+ 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

Disparities in detection and treatment history among mothers with major depression in Los Angeles



Disparities in detection and treatment history among mothers with major depression in Los Angeles



Women's Health Issues 19(4): 232-242



We sought to determine disparities in detection and treatment histories among a group of racial and ethnically diverse mothers with major depression. Our sample included 276 racially and ethnically diverse mothers who participated in the Los Angeles Family and Neighborhood Survey and who were classified with major depression based on the Comprehensive International Diagnostic Interview-Short Form. We used logistic regression to assess the association between demographic factors and previous detection with major depression, mental health specialty use, and the use of a primary care physician among these women. The demographic factors examined included race and ethnicity, immigration status, marital status, education, income, body mass index (BMI), maternal age, number of children, children's ages, history of emotional problems, and history of diabetes. Results indicated that 69% of mothers had not been previously detected with major depression nor had they sought mental health treatment in the 12 months before the interview. The odds of having been previously diagnosed with major depression were significantly higher among White and single mothers, as well as among mothers with higher BMIs and those with a history of emotional problems. Nonimmigrant mothers without emotional problems had a higher odds of having seen a mental health specialist in the 12 months before the interview compared with immigrant mothers without emotional problems; no differences in mental health treatment were found between nonimmigrant and immigrant mothers with emotional problems. Finally, African-American mothers and those with a history of diabetes had significantly higher odds of seeing a primary care physician compared with Hispanic mothers and those with no history of diabetes, respectively. Our analyses of a population of depressed mothers living in Los Angeles highlight the need for identification and treatment of racial minority and immigrant mothers.

Please choose payment method:






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

Accession: 052653490

Download citation: RISBibTeXText

PMID: 19589472

DOI: 10.1016/j.whi.2009.03.007


Related references

Factors associated with major depression among mothers in Los Angeles. Women's Health Issues 17(5): 316-324, 2007

A study of the Edinburgh Postnatal Depression Scale (EPDS) on 859 mothers: detection of mothers at risk for postpartum depression. L'Encephale 30(4): 376-381, 2004

What lies between hypomania and bipolar disorder? A qualitative analysis of 12 non-treatment-seeking people with a history of hypomanic experiences and no history of major depression. Psychology and PsychoTherapy 81(Pt 1): 33-53, 2008

Arts accessibility to major museums and cultural/ethnic institutions in Los Angeles: can school tours overcome neighborhood disparities?. Environment and Planning A 45(3): 728-748, 2013

Emotional availability in mothers with borderline personality disorder and mothers with remitted major depression is differently associated with psychopathology among school-aged children. Journal of Affective Disorders 231: 63-73, 2018

Negative mood, depressive symptoms, and major depression after smoking cessation treatment in smokers with a history of major depressive disorder. Journal of Abnormal Psychology 111(4): 670-675, 2002

Impact of antidepressant treatment history on clinical outcomes in placebo and medication treatment of major depression. Journal of Clinical Psychopharmacology 30(6): 748-751, 2010

The insects of the Los Angeles basin: Hogue, C. L., Natural History Museum of Los Angeles County, Los Angeles, 173 pp., 1974. Toxicon 13(5): 390-391, 1975

Racial and ethnic disparities in detection and treatment of depression and anxiety among psychiatric and primary health care visits, 1995-2005. Medical Care 46(7): 668-677, 2008

Major depression in mothers predicts reduced ventral striatum activation in adolescent female offspring with and without depression. Journal of Abnormal Psychology 123(2): 298-309, 2014

Are racial disparities in alcohol treatment completion associated with racial differences in treatment modality entry? Comparison of outpatient treatment and residential treatment in Los Angeles County, 1998 to 2000. Alcoholism, Clinical and Experimental Research 31(11): 1920-1926, 2007

Postpartum major depression: detection and treatment. American Family Physician 59(8): 2247-54 2259-60, 1999

Illness history: Not associated with remission during treatment of major depression in 515 mood disorder patients. Journal of Affective Disorders 191: 118-122, 2016

Disparities in completion of substance abuse treatment among Latino subgroups in Los Angeles County, CA. Addictive Behaviors 37(10): 1162-1166, 2012

Detection and treatment of major depression in older medically ill hospitalized patients. International Journal of Psychiatry in Medicine 18(1): 17-31, 1988