Disparities in Care for Depression Among Primary Care Patients

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dc.contributor.authorMiranda, Jeanne
dc.contributor.authorCooper, Lisa A
dc.date.accessioned2019-08-14T14:58:59Z
dc.date.available2019-08-14T14:58:59Z
dc.date.issued2004
dc.description.abstractCONTEXT: Ethnic minorities traditionally receive less care for depression than do white populations; we examine ethnic minority care for depression in a large cross-national primary care sample. DESIGN: This is a cross-sectional study of identification and treatment of depression among diverse primary care patients, using self-report of symptoms and care. SUBJECTS: One thousand four hundred and ninety-eight depressed primary care patients participating in four large studies of quality improvement for depression care are examined at baseline. RESULTS: Primary care providers recommend depression treatments for Latino and African-American patients as frequently as they do for white patients. However, Latino and African-American patients are less likely to take antidepressant medications (adjusted odds ratio [OR], 0.30; 95% confidence interval [CI], 0.21 to 0.42 and adjusted OR, 0.56; 95% CI, 0.36 to 0.87, respectively) and Latinos are less likely to obtain specialty mental health care (adjusted OR, 0.50; 95% CI, 0.36 to 0.75). CONCLUSIONS: Primary care providers are now able to recognize depression and recommend treatment for Latino and African-American patients, with this care recommended at equal rates to that of white patients. However, Latino and African-American patients remain less likely to obtain appropriate care, such as antidepressant medications or specialty care. New approaches to improving access to appropriate care for Latino and African-American primary care patients are needed.
dc.description.urihttps://onlinelibrary.wiley.com/doi/full/10.1111/j.1525-1497.2004.30272.x
dc.identifierhttps://doi.org/10.13016/yknu-86go
dc.identifier.citationMiranda, Jeanne and Cooper, Lisa A (2004) Disparities in Care for Depression Among Primary Care Patients. Journal of General Internal Medicine, 19. pp. 120-126.
dc.identifier.issn0884-8734
dc.identifier.otherEprint ID 304
dc.identifier.urihttp://hdl.handle.net/1903/22473
dc.subjectAccess To Healthcare
dc.subjectDisparities
dc.subjectMental Health
dc.subjectPractice
dc.subjectdisparities
dc.subjectdepression
dc.subjectprimary care
dc.subjectAfrican Americans
dc.subjectLatinos
dc.subjectethnic minorities
dc.subjectblacks
dc.subjectHispanics
dc.titleDisparities in Care for Depression Among Primary Care Patients
dc.typeArticle

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