Racial differences in antidepressant use among older home health care patients. Academic Article uri icon

Overview

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.

publication date

  • August 1, 2012

Research

keywords

  • Antidepressive Agents
  • Black or African American
  • Depressive Disorder
  • Drug Therapy
  • Home Care Services
  • White People

Identity

PubMed Central ID

  • PMC4537070

Scopus Document Identifier

  • 84862905256

Digital Object Identifier (DOI)

  • 10.1176/appi.ps.201100233

PubMed ID

  • 22854728

Additional Document Info

volume

  • 63

issue

  • 8