Journal
JOURNAL OF AFFECTIVE DISORDERS
Volume 105, Issue 1-3, Pages 273-277Publisher
ELSEVIER SCIENCE BV
DOI: 10.1016/j.jad.2007.04.022
Keywords
depressive symptoms; antidepressant use; epidemiology; ethnicity; gender; help-seeking
Categories
Funding
- NIA NIH HHS [P01 AG007232, R01 AG016206-09, AG07232, R01 AG016206, P01 AG007232-19] Funding Source: Medline
- NIMH NIH HHS [K23 MH076049, K23 MH076049-01] Funding Source: Medline
- NATIONAL INSTITUTE OF MENTAL HEALTH [K23MH076049] Funding Source: NIH RePORTER
- NATIONAL INSTITUTE ON AGING [P01AG007232, R01AG016206] Funding Source: NIH RePORTER
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Backgroun: There are limited data on depressive symptoms and antidepressant use in ethnically diverse, urban elderly. Methods: Analysis of depressive symptom and antidepressant use data from an epidemiological survey of dementia in an ethnically diverse, urban, elderly community. Results: 21.5% (N=566) reported clinically significant depressive symptoms. Severity was inversely associated with socioeconomic status. 7.5% (N= 194) reported antidepressant medication use. Multiple logistic regression analysis adjusting for severity and other covariates showed that men and African Americans had nearly half the odds of using antidepressants. Antidepressant use was more frequent among Hispanics, those with more severe depression and more medical illness. Limitations: Combined sample; CES-D not validated in Hispanics and inner-city African Americans; depressive symptoms assessed at one time-point; lack of complete income data; geographically restricted. Conclusions: In this elder sample, taking into account depressive symptom severity and other confounds, antidepressant use is nearly half as likely among men and African Americans. (c) 2007 Elsevier B.V. All rights reserved.
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