Race and Ethnicity Differences in Reporting of Depressive Symptoms

  • Janice C. Probst
  • Sarah B. Laditka
  • Charity G. Moore
  • Nusrat Harun
  • M. Paige Powell
Original Paper

Abstract

Our study explored race and ethnicity differences in reporting of symptoms to physicians and other practitioners among respondents to the 1999 National Health Interview Survey who screened positive for depression. Respondents were asked if they had told a doctor or another practitioner (nurse, social worker, psychologist, clergy, other) about their problems. Whites and Hispanics were significantly more likely to communicate with a physician or other practitioner than were African Americans, even with personal characteristics held constant. Practitioners should actively elicit descriptions of feelings and mood, especially with African Americans, and be prepared to treat or refer patients appropriately.

Keywords

Depression Communication Disparities African Americans 

References

  1. Alegría, M., Mulvaney-Day, N., Woo, M., Torres, M, Gao, S., & Oddo, V. (2007). Correlates of past-year mental health service use among Latinos: Results from the national Latino and Asian American study. American Journal of Public Health, 97, 75–83.Google Scholar
  2. Anglin, D. M., Link, B. G., & Phelan, J. C. (2006). Racial differences in stigmatizing attitudes toward people with mental illness. Psychiatric Services, 57, 857–862.PubMedCrossRefGoogle Scholar
  3. Angst, F., Stassen, H. H., Clayton, P. J., & Angst, J. (2002). Mortality of patients with mood disorders: Follow-up over 34–38 years. Journal of Affective Disorders, 68(2–3), 167–181.PubMedCrossRefGoogle Scholar
  4. Bazargan, M., Bazargan-Hejazi, S., & Baker, R. S. (2005). Treatment of self-reported depression among Hispanics and African Americans. Journal of Health Care for the Poor and Underserved, 16, 328–344.PubMedCrossRefGoogle Scholar
  5. Borowsky, S. J., Rubenstein, L. V., Meredith, L. S., Camp, P., Jackson-Triche, M., & Wells, K. B. (2000). Who is at risk of nondetection of mental health problems in primary care? Journal of General Internal Medicine, 15, 381–388.PubMedCrossRefGoogle Scholar
  6. Cooper, L. A., Gonzales, J. J., Gallo, J. J., Rost, K. M., Meredith, L. S., Rubenstein, L. V., Wang, N. Y., & Ford, D. E. (2003). The acceptability of treatment for depression among African–American, Hispanic, and white primary care patients. Medical Care, 41(4), 479–489.PubMedCrossRefGoogle Scholar
  7. Das, A. K., Olfson, M., McCurtis, H. L., & Weissman, M. M. (2006). Depression in African Americans: Breaking barriers to detection and treatment. Journal of Family Practice, 55, 30–39.PubMedGoogle Scholar
  8. Diala, C. C., Muntaner, C., Walrath, C., Nickerson, K., LaVeist, T., & Leaf, P. (2001). Racial/ethnic differences in attitudes toward seeking professional mental health servicesAmerican. Journal of Public Health, 91(5), 805–807.CrossRefGoogle Scholar
  9. Fox, J. C., Blank, M., Berman, J., & Rovnyak, V. G. (1999). Mental disorders and help seeking in a rural impoverished population. International Journal of Psychiatry and Medicine, 29(2), 181–195.CrossRefGoogle Scholar
  10. Gallo, J. J., Bogner, H. R., Morales, K. H., & Ford, D. E. (2005). Patient ethnicity and the identification and active management of depression in late life. Archives of Internal Medicine, 165(17), 1962–1968.PubMedCrossRefGoogle Scholar
  11. Greenberg, P. E., Kessler, R. C., Birnbaum, H. G., Leong, S. A., Lowe, S. W., Berglund, P. A., & Corey-Lisle, P. K. (2003). The economic burden of depression in the United States: How did it change between 1990 and 2000? Journal of Clinical Psychiatry, 64(12), 1465–1475.PubMedCrossRefGoogle Scholar
