+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

The acceptability of treatment for depression among African-American, Hispanic, and white primary care patients

The acceptability of treatment for depression among African-American, Hispanic, and white primary care patients

Medical Care 41(4): 479-489

Ethnic minority patients are less likely than white patients to receive guideline-concordant care for depression. It is uncertain whether racial and ethnic differences exist in patient beliefs, attitudes, and preferences for treatment. A telephone survey was conducted of 829 adult patients (659 non-Hispanic whites, 97 African Americans, 73 Hispanics) recruited from primary care offices across the United States who reported 1 week or more of depressed mood or loss of interest within the past month and who met criteria for Major Depressive Episode in the past year. Within this cohort, we examined differences among African Americans, Hispanics, and whites in acceptability of antidepressant medication and acceptability of individual counseling. African Americans (adjusted OR, 0.30; 95% CI 0.19-0.48) and Hispanics (adjusted OR, 0.44; 95% CI, 0.26-0.76) had lower odds than white persons of finding antidepressant medications acceptable. African Americans had somewhat lower odds (adjusted OR, 0.63; 95% CI, 0.35-1.12), and Hispanics had higher odds (adjusted OR, 3.26; 95% CI, 1.08-9.89) of finding counseling acceptable than white persons. Some negative beliefs regarding treatment were more prevalent among ethnic minorities; however adjustment for these beliefs did not explain differences in acceptability of treatment for depression. African Americans are less likely than white persons to find antidepressant medication acceptable. Hispanics are less likely to find antidepressant medication acceptable, and more likely to find counseling acceptable than white persons. Racial and ethnic differences in beliefs about treatment modalities were found, but did not explain differences in the acceptability of depression treatment. Clinicians should consider patients' cultural and social context when negotiating treatment decisions for depression. Future research should identify other attitudinal barriers to depression care among ethnic minority patients.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 050565320

Download citation: RISBibTeXText

PMID: 12665712

DOI: 10.1097/01.mlr.0000053228.58042.e4

Related references

The Acceptability of Treatment for Depression among African-American, Hispanic, and White Primary Care Patients. Medical Care 41(4): 479-489, 2003

Relationships between stigma, depression, and treatment in white and African American primary care patients. Journal of Nervous and Mental Disease 197(6): 407-411, 2009

How important is intrinsic spirituality in depression care? A comparison of white and African-American primary care patients. Journal of General Internal Medicine 16(9): 634-638, 2001

Prevalence of partner violence against 7,443 African American, White, and Hispanic women receiving care at urban public primary care clinics. Public Health Nursing 22(2): 98, 2005

Effectiveness of treatments for major depression in primary medical care practice: A post hoc analysis of outcomes for African American and white patients. Journal of Affective Disorders 53(2): 185-192, 1999

Glycemic control in African-American, hispanic and non-hispanic white low-income patients with type 2 diabetes. Diabetes 50(Suppl. 2): A422, 2001

Caregiver reports of sleep problems in non-Hispanic white, Hispanic, and African American patients with Alzheimer dementia. Journal of Clinical Sleep Medicine 6(3): 281-289, 2010

Comparison of symptoms in African-American, Asian-American, Mexican-American and Non-Hispanic White patients with major depressive disorder. Asian Journal of Psychiatry 5(1): 28-33, 2012

Adherence to diabetes self care for white, African-American and Hispanic American telemedicine participants: 5 year results from the IDEATel project. Ethnicity & Health 18(1): 83-96, 2013

Correlates of complementary and alternative medicine utilization in depressed, underserved african american and Hispanic patients in primary care settings. Journal of Alternative and Complementary Medicine 14(5): 537-544, 2008

Acceptability of the Stepped Care Model of Depression Treatment in Primary Care Patients and Providers. Journal of Clinical Psychology in Medical Settings 26(4): 402-410, 2019

Postpartum depression among White, African American, and Hispanic low-income mothers in rural southeastern North Carolina. Journal of Community Health Nursing 28(1): 41-53, 2011

Use of the Beck Depression Inventory-II with African American primary care patients. General Hospital Psychiatry 26(6): 437-442, 2004

Disparity in Use of Psychotherapy Offered in Primary Care Between Older African-American and White Adults: Results from a Practice-Based Depression Intervention Trial. Yearbook of Psychiatry and Applied Mental Health 2011: 76-77, 2011

Disparity in use of psychotherapy offered in primary care between older african-american and white adults: results from a practice-based depression intervention trial. Journal of the American Geriatrics Society 58(1): 154-160, 2010