Table 2.
This table shows the percentage of psychiatrists who are somewhat/very likely to recommend the primary care physician offer each intervention for three vignette patients, by physician race/ethnicity.
| Prescribe medication | Offer in-office counseling | Refer to a psychiatrist | Refer to a psychologist or counselor | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| N(%*) | OR(95%CI)† | P | N(%) | OR(95%CI)† | P | N(%) | OR(95%CI)† | P | N(%) | OR(95%CI)† | P | |
| Depression Vignette | Prescribe anti-depressant medication | |||||||||||
| White | 171(88) | Referent | 64(34) | Referent | 146(76) | Referent | 163(84) | Referent | ||||
| Black | 17(77) | .4(.1–1.7) | .214 | 4(19) | .5(.2–1.4) | .164 | 17(77) | .9(.3–3.0) | .856 | 16(73) | .4(.1–1.4) | .155 |
| Asian | 59(92) | 2.9(.5–17.2) | .240 | 36(60) | 3.3(1.5–7.6) | .004 | 58(95) | 7.6(1.5–38.5) | .014 | 57(90) | 2.1(.6–7.7) | .249 |
| Hispanic | 14(88) | .6(.1–3.5) | .567 | 7(44) | 1.4(.4–5.0) | .561 | 11(73) | .9(.2–3.7) | .877 | 16(94) | 3.1(.3–29.0) | .310 |
| Other | 8(100) | N/A | N/A | 2(25) | .6(.1–2.8) | .516 | 7(88) | 2.4(.4–16.1) | .369 | 7(88) | 2.1(.2–23.9) | .559 |
| Anxiety Vignette | Prescribe anti-anxiety medication | |||||||||||
| White | 138(71) | Referent | 70(36) | Referent | 150(80) | Referent | 178(91) | Referent | ||||
| Black | 17(74) | 1.0(.4–2.9) | .980 | 6(26) | .6(.2–1.9) | .395 | 19(83) | 1.2(.3–4.4) | .809 | 20(87) | .5(.1–1.8) | .257 |
| Asian | 48(76) | .8(.4–1.7) | .560 | 31(53) | 1.6(.8–3.5) | .213 | 56(90) | 2.2(.6–8.1) | .251 | 55(89) | .9(.2–4.4) | .869 |
| Hispanic | 10(59) | .5(.1–2.0) | .347 | 8(47) | 1.6(.4–5.7) | .493 | 13(76) | .6(.2–2.4) | .482 | 16(94) | 1.0(.1–11.7) | .984 |
| Other | 6(75) | 1.1(.2–4.7) | .937 | 2(25) | .4(.09–2.1) | .306 | 8(100) | N/A | N/A | 8(100) | N/A | N/A |
| Medically Unexplained Symptoms Vignette | Prescribe anti-depressant medication | |||||||||||
| White | 138(71) | Referent | 76(39) | Referent | 140(73) | Referent | 160(81) | Referent | ||||
| Black | 13(57) | .7(.2–1.8) | .409 | 5(22) | .5(.2–1.5) | .214 | 18(78) | 1.7(.5–5.6) | .364 | 18(78) | .8(.3–2.7) | .745 |
| Asian | 42(68) | 1.0(.5–2.3) | .949 | 37(62) | 2.3(1.1–5.0) | .035 | 53(87) | 4.4(1.4–13.9) | .013 | 49(83) | 1.7(.6–4.6) | .322 |
| Hispanic | 13(76) | 1.2(.4–4.1) | .714 | 8(47) | 1.7(.5–5.6) | .382 | 14(82) | 1.7(.5–6.6) | .426 | 16(94) | 2.8(.3–27.8) | .383 |
| Other | 4(50) | .4(.1–2.2) | .308 | 3(38) | .6(.1–2.7) | .479 | 8(100) | N/A | N/A | 7(88) | 1.9(.2–18.6) | .561 |
*
Percentages estimate the percentage of all US psychiatrists.
†
Each multivariable logistic regression model adjusts for sex, age (in quartiles), region, religious affiliation, and main effects of the vignette-experiment design.