Mental health care use in men with comorbid diabetes and depression: The role of age and race.

Jaclynn M Hawkins, Claudia Schwenzer, Hillary K Hecht, Lenette Jones, Daniel Velez-Ortiz, Jaewon Lee, Brian Ahmedani, Gretchen Piatt
{"title":"Mental health care use in men with comorbid diabetes and depression: The role of age and race.","authors":"Jaclynn M Hawkins,&nbsp;Claudia Schwenzer,&nbsp;Hillary K Hecht,&nbsp;Lenette Jones,&nbsp;Daniel Velez-Ortiz,&nbsp;Jaewon Lee,&nbsp;Brian Ahmedani,&nbsp;Gretchen Piatt","doi":"10.15761/hec.1000163","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>Older adults with diabetes have double the normal average risk for depression. While women also report higher rates of depression, men are less likely than women to recognize symptoms and seek assistance for mental health treatment. Racial disparities in mental health care use among men have also been identified. While age and gender differences in mental health care use have been accounted for in adults with comorbid diabetes and depression little is known about within group differences among men. The purpose of this study was to examine the influence of age and race on mental health service use in a sample of men with comorbid diabetes and depression.</p><p><strong>Methods: </strong>This study utilized secondary data from a large health care delivery system serving in a Midwestern urban city and included 335 Black, and non-Latino White men with comorbid type 2 diabetes and depression.</p><p><strong>Results and discussion: </strong>Findings indicate that men under the age of 55 were less likely to experience a 6-month or more delay in receiving a psychiatric medication prescription after their initial depression diagnosis. Black men over 55 years of age were significantly more likely to experience a delay of over six months to receiving psychiatric medication. More research is needed to explore preferred depression treatment methods for older Black men with type 2 diabetes, in addition to any issues with access to pharmacological medications to treat depression.</p>","PeriodicalId":93179,"journal":{"name":"Health education and care","volume":"4 3","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8049769/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Health education and care","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.15761/hec.1000163","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

Abstract

Objectives: Older adults with diabetes have double the normal average risk for depression. While women also report higher rates of depression, men are less likely than women to recognize symptoms and seek assistance for mental health treatment. Racial disparities in mental health care use among men have also been identified. While age and gender differences in mental health care use have been accounted for in adults with comorbid diabetes and depression little is known about within group differences among men. The purpose of this study was to examine the influence of age and race on mental health service use in a sample of men with comorbid diabetes and depression.

Methods: This study utilized secondary data from a large health care delivery system serving in a Midwestern urban city and included 335 Black, and non-Latino White men with comorbid type 2 diabetes and depression.

Results and discussion: Findings indicate that men under the age of 55 were less likely to experience a 6-month or more delay in receiving a psychiatric medication prescription after their initial depression diagnosis. Black men over 55 years of age were significantly more likely to experience a delay of over six months to receiving psychiatric medication. More research is needed to explore preferred depression treatment methods for older Black men with type 2 diabetes, in addition to any issues with access to pharmacological medications to treat depression.

男性糖尿病和抑郁症患者的心理健康护理使用:年龄和种族的作用
目的:老年糖尿病患者患抑郁症的平均风险是正常人的两倍。虽然女性患抑郁症的比例也较高,但男性比女性更不可能认识到症状并寻求心理健康治疗的帮助。还确定了男子在心理保健使用方面的种族差异。虽然在患有糖尿病和抑郁症的成年人中,年龄和性别在精神保健使用方面的差异已经被考虑在内,但人们对男性群体内的差异知之甚少。本研究的目的是研究年龄和种族对患有糖尿病和抑郁症的男性患者使用心理健康服务的影响。方法:本研究利用了来自中西部城市大型卫生保健服务系统的二手数据,包括335名患有2型糖尿病和抑郁症的黑人和非拉丁裔白人男性。结果和讨论:研究结果表明,55岁以下的男性在最初的抑郁症诊断后,接受精神药物处方的时间延迟6个月或更长时间的可能性较小。55岁以上的黑人男性更有可能延迟6个月以上接受精神科药物治疗。需要更多的研究来探索老年黑人2型糖尿病患者的首选抑郁症治疗方法,以及获得治疗抑郁症的药物治疗的任何问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信