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Psychiatr Serv. 2012 Aug;63(8):827-9. doi: 10.1176/appi.ps.201100233.

Racial differences in antidepressant use among older home health care patients.

Author information

  • 1Department of Psychiatry, Weill Cornell Medical College, 21 Bloomingdale Rd,White Plains, NY 10605, USA. yop2003@med.cornell.edu

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.

PMID:
22854728
[PubMed - indexed for MEDLINE]
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