247497 Prevalence of depression among an African American community-based population

Wednesday, November 2, 2011: 8:30 AM

Jacqueline Reese-Smith, PhD , Department of Health Disparities Research, The University of Texas MD Anderson Cancer Center, Houston, TX
Nga Nguyen, MS , Department of Health Disparities Research, The University of Texas - MD Anderson Cancer Center, Houston, TX
Lorna H. McNeill, PhD, MPH , Department of Health Disparities Research, The University of Texas M.D. Anderson Cancer Center, Houston, TX
Estimates of lifetime prevalence of depression for African Americans (AA) (16%) are similar to rates of prevalence among whites in the United States. However, evidence of lower diagnosis and treatment rates continue to persist among minority groups. Health disparities in diagnosis and treatment lead to greater burden of morbidity for African Americans. This paper is to describe the prevalence of depression among participants in Project CHURCH, a 1462-person church-based cohort study to examine the role of lifestyle/behavioral, social, and environmental factors on minority health. AA men (n=370) and women (n=1092), between the ages of 18-87 years (M=45.23, SD=12.84), completed the Center for Epidemiological Studies-Depression Scale (CES-D) via a computer based survey. The results indicated that the observed proportion for individuals who were at risk for depression (P=.188) was significantly greater than the expected proportion (P=.16) of individuals who were not at risk for depression, χ2(1, N=1462) = 8.59, p<.05. While not significant, more AA women (20.0%) reported depressive symptoms than AA men (15.4%), χ2(1, N=1462) = 3.76, p=.053. Participants, who were younger (p=.039), reported “high school” or less education (p=.013) and income less than 40,000 (p<.001) were of higher risk of depression. In this study, there was a higher risk of depression among African Americans. Implementing routine depression screenings for this group may increase the rate of individuals referred for further psychological evaluation and subsequent exposure to health information for preventive measures and available depression treatment.

Learning Areas:
Diversity and culture
Implementation of health education strategies, interventions and programs
Social and behavioral sciences

Learning Objectives:
Describe the prevalence of risk for depression among African Americans an African American church based sample Discuss the implications for future screening practices as it relates to risk for depression among African Americans.

Keywords: Depression, Special Populations

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have a PhD in counseling psychology and 12 years of health disparities research experience, specifically in the area of behavioral interventions and health promotion.
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.