  12. Hasin, D. S., Goodwin, R. D., Stinson, F. S., & Grant, B. F. (2005). Epidemiology of major depressive disorder: Results from the National epidemiologic survey on alcoholism and related conditions. Archives of General Psychiatry, 62(10), 1097–1106.PubMedCrossRefGoogle Scholar
  13. Huang, F. Y., Chung, H., Kroenke, K., Delucchi, K. L., & Spitzer, R. L. (2006). Using the patient health questionnaire-9 to measure depression among racially and ethnically diverse primary care patients. Journal of General Internal Medicine, 21, 547–552.PubMedCrossRefGoogle Scholar
  14. Kessler, R. C., McGonagle, K. A., Zhao, S., Nelson, C. B., Hughes, M., Eshleman, S., Wittchen, H. U., & Kendler, K. (1994). Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Results from the National Comorbidity Survey. Archives of General Psychiatry, 51(1), 8–19.PubMedGoogle Scholar
  15. Kessler, R. C., Berglund, P., Demler, O., Jin, R., Koretz, D., Merikangas, K. R., Rush, A. J., Walters, E. E., & Wang, P. S. (2003). National Comorbidity Survey Replication. The epidemiology of major depressive disorder: Results from the National Comorbidity Survey Replication (NCS-R). Journal of the American Medical Association, 289(23), 3095–3105.PubMedCrossRefGoogle Scholar
  16. Kessler, R. C., Demler, O., Frank, R. G., Olfson, M., Pincus, H. A., Walters, E. E., Wang, P., Wells, K. B., & Zaslavsky, A. M. (2005). Prevalence and treatment of mental disorders, 1990 to 2003. New England Journal of Medicine, 352(24), 2515–2523.PubMedCrossRefGoogle Scholar
  17. Kilbourne, A. M., Schulberg, H. C., Post, E. P., Rollman, B. L., Belnap, B. H., & Pincus, H. A. (2004). Translating evidence-based depression management services to community-based primary care practices. Milbank Quarterly, 82(4), 631–659.PubMedCrossRefGoogle Scholar
  18. Lang, A. J. (2005). Mental health treatment preferences of primary care patients. Journal of Behavioral Medicine, 15, 1–6.Google Scholar
  19. Miranda, J., & Cooper, L. A. (2004). Disparities in care for depression among primary care patients. Journal of General Internal Medicine, 19, 120–125.PubMedCrossRefGoogle Scholar
  20. Miranda, J., Schoenbaum, M., Sherbourne, C., Duan, N., & Wells, K. (2004). Effects of primary care depression treatment on minority patients’ clinical status and employment. Archives of General Psychiatry, 61(8), 827–834.PubMedCrossRefGoogle Scholar
  21. Mojtabai, R., & Olfson, M. (2004). Major depression in community-dwelling middle-aged and older adults: Prevalence and 2- and 4-year follow-up symptoms. Psychology and Medicine, 34(4), 623–634.CrossRefGoogle Scholar
  22. Murray, C. J. L., & Lopez, A. D. (1997). Global mortality, disability, and the contribution of risk factors: Global burden of disease study. Lancet, 349, 1436–1442.PubMedCrossRefGoogle Scholar
  23. Nutting, P. A., Rost, K., Smith, J., Werner, J. J., & Elliot, C. (2000). Competing demands from physical problems: Effect on initiating and completing depression care over 6 months. Archives of Family Medicine, 9(10), 1059–1064.PubMedCrossRefGoogle Scholar
  24. Olfson, M., Marcus, S. C., Benjamn, D., Elinson, L., Tanielaian, T., & Pincus, H. A. (2002). National trends in the outpatient treatment of depression. Journal of the American Medical Association, 287, 203–209.PubMedCrossRefGoogle Scholar
  25. Patten, S. B. (1997). Performance of the composite international diagnostic interview short form for major depression in community and clinical samples. Chronic Disease Canada, 18(3), 109–112.Google Scholar
  26. Patten, S. B., Stuart, H. L., Russell, M. L., Maxwell, C. J., & Arboleda-Florez, J. (2003). Epidemiology of major depression in a predominantly rural health region. Social Psychiatry and Psychiatric Epidemiology, 38(7), 360–365.PubMedGoogle Scholar
