Table 5.
Correlates of depression treatment among middle-aged and older adults (50 years and older) meeting major depression criteria
PHARMACOTHERAPYa
|
PSYCHOTHERAPYb
|
ANY THERAPYc
|
||||
---|---|---|---|---|---|---|
OR | 95% CI | OR | 95% CI | OR | 95% CI | |
Ethnicity/race | ||||||
Non-Latino Whites | Ref | n/a | Ref | n/a | Ref | n/a |
Cubans | 0.85 | 0.54–1.33 | 1.28 | 0.78–2.10 | 0.88 | 0.50–1.56 |
Puerto Ricans | 0.64 | 0.23–1.78 | 0.94 | 0.39–2.28 | 0.98 | 0.45–2.13 |
Mexicans | 0.38 | 0.11–1.38 | 0.79 | 0.35–1.76 | 0.47 | 0.21–1.03 |
Blacks | 0.68 | 0.39–1.17 | 1.41 | 0.85–2.33 | 0.97 | 0.60–1.59 |
Depression type | ||||||
MDDd | Ref | n/a | Ref | n/a | Ref | n/a |
Comorbid CVD/MDDe | 0.74 | 0.40–1.36 | 0.93 | 0.53–1.63 | 0.87 | 0.52–1.48 |
Sex | ||||||
Female | Ref | n/a | Ref | n/a | Ref | n/a |
Male | 1.22 | 0.61–2.45 | 1.35 | 0.66–2.76 | 1.11 | 0.57–2.18 |
Age | ||||||
50–64 | Ref | n/a | Ref | n/a | Ref | n/a |
65+ | 0.72 | 0.39–1.31 | 0.36*** | 0.20–0.64 | 0.51** | 0.28–0.92 |
Antidepressant prescription drug use based on respondent report and pill bottle inventory reviews.
Self-reported treatment by a mental health professional including by a psychiatrist, psychologist, counselor, or social worker.
Either pharmacotherapy or psychotherapy.
Meeting criteria for lifetime major depression, based on World Mental Health Composite International Diagnostic Interviews, with a depressive episode occurring at age 50 years or older and no reported cerebrovascular diseases.
Meeting criteria for a lifetime major depressive disorder (MDD) with a depressive episode occurring at age 50 years or older, and self-reported medical diagnoses of one or more cerebrovascular disease (including diabetes, hypertension, heart disease, or stroke).
p < 0.05.
p < 0.01.
Results are from logistic regressions using data from the Collaborative Psychiatric Epidemiology Surveys.