Yolonda R Pickett1, Rebecca L Greenberg2, Kisha N Bazelais2, Martha L Bruce2. 1. Department of Psychiatry, Weill Cornell Medical College, New York, NY; Department of Psychiatry and Behavioral Sciences, Albert Einstein College of Medicine, New York, NY. Electronic address: yop2003@med.cornell.edu. 2. Department of Psychiatry, Weill Cornell Medical College, New York, NY.
Abstract
OBJECTIVE: Determine the racial/ethnic effect on depression treatment among home healthcare patients. DESIGN: Cross-sectional analyses of administrative data. SETTING: A large home healthcare agency in Bronx, NY. PARTICIPANTS: Patients 65 years and older admitted to homecare in 2010 (N = 3,744). MEASUREMENTS: Patient Health Questionnaire (PHQ)-2 depression screen. Other data, such as diagnosis, medications, and demographics, were collected from the patient electronic medical record. RESULTS: 6.52% of the sample had a depression diagnosis, 11.11% screened positive for depression (+PHQ-2), and 13.39% were prescribed antidepressants. The odds of receiving an antidepressant among those who screened positive for depression were 0.42 (95% confidence interval [CI]: 0.22-0.79) for African Americans and 0.49 (95% CI: 0.26-0.93) for Hispanics compared with Caucasians. CONCLUSIONS: These findings suggest that disparities continue to exist in depression treatment for older minority home healthcare patients compared with older Caucasians.
OBJECTIVE: Determine the racial/ethnic effect on depression treatment among home healthcare patients. DESIGN: Cross-sectional analyses of administrative data. SETTING: A large home healthcare agency in Bronx, NY. PARTICIPANTS: Patients 65 years and older admitted to homecare in 2010 (N = 3,744). MEASUREMENTS: Patient Health Questionnaire (PHQ)-2 depression screen. Other data, such as diagnosis, medications, and demographics, were collected from the patient electronic medical record. RESULTS: 6.52% of the sample had a depression diagnosis, 11.11% screened positive for depression (+PHQ-2), and 13.39% were prescribed antidepressants. The odds of receiving an antidepressant among those who screened positive for depression were 0.42 (95% confidence interval [CI]: 0.22-0.79) for African Americans and 0.49 (95% CI: 0.26-0.93) for Hispanics compared with Caucasians. CONCLUSIONS: These findings suggest that disparities continue to exist in depression treatment for older minority home healthcare patients compared with older Caucasians.
Authors: Wayne J Katon; Elizabeth H B Lin; Michael Von Korff; Paul Ciechanowski; Evette J Ludman; Bessie Young; Do Peterson; Carolyn M Rutter; Mary McGregor; David McCulloch Journal: N Engl J Med Date: 2010-12-30 Impact factor: 91.245
Authors: Dennis S Charney; Charles F Reynolds; Lydia Lewis; Barry D Lebowitz; Trey Sunderland; George S Alexopoulos; Dan G Blazer; Ira R Katz; Barnett S Meyers; Patricia A Arean; Soo Borson; Charlotte Brown; Martha L Bruce; Christopher M Callahan; Mary E Charlson; Yeates Conwell; Bruce N Cuthbert; D P Devanand; Mary Jo Gibson; Gary L Gottlieb; K Ranga Krishnan; Sally K Laden; Constantine G Lyketsos; Benoit H Mulsant; George Niederehe; Jason T Olin; David W Oslin; Jane Pearson; Trudy Persky; Bruce G Pollock; Susan Raetzman; Mildred Reynolds; Carl Salzman; Richard Schulz; Thomas L Schwenk; Edward Scolnick; Jurgen Unutzer; Myrna M Weissman; Robert C Young Journal: Arch Gen Psychiatry Date: 2003-07
Authors: Jane L Givens; Thomas K Houston; Benjamin W Van Voorhees; Daniel E Ford; Lisa A Cooper Journal: Gen Hosp Psychiatry Date: 2007 May-Jun Impact factor: 3.238
Authors: Edward S Friedman; Stephen R Wisniewski; William Gilmer; Andrew A Nierenberg; A John Rush; Maurizio Fava; Sidney Zisook; G K Balasubramani; Madhukar H Trivedi Journal: Depress Anxiety Date: 2009 Impact factor: 6.505
Authors: Nicolaas P A Zuithoff; Yvonne Vergouwe; Michael King; Irwin Nazareth; Manja J van Wezep; Karel G M Moons; Mirjam I Geerlings Journal: BMC Fam Pract Date: 2010-12-13 Impact factor: 2.497
Authors: Lisa C Barry; Roland J Thorpe; Brenda W J H Penninx; Kristine Yaffe; Dorothy Wakefield; Hilsa N Ayonayon; Suzanne Satterfield; Anne B Newman; Eleanor M Simonsick Journal: Am J Geriatr Psychiatry Date: 2013-10-11 Impact factor: 4.105