4.46, 95% confidence interval [CI]=1.52-13.09). Whites with no depression diagnosis were also more likely to receive an antidepressant (AOR=2.62, CI=1.58-4.36); however, the difference in receipt of an antidepressant between whites and blacks with a depression diagnosis was not significant. CONCLUSIONS: Older blacks were less likely than older whites to receive antidepressants, independent of a depression diagnosis. This finding suggests that older blacks with depression in home health care may face two disparities relative to whites: underdiagnosis and undertreatment of depression. |
| File Format | HTM / HTML |
| ISSN | 10752730 |
| e-ISSN | 15579700 |
| DOI | 10.1176/appi.ps.201100233 |
| Journal | Psychiatric Services |
| Issue Number | 8 |
| Volume Number | 63 |
| Language | English |
| Publisher | American Psychiatric Association |
| Publisher Date | 2012-08-01 |
| Publisher Place | United States |
| Access Restriction | Open |
| Subject Keyword | Discipline Psychiatry African Americans Statistics & Numerical Data Antidepressive Agents Therapeutic Use Depressive Disorder Drug Therapy European Continental Ancestry Group Home Care Services Psychology Cross-sectional Studies Ethnology Healthcare Disparities Research Support, N.i.h., Extramural |
| Content Type | Text |
| Resource Type | Article |
| Subject | Psychiatry and Mental Health |
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