187565 Racial/ethnic disparities in prevalence of screened depression among community-dwelling older women

Monday, October 27, 2008: 11:30 AM

Chunyu Li, MD, PhD , Division of Cancer Prevention and Control, Center for Disease Control and Prevention, Atlanta, GA
Kevin Fiscella, MD, MPH , University of Rochester Medical Center, Associate Professor of Family Medicine and Community & Preventive Medicine, Rochester, NY
Yeates Conwell, MD , Department of Psychiatry, University of Rochester, Rochester, NY
Andrew Dick, PhD , RAND Corporation, Pittsburgh, PA
Bruce Friedman, PhD, MPH , Department of Community and Preventive Medicine, University of Rochester, Rochester, NY
Background: Depression is a significant public health problem among older adults, especially among women. People with screened depression are at higher risk of developing major depression. Objective: To estimate racial/ethnic disparities in the prevalence of screened depression and explore associated correlates among community-dwelling older women. Design: A multiple-year cross-sectional study using Medicare Current Beneficiaries Survey for 2001-03 and the Area Resource File for 2002. Participants: 11,756 community-dwelling person-years for women age 65+ in traditional Medicare for a full year. Methods: A two-item screen (anhedonia and/or sadness) was used to identify subjects who screened positive for depression (“screened depression”) in the past year. Racial/ethnic groups included non-Hispanic whites, non-Hispanic blacks, Hispanics, and others. Bivariate analysis and a multivariate logistic regression were utilized. All estimates were adjusted by sampling weights and study design effects. Results: Bivariate analyses indicated that a significantly higher proportion of Hispanics reported screened depression than did non-Hispanic whites (21.1% vs. 13.7%, p=0.001). No significant difference was found between non-Hispanic blacks and whites (15.8% vs. 13.7%, p=0.24). Similar differences were found after controlling for demographic characteristics and health status. After additionally controlling for income, education and health insurance, non-Hispanic blacks were significantly less likely to report screened depression than non-Hispanic whites (OR=0.77, P=0.03). No significant difference was found between Hispanics and non-Hispanic whites (OR=1.24, p=0.18). Conclusion: Among community-dwelling older women, minorities reported more screened depression than non-Hispanic whites. Improving women's socioeconomic conditions may decrease screened depression and help reduce racial/ethnic disparities in developing major depression.

Learning Objectives:
The learning objectives are: (1) to examine racial/ethnic disparities in the prevalence of screened depression among community-dwelling older women at the national level; (2) to explore associated correlates and potential policy interventions.

Keywords: Depression, Aging

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: experience and expertise in the area
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.