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American Public Health Association
133rd Annual Meeting & Exposition
December 10-14, 2005
Philadelphia, PA
APHA 2005
 
3207.0: Monday, December 12, 2005 - 1:30 PM

Abstract #109983

Is there an association between self-reported depression in women and self-reported receipt of preventive health care?

Karen J. Ayala, BASW, Health Support Services, Winnebago County Health Department, 220 S. Madison Street, Third Floor, Rockford, IL 61104, 815-720-4310, kayala@wchd.org, Randi K. Stouffer, PharmD, School of Public Health, University of Illinois- Chicago, 220 S. Madison Street, Third Floor, Rockford, IL 61104, and May Nawal Lutfiyya, PhD, Family and Community Medicine, University of Illinois at Chicago, 1601 Parkview Avenue, Rockford, IL 61107.

Abstract Introduction: Depression represents the most prevalent mental health condition experienced by adults in the United States. Further depression is the second most common chronic condition encountered in general medical practice. This study sought to determine if depression impacted women's utilization of specific recommended preventive health services. Methods: 2003 Behavioral Risk Factor Surveillance System (BRFSS) data were analyzed using univariate, bivariate and multivariate techniques. For the bivariate and multivariate analyses depression was the dependent variable. Results: Significant results yielded that those women who were depressed had greater odds of having a household income <$5,000 (OR 1.08); having foregone health insurance because of cost at least once in the past 12 months (OR 2.01); and perceiving their health as being fair to poor (OR 3.65). This same population had lesser odds of having a primary care provider (OR.590); having graduated from high school (OR .342); receiving recommended cholesterol screenings (OR .613); PAP tests (OR .654); mammograms (OR .920); and a blood stool test (OR .851). Finally, they were less likely to have exercised within the past 30 days (OR .366). Conclusion: Self-reported depressed women were significantly less likely to receive recommended preventive health screenings and participate in health seeking behavior. Our study provides clear evidence supporting the need for medical providers together with public health providers to address the issue of depression as a potential barrier to women receiving recommended preventive health care.

Learning Objectives: At the conclusion of this session, a learner will be able to

Presenting author's disclosure statement:

I wish to disclose that I have NO financial interests or other relationship with the manufactures of commercial products, suppliers of commercial services or commercial supporters.

[ Recorded presentation ] Recorded presentation

Assessing and Treating Mental Illness in Primary Care

The 133rd Annual Meeting & Exposition (December 10-14, 2005) of APHA