Résumé :
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[BDSP. Notice produite par INIST-CNRS ECoR0xGI. Diffusion soumise à autorisation]. Objectives. We investigated racial/ethnic disparities in the diagnosis and treatment of depression among community-dwelling elderly. Methods. We performed a secondary analysis of Medicare Current Beneficiary Survey data (n =33708) for 2001 through 2005. We estimated logistic regression models to assess the association of race/ethnicity with the probability of being diagnosed and treated for depression with either antidepressant medication or psychotherapy. Results. Depression diagnosis rates were 6.4 % for non-Hispanic Whites, 4.2 % for African Americans, 7.2 % for Hispanics, and 3.8 % for others. After we adjusted for a range of covariates including a 2-item depression screener, we found that African Americans were significantly less likely to receive a depression diagnosis from a health care provider (adjusted odds ratio [AOR]=0.53 ; 95 % confidence interval [CI]=0.41,0.69) than were non-Hispanic Whites ; those diagnosed were less likely to be treated for depression (AOR =0.45 ; 95 % CI =0.30,0.66). Conclusions. Among elderly Medicare beneficiaries, significant racial/ethnic differences exist in the diagnosis and treatment of depression. Vigorous clinical and public health initiatives are needed to address this persisting disparity in care.
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