Depressive symptoms and antidepressant use in a random community sample of ethnically diverse, urban elder persons

There are limited data on depressive symptoms and antidepressant use in ethnically diverse, urban elderly. Analysis of depressive symptom and antidepressant use data from an epidemiological survey of dementia in an ethnically diverse, urban, elderly community. 21.5% ( N = 566) reported clinically si...

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Bibliographic Details
Published in:Journal of affective disorders Vol. 105; no. 1; pp. 273 - 277
Main Authors: Grunebaum, Michael F., Oquendo, Maria A., Manly, Jennifer J.
Format: Journal Article
Language:English
Published: Amsterdam Elsevier B.V 01.01.2008
Elsevier
Subjects:
Adult and adolescent clinical studies
Aged
Aged, 80 and over
Antidepressant drugs
Antidepressant use
Antidepressive Agents - therapeutic use
Biological and medical sciences
Black or African American - statistics & numerical data
Catchment Area, Health
Community Mental Health Services - statistics & numerical data
Cultural Diversity
Depression
Depression - drug therapy
Depression - ethnology
Depression - psychology
Depressive symptoms
Diagnostic and Statistical Manual of Mental Disorders
Elderly people
Epidemiology
Ethnicity
Female
Gender
Help-seeking
Helpseeking
Hispanic or Latino - statistics & numerical data
Humans
Male
Medical sciences
Mood disorders
Neuropharmacology
Pharmacology. Drug treatments
Psychiatric/Mental Health
Psychoanaleptics: cns stimulant, antidepressant agent, nootropic agent, mood stabilizer
Psychoanaleptics: cns stimulant, antidepressant agent, nootropic agent, mood stabilizer..., (alzheimer disease)
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Psychopharmacology
Surveys and Questionnaires
United States - epidemiology
Urban Population - statistics & numerical data
United States
Antidepressant use
Depressive symptoms
Ethnicity
Gender
Epidemiology
Help-seeking
Social environment
Human
Mood disorder
Help seeking
Urban environment
Psychotropic
Sex
Depression
Ethnic group
Symptomatology
Treatment
Antidepressant agent
Elderly
Public health
ISSN:0165-0327, 1573-2517
Online Access:Get full text
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Summary:There are limited data on depressive symptoms and antidepressant use in ethnically diverse, urban elderly. Analysis of depressive symptom and antidepressant use data from an epidemiological survey of dementia in an ethnically diverse, urban, elderly community. 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. 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. 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.
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ISSN:0165-0327
1573-2517
DOI:10.1016/j.jad.2007.04.022