Minority Health Archive

Depression and health-related quality of life in ethnic minorities seeking care in general medical settings

Jackson-Triche, Maga E. and Sullivan, J. Greer and Wells, Kenneth B. and Rogers, William and Camp, Patti and Mazel, Rebecca (2000) Depression and health-related quality of life in ethnic minorities seeking care in general medical settings. Journal of Affective Disorders, 58 (2). pp. 88-97.

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Abstract

Background: To examine ethnic groups differences in (a) prevalence of depressive disorders and (b) health related quality of life in fee-for-service and managed care patients (n=21 504) seeking care in general medical settings. Methods: Data are from the Medical Outcomes Study, a multi-site observational study of outpatient practices. The study screened patients of clinicians (family practice, internal medicine, cardiology, diabetology and endocrinology) for four chronic medical conditions; depression, coronary heart disease, hypertension and diabetes. A brief eight-item depression screener followed by the Diagnostic Interview Schedule-Depression Section (DIS) for screener positives identified depressed patients (n=2195). The Short Form Health Survey (SF-36) assessed health-related quality of life. Patient self-report determined ethnicity. Results: Before adjusting for demographic factors, African-Americans and Hispanics had highest rates of depressive symptoms. Asian-Americans had the lowest. adjusting for demographics (particularly gender and income), we found few statistically significant differences in prevalence or severity of depression. However, among the depressed, Whites were the most, and African-Americans the least likely to report suicidal ideation (p<0.01), and Hispanics and Whites were more likely to have melancholia (p<0.01). African-Americans reported the poorest quality of life. Limitations: DSM III criteria (though few changes in DSM IV), and relatively small sample size of Asian-Americans compared to other groups. Conclusions: Gender and socioeconomic status are more significant factors than ethnicity in determining risk for depressive disorder. However, ethnic differences in symptom presentation, and health-related quality of life could have clinical and social consequences, and merit further study.


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Item Type: Article
Additional Information: This article is available at the publisher’s Web site. Access to the full text is subject to the publisher’s access restrictions.
Uncontrolled Keywords: Depression; Ethnicity; Outpatient; Health-related quality of life; General medicine
Subjects: Health > Public Health > Chronic Illness & Diseases > Mental Health
Research
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Depositing User: Users 141 not found.
Date Deposited: 01 Dec 2008
Last Modified: 14 Jul 2011 16:26
Link to this item (URI): http://health-equity.pitt.edu/id/eprint/1145

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