The Relationship of Chronic Disease Burden and Racial-Ethnic Disparities in Depression Treatment.

IF 4.3 3区材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC ACS Applied Electronic Materials Pub Date : 2024-08-29 DOI:10.1007/s40615-024-02081-2

Juliette V Hernandez, Jeffrey S Harman

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Abstract

Background: Chronic disease and depression are closely related, and depression, if left untreated, can worsen physical disease symptoms. Furthermore, treating depression can improve patient outcomes. Generally, treatment for depression is lower in minority groups.

Objective: The aim of this study was to determine the relationship between chronic disease burden and depression treatment and whether that relationship differs between white to non-white patient visits to primary care physicians.

Design: We conducted a quantitative secondary data analysis using data from 2014-2019 National Ambulatory Medical Care Survey (NAMCS).

Participants: Visits by adults with depression to primary care physicians (n = 3832).

Main measures: Logistic regressions estimated the odds of medication treatment, mental health counseling treatment, and any treatment.

Key results: Visits by patients with 3 or more chronic conditions had 1.39 times the odds of receiving medication treatment (p-value = 0.06). However, when examining treatment by race, visits by white patients with 1-2 chronic conditions had 3.04 times the odds of receiving mental health treatment (p-value = 0.09) compared to visits by non-white patients and 2.09 times the odds of receiving any treatment (p-value = 0.08) compared to visits by non-white patients.

Conclusions: Although not significant at the p < .05 level, the results suggest that the odds of depression treatment is greater during visits by patients with multiple co-occurring chronic conditions compared to visits by people without chronic conditions. It appears that this effect is larger for visits by white patients compared to visits by non-white patients. Further research is needed to confirm these findings and determine how this association impacts minorities distinctly and what could be the reason behind the disparity. These findings could help physicians be aware of ongoing disparities in depression treatment and provide more equitable depression treatment.

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慢性病负担与抑郁症治疗中的种族-民族差异之间的关系》（The Relationship of Chronic Disease Burden and Racial-Ethnic Disparities in Depression Treatment.

背景：慢性疾病与抑郁症密切相关，抑郁症如不及时治疗，会加重身体疾病症状。此外，治疗抑郁症可以改善患者的预后。一般来说，少数群体中抑郁症的治疗率较低：本研究旨在确定慢性疾病负担与抑郁症治疗之间的关系，以及这种关系在白人与非白人患者就诊初级保健医生时是否存在差异：我们利用 2014-2019 年全国流动医疗护理调查（NAMCS）的数据进行了二次数据定量分析：主要测量指标：逻辑回归估计了药物治疗、心理健康咨询治疗和任何治疗的几率：有 3 种或 3 种以上慢性病的患者接受药物治疗的几率是其他患者的 1.39 倍（P 值 = 0.06）。然而，如果按种族来研究治疗情况，患有 1-2 种慢性病的白人患者接受心理健康治疗的几率是非白人患者的 3.04 倍（P 值 = 0.09），接受任何治疗的几率是非白人患者的 2.09 倍（P 值 = 0.08）：尽管在 p

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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