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Racial-ethnic disparities in use of antidepressants in private coverage: implications for the Affordable Care Act.
- Source :
-
Psychiatric services (Washington, D.C.) [Psychiatr Serv] 2014 Sep 01; Vol. 65 (9), pp. 1140-6. - Publication Year :
- 2014
-
Abstract
- Objective: The objective of this study was to examine racial-ethnic disparities in the use of antidepressants among people with private coverage and people with public insurance or no coverage.<br />Methods: Data were from Medical Expenditure Panel Surveys (2006-2010), and logistic regression was used for the analysis.<br />Results: Among persons with depression and private coverage, racial-ethnic minority groups were significantly less likely than non-Hispanic whites to use antidepressants (N=4,468; adjusted odds ratio [AOR]=.50, 95% confidence interval [CI]=.33-.66 for non-Hispanic blacks; AOR=.70, CI=.55-.89 for Hispanics). No significant racial-ethnic disparity in the use of antidepressants was found in Medicare (N=1,944), Medicaid (N=2,125), and uninsured populations (N=1,679). For all racial-ethnic groups, persons with no insurance coverage had much lower rates of antidepressant use than their insured counterparts.<br />Conclusions: A wide racial-ethnic gap in the use of antidepressants existed in private coverage. As the nation continues to implement the Affordable Care Act, which will increase the number of enrollees from racial-ethnic minority groups in private plans, continuing efforts will be needed to reduce racial-ethnic disparities in the use of antidepressants.
- Subjects :
- Adult
Aged
Female
Humans
Male
Medicaid statistics & numerical data
Medically Uninsured statistics & numerical data
Medicare statistics & numerical data
Middle Aged
Patient Protection and Affordable Care Act statistics & numerical data
United States
Black or African American
Antidepressive Agents therapeutic use
Black People statistics & numerical data
Depression drug therapy
Healthcare Disparities statistics & numerical data
Hispanic or Latino statistics & numerical data
Insurance, Health statistics & numerical data
White People statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 1557-9700
- Volume :
- 65
- Issue :
- 9
- Database :
- MEDLINE
- Journal :
- Psychiatric services (Washington, D.C.)
- Publication Type :
- Academic Journal
- Accession number :
- 24828481
- Full Text :
- https://doi.org/10.1176/appi.ps.201300182