Disparities in Depression Treatment for Latinos and Site of Care

• DOI: 10.1176/appi.ps.56.12.1517
• Publication Date: 2005-12-08T23:18:20Z
• Authors: Isabel T. Lagomasino; Megan Dwight-Johnson; Jeanne Miranda; Lily Zhang; Diana Liao; Naihua Duan; Kenneth B. Wells
• Keywords: Depression; Specialty

OBJECTIVE: This study examined the impact of patient characteristics and source care on differences between whites Latinos in use quality depression treatment managed primary settings. METHODS: Data were for 1,175 patients (398 777 whites) 46 practices who screened positive probable depressive disorder. Patient baseline assessments used to compile sociodemographic clinical derive variables receipt any that met minimum guidelines (antidepressant or specialty counseling) past six months. Clinics classified by percentage their population consisted determine whether highly Latino clinics reported lower rates care. Predictors using logistic regression. RESULTS: Rates guideline-level low, less than half as likely receive such care, even after analyses controlled independent predictors (that is, younger age, higher educational level, current unemployment, more comorbid medical illness, a diagnosis anxiety disorder). The likelihood receiving did not significantly vary according served moderate, high Latinos. CONCLUSIONS: Disparities attributable characteristics, they ethnically similar dissimilar clientele. These findings suggest other provider factors may be responsible.