Depression prevalence and treatment among older home health services users in the United States |
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| Affiliation: | 1. School of Social Work, University of Michigan, 1080 S University Ave, 48109, MI, United States;2. Physical Therapy and Human Movement Sciences, Northwestern University Feinberg School of Medicine, United States;3. Preventive Medicine, Northwestern University u Feinberg School of Medicine, United States;4. Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, United States;1. IRCCS − Istituto di Ricerche Farmacologiche “Mario Negri”, Milan, Italy;2. ASST Papa Giovanni XXIII, Bergamo, Italy;3. Bianchi Bonomi Hemophilia and Thrombosis Center, IRCCS Ca’ Granda Maggiore Hospital Foundation and University of Milan, Italy;1. University of Rochester School of Nursing, Rochester, NY;2. Departments of Public Health Sciences and Psychiatry, University of Rochester School of Medicine and Dentistry, Rochester, NY;1. Gérontopôle, Centre Hospitalier Universitaire de Toulouse, Toulouse, France;2. Inserm UMR1027, Université de Toulouse III Paul Sabatier, Toulouse, France;3. APHP- Département de Gériatrie, Hôpital Bichat-Claude-Bernard, Paris, France;4. Centre Hospitalier Universitaire de Guadeloupe, Université des Antilles, France;1. Department of Medicine, School of Clinical Sciences at Monash Health, Faculty of Medicine, Nursing and Health Sciences, Monash University, Clayton, Australia;2. Australian Institute for Musculoskeletal Science (AIMSS), Department of Medicine – Western Health, Melbourne Medical School, The University of Melbourne, St Albans, Australia;3. School of Health and Sport Sciences, University of the Sunshine Coast, Sippy Downs, Australia;4. Institute of Sport, Exercise and Active Living, College of Health and Biomedicine, Victoria University, Melbourne, Australia;5. Institute for Health and Ageing, Australian Catholic University, Melbourne, Australia |
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| Abstract: | ObjectiveThe purpose of this study is to provide a nationally representative estimate of the rates of depression and depression treatment, and to explore factors associated with receipt of depression treatment, among older home health services users.MethodsOlder home health services users (n = 1666) were selected from 2008 to 2013 Medical Expenditure Panel Survey. Depression was measured by the Patient Health Questionnaire-2. Depression treatment included antidepressants use and receipt of mental health counseling or psychotherapy. Logistic regression was used to examine the association of individual characteristics and receipt of depression treatment.ResultsCurrent depression affected 23% of older home health services users. Less than 40% of those who screened positive for depression reported receiving depression treatment. Among those who received treatment, virtually all (99.8%) reported receiving antidepressants and only 9.5% reported receiving psychotherapy. Among older home health services users with current depression, older age and non-Hispanic black race were associated with lower odds of receiving depression treatment whereas having cognitive impairment was positively associated with receiving depression treatment.ConclusionDepression affects a substantial proportion of older home health services users and is undertreated. Home health services settings may be important platforms to improve depression care among older adults. Future research is needed to develop optimal strategies for integrating depression assessment and treatment in home health services settings. |
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| Keywords: | Depression Older adults Home health services |
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