Depression Among Older Adults in the United States by Disaggregated Race and Ethnicity
| Autor: | Shelbie Turner, Soyoung Choun, Karen Hooker, Veronica L. Irvin, Lan N. Doan, Tao Li, Sandi Phibbs, Carolyn A. Mendez-Luck |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
Native Hawaiian or Other Pacific Islander Population Ethnic group Medicare Advantage White People 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires Ethnicity Prevalence Humans Medicine 030212 general & internal medicine Healthcare Disparities education Aged Aged 80 and over education.field_of_study Asian Depression business.industry Hispanic or Latino General Medicine Odds ratio Multiple Hispanic United States Race Factors Black or African American Patient Health Questionnaire Minorities and Mental Health Pacific islanders Female Geriatrics and Gerontology business Gerontology Medicaid 030217 neurology & neurosurgery Demography |
| Zdroj: | Gerontologist |
| ISSN: | 1758-5341 0016-9013 |
| DOI: | 10.1093/geront/gny159 |
| Popis: | Background and Objectives As the population becomes increasingly diverse, it is important to understand the prevalence of depression across a racially and ethnically diverse older population. The purpose of this study was to compare rates of depression by age and disaggregated racial and ethnic groups to inform practitioners and target resource allocation to high risk groups. Research Design and Methods Data were from the Centers for Medicare and Medicaid Services Health Outcomes Survey, Cohorts 15 and 16, a national and annual survey of a racially diverse group of adults aged 65 and older who participate in Medicare Advantage plans (N = 175,956). Depression was operationalized by the Patient Health Questionnaire-2 (PHQ-2); we estimated a logistic regression model and adjusted standard errors to account for 403 Medicare Advantage Organizations. Results Overall, 10.2% of the sample (n = 17,957) reported a PHQ-2 score of 3 or higher, indicative of a positive screen for depression. After adjusting for covariates, odds of screening positively for depression were higher among participants self-reporting as Mexican (odds ratio [OR] = 1.19), Puerto Rican (OR = 1.46), Cuban (OR = 1.57), another Hispanic/Latino (OR = 1.29), and multiple Hispanic/Latino (OR = 1.84) ethnicities, compared with non-Hispanic whites. Odds were also higher among participants reporting that their race was black/African American (OR = 1.20), Asian Indian (OR = 1.67), Filipino (OR = 1.30), Native Hawaiian/Pacific Islander (OR = 1.82), or two or more races (OR = 1.50), compared with non-Hispanic whites. Discussion and Implications Prevalence varied greatly across segments of the population, suggesting that certain racial/ethnic groups are at higher risk than others. These disparities should inform distribution of health care resources; efforts to educate and ameliorate depression should be culturally targeted. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|