  27. Patten, S. B., Wang, J. L., Beck, C. A., & Maxwell, C. J. (2005). Measurement issues related to the evaluation and monitoring of major depression prevalence in Canada. Chronic Disease Canada, 26(4), 100–106.Google Scholar
  28. Regier, D. A., Kaelber, C. T., Rae, D. S., Farmer, M. E., Knauper, B., Kessler, R. C., & Norquist, G. S. (1998). Limitations of diagnostic criteria and assessment instruments for mental disorders. Archives of General Psychiatry, 55, 109–115.PubMedCrossRefGoogle Scholar
  29. Revicki, D. A., Siddique, J., Frank, L., Chung, J. Y., Green, B. L., Krupnick, J., Prasad, M., & Miranda, J. (2005). Cost-effectiveness of evidence-based pharmacotherapy or cognitive behavior therapy compared with community referral for major depression in predominantly low-income minority women. Archives of General Psychiatry, 62(8), 868–875.PubMedCrossRefGoogle Scholar
  30. Riolo, S. A., Nguyen, T. A., Greden, J. F., & King, C. A. (2005). Prevalence of depression by race/ethnicity: Findings from the national health and nutrition examination survey III. American Journal of Public Health, 95(6), 998–1000.PubMedCrossRefGoogle Scholar
  31. Rost, K., Nutting, P., Smith, J., Coyne, J. C., Cooper-Patrick, L., & Rubenstein, L. (2000). The role of competing demands in the treatment provided primary care patients with major depression. Archives of Family Medicine, 9(2), 150–154.PubMedCrossRefGoogle Scholar
  32. Schoenbaum, M., Miranda, J., Sherbourne, C., Duan, N., & Wells, K. (2004). Cost-effectiveness of interventions for depressed Latinos. Journal of Mental Health Policy and Economics, 7(2), 69–76.PubMedGoogle Scholar
  33. Vega, W. A., Kolody, B., Aguilar-Gaxiola, S., & Catalano, R. (1999). Gaps in service utilization by Mexican Americans with mental health problems. American Journal of Psychiatry, 156, 928–934.PubMedGoogle Scholar
  34. Walters, E. E., Kessler, R. C., Nelson, C. B., &.Mroczek, D. (2002). Scoring the World Health Organization’s composite international diagnostic interview short form. Available at: http://www3.who.int/cidi/cidisf.htm. Accessed April 30, 2005.
  35. Wang, P. S., Berglund, P., Olfson, M., Pincus, H. A., Wells, K. B., & Kessler, R. C. (2005a). Failure and delay in initial treatment contact after first onset of mental disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62(6), 603–613.PubMedCrossRefGoogle Scholar
  36. Wang, P. S., Lane, M., Olfson, M., Pincus, H. A., Wells, K. B., & Kessler, R. C. (2005b). Twelve-month use of mental health services in the United States: Results from the National Comorbidity Survey Replication. Archives of General Psychiatry, 62(6), 629–640.PubMedCrossRefGoogle Scholar
  37. WHO World Mental Health Survey Consortium (2004). Prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization World Mental Health Surveys. Journal of the American Medical Association, 291, 2581–2590.CrossRefGoogle Scholar
  38. Williams, D., & Lawler, K. A. (2001). Stress and illness in low-income women: The roles of hardiness, John Henryism, and race. Women and Health, 32(4), 61–75.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Janice C. Probst
    • 1
  • Sarah B. Laditka
    • 1
  • Charity G. Moore
    • 2
  • Nusrat Harun
    • 3
  • M. Paige Powell
    • 4
  1. 1.Department of Health Services Policy and Management, Arnold School of Public HealthUniversity of South CarolinaColumbiaUSA
  2. 2.Center for Research on Health Care Data CenterUniversity of PittsburghPittsburghUSA
  3. 3.Department of Epidemiology and BiostatisticsArnold School of Public HealthColumbiaUSA
  4. 4.Department of Health Services AdministrationUniversity of Alabama at BirminghamBirminghamUSA

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