Disparities in Depression Treatment for Latinos and Site of Care

Authors:
  • MDMegan Dwight-Johnson
    Megan Dwight-Johnson
  • JMJeanne Miranda
    Jeanne Miranda
  • LZLily Zhang
    Lily Zhang
  • DLDiana Liao
    Diana Liao
  • NDNaihua Duan
    Naihua Duan
  • KWKenneth B. Wells
    Kenneth B. Wells
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Abstract
OBJECTIVE: This study examined the impact of patient characteristics and source of care on differences between whites and Latinos in use and quality of depression treatment in managed primary care settings. METHODS: Data were examined for 1,175 patients (398 Latinos and 777 whites) in 46 managed primary care practices who screened positive for probable depressive disorder. Patient baseline assessments were used to compile sociodemographic and clinical characteristics and to derive variables for receipt of any depression care and depression care that met minimum guidelines (antidepressant use or specialty counseling) in the past six months. Clinics were classified by the percentage of their patient population that consisted of Latinos to determine whether patients in highly Latino clinics reported lower rates of care. Predictors of use and quality of depression care were examined by using logistic regression. RESULTS: Rates of receipt of any depression care and guideline-level depression care were low, and...

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