Primary Care Physician Recognition and Documentation of Depressive Symptoms Among Chinese and Latinx Patients During Routine Visits: A Cross-Sectional Study

被引:8
作者
Garcia, Maria E. [1 ,2 ,3 ]
Hinton, Ladson [4 ]
Gregorich, Steven E. [1 ,2 ,3 ]
Livaudais-Toman, Jennifer [2 ,3 ]
Kaplan, Celia P. [1 ,2 ,3 ]
Feldman, Mitchell [3 ]
Karliner, Leah [1 ,2 ,3 ]
机构
[1] Univ Calif San Francisco, Ctr Aging Diverse Communities, San Francisco, CA 94143 USA
[2] Univ Calif San Francisco, Multiethn Hlth Equ Res Ctr, Dept Med, Div Gen Internal Med, San Francisco, CA 94143 USA
[3] Univ Calif San Francisco, Dept Med, Div Gen Internal Med, 1701 Divisadero St,Room 536, San Francisco, CA 94143 USA
[4] Univ Calif Davis, Dept Psychiat & Behav Sci, Davis, CA 95616 USA
关键词
depressive symptoms; depression recognition; depression treatment; language barriers; limited English proficiency; MENTAL-HEALTH-SERVICE; ENGLISH-LANGUAGE PROFICIENCY; MAJOR DEPRESSION; OLDER-ADULTS; COMMUNICATION STYLE; NATIONAL LATINO; ASIAN-AMERICANS; DISORDERS; CONCORDANCE; PREVALENCE;
D O I
10.1089/heq.2020.0104
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Purpose: Asian and Latinx individuals have a high burden of untreated depression. Under-recognition of depressive symptoms may contribute to existing disparities in depression treatment. The objective of this cross-sectional study was to determine whether physicians recognize and treat depressive symptoms for Chinese and Latinx patients during routine primary care visits. Methods: We analyzed data from 1171 Chinese and Latinx patients who were interviewed within 1 week after a primary care visit in a large academic practice, which had not yet implemented universal depression screening. We included participants with depressive symptoms (defined as a Patient Health Questionaire- 2 score >= 3) and no prior history of depression (N = 118). We investigated whether patients perceived having a mental health need in the prior year and conducted chart reviews to assess provider recognition of depressive symptoms, defined as documentation of symptoms, antidepressant initiation, or mental health referral within 30 days of the visit. We further examined differences by race/ethnicity and language preference. Results: Among the 118 patients with depressive symptoms and no prior depression diagnosis (mean age 68), 71 (61%) reported a mental health need in the prior 12 months; however, providers recognized depressive symptoms in only 8/118 patients (7%). The number of patients with recognized symptoms was small across race/ethnicity and language preference groups and we found no significant differences. Conclusion: Physicians recognized and documented depressive symptoms for 1 in 10 Chinese and Latinx patients during routine primary care visits. Targeted efforts are needed to address under-recognition of symptoms and improve depression care for these populations.
引用
收藏
页码:236 / 244
页数:9
相关论文
共 68 条
  • [1] Use of mental health-related services among immigrant and US-born Asian Americans:: Results from the National Latino and Asian American study
    Abe-Kim, Jennifer
    Takeuchi, David T.
    Hong, Seunghye
    Zane, Nolan
    Sue, Stanley
    Spencer, Michael S.
    Appel, Hoa
    Nicdao, Ethel
    Alegria, Margarita
    [J]. AMERICAN JOURNAL OF PUBLIC HEALTH, 2007, 97 (01) : 91 - 98
  • [2] How doctors' communication style and race concordance influence African-Caribbean patients when disclosing depression
    Adams, A.
    Realpe, A.
    Vail, L.
    Buckingham, C. D.
    Erby, L. H.
    Roter, D.
    [J]. PATIENT EDUCATION AND COUNSELING, 2015, 98 (10) : 1266 - 1273
  • [3] Aguilera A, 2008, PSYCHIAT SERV, V59, P408, DOI 10.1176/ps.2008.59.4.408
  • [4] Disparity in Depression Treatment Among Racial and Ethnic Minority Populations in the United States
    Alegria, Margarita
    Chatterji, Pinka
    Wells, Kenneth
    Cao, Zhun
    Chen, Chih-nan
    Takeuchi, David
    Jackson, James
    Meng, Xiao-Li
    [J]. PSYCHIATRIC SERVICES, 2008, 59 (11) : 1264 - 1272
  • [5] Prevalence of psychiatric disorders across Latino subgroups in the United States
    Alegria, Margarita
    Mulvaney-Day, Norah
    Torres, Maria
    Polo, Antonio
    Cao, Zhun
    Canino, Glorisa
    [J]. AMERICAN JOURNAL OF PUBLIC HEALTH, 2007, 97 (01) : 68 - 75
  • [6] Correlates of past-year mental health service use among Latinos: Results from the National Latino and Asian American Study
    Alegria, Margarita
    Mulvaney-Day, Norah
    Woo, Meghan
    Torres, Maria
    Gao, Shan
    Oddo, Vanessa
    [J]. AMERICAN JOURNAL OF PUBLIC HEALTH, 2007, 97 (01) : 76 - 83
  • [7] Patient-clinician ethnic concordance and communication in mental health intake visits
    Alegria, Margarita
    Roter, Debra L.
    Valentine, Anne
    Chen, Chih-nan
    Li, Xinliang
    Lin, Julia
    Rosen, Daniel
    Lapatin, Sheri
    Normand, Sharon-Lise
    Larson, Susan
    Shrout, Patrick E.
    [J]. PATIENT EDUCATION AND COUNSELING, 2013, 93 (02) : 188 - 196
  • [8] [Anonymous], 2010, PRACTICE GUIDELINE T
  • [9] Validity and Utility of the Patient Health Questionnaire (PHQ)-2 and PHQ-9 for Screening and Diagnosis of Depression in Rural Chiapas, Mexico: A Cross-Sectional Study
    Arrieta, Jafet
    Aguerrebere, Mercedes
    Raviola, Giuseppe
    Flores, Hugo
    Elliott, Patrick
    Espinosa, Azucena
    Reyes, Andrea
    Ortiz-Panozo, Eduardo
    Rodriguez-Gutierrez, Elena G.
    Mukherjee, Joia
    Palazuelos, Daniel
    Franke, Molly F.
    [J]. JOURNAL OF CLINICAL PSYCHOLOGY, 2017, 73 (09) : 1076 - 1090
  • [10] Validation of PHQ-2 and PHQ-9 to Screen for Major Depression in the Primary Care Population
    Arroll, Bruce
    Goodyear-Smith, Felicity
    Crengle, Susan
    Gunn, Jane
    Kerse, Ngaire
    Fishman, Tana
    Falloon, Karen
    Hatcher, Simon
    [J]. ANNALS OF FAMILY MEDICINE, 2010, 8 (04) : 348 - 353