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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| Published in: | Journal of affective disorders Vol. 105; no. 1; pp. 273 - 277 |
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| Format: | Journal Article |
| Language: | English |
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Elsevier B.V
01.01.2008
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| ISSN: | 0165-0327, 1573-2517 |
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| Abstract | 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. |
|---|---|
| AbstractList | 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. 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. Background There are limited data on depressive symptoms and antidepressant use in ethnically diverse, urban elderly. Methods Analysis of depressive symptom and antidepressant use data from an epidemiological survey of dementia in an ethnically diverse, urban, elderly community. Results 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. Limitations 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. Conclusions 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. [Copyright Elsevier B.V.] There are limited data on depressive symptoms and antidepressant use in ethnically diverse, urban elderly.BACKGROUNDThere 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.METHODSAnalysis 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.RESULTS21.5% (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.LIMITATIONSCombined 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.CONCLUSIONSIn this elder sample, taking into account depressive symptom severity and other confounds, antidepressant use is nearly half as likely among men and African Americans. AbstractBackgroundThere are limited data on depressive symptoms and antidepressant use in ethnically diverse, urban elderly. MethodsAnalysis of depressive symptom and antidepressant use data from an epidemiological survey of dementia in an ethnically diverse, urban, elderly community. Results21.5% ( 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. LimitationsCombined 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. ConclusionsIn this elder sample, taking into account depressive symptom severity and other confounds, antidepressant use is nearly half as likely among men and African Americans. |
| Author | Oquendo, Maria A. Manly, Jennifer J. Grunebaum, Michael F. |
| AuthorAffiliation | 1 Department of Psychiatry, the College of Physicians and Surgeons, Columbia University 2 Department of Neurology, the College of Physicians and Surgeons, Columbia University |
| AuthorAffiliation_xml | – name: 1 Department of Psychiatry, the College of Physicians and Surgeons, Columbia University – name: 2 Department of Neurology, the College of Physicians and Surgeons, Columbia University |
| Author_xml | – sequence: 1 givenname: Michael F. surname: Grunebaum fullname: Grunebaum, Michael F. organization: Department of Psychiatry, the College of Physicians and Surgeons, Columbia University, United States – sequence: 2 givenname: Maria A. surname: Oquendo fullname: Oquendo, Maria A. organization: Department of Psychiatry, the College of Physicians and Surgeons, Columbia University, United States – sequence: 3 givenname: Jennifer J. surname: Manly fullname: Manly, Jennifer J. email: jjm71@columbia.edu organization: Department of Neurology, the College of Physicians and Surgeons, Columbia University, United States |
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| Keywords | 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 |
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| Snippet | There are limited data on depressive symptoms and antidepressant use in ethnically diverse, urban elderly.
Analysis of depressive symptom and antidepressant... AbstractBackgroundThere are limited data on depressive symptoms and antidepressant use in ethnically diverse, urban elderly. MethodsAnalysis of depressive... Background There are limited data on depressive symptoms and antidepressant use in ethnically diverse, urban elderly. Methods Analysis of depressive symptom... There are limited data on depressive symptoms and antidepressant use in ethnically diverse, urban elderly.BACKGROUNDThere are limited data on depressive... |
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| SubjectTerms | 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 |
| Title | Depressive symptoms and antidepressant use in a random community sample of ethnically diverse, urban elder persons |
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