Minority Health Archive

Disparities in Care for Depression Among Primary Care Patients

Miranda, Jeanne and Cooper, Lisa A (2004) Disparities in Care for Depression Among Primary Care Patients. Journal of General Internal Medicine, 19. pp. 120-126. ISSN 0884-8734

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Abstract

CONTEXT: 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.


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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: disparities; depression; primary care; African Americans; Latinos; ethnic minorities; blacks; Hispanics
Subjects: Health > Health Equity > Access To Healthcare
Health > Disparities
Health > Public Health > Chronic Illness & Diseases > Mental Health
Practice
Related URLs:
Depositing User: Kismet Loftin-Bell
Date Deposited: 25 Oct 2005
Last Modified: 23 Jun 2011 09:16
Link to this item (URI): http://health-equity.pitt.edu/id/eprint/304

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