Depression treatment preferences of Hispanic individuals: exploring the influence of ethnicity, language, and explanatory models.
Depression treatment preferences of Hispanic individuals: exploring the influence of ethnicity, language, and explanatory models.
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西班牙裔个体的抑郁症治疗偏好：探索种族、语言和解释模型的影响。
DOI：
10.3122/jabfm.2011.01.100118
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发表时间：
2011-01
期刊：
影响因子：
--
通讯作者：
Kravitz RL
中科院分区：
文献类型：
--
作者：
Fernandez Y Garcia E;Franks P;Jerant A;Bell RA;Kravitz RL
西班牙裔人的抑郁症治疗偏好存在不确定性，特别是抗抑郁药物（最可用的初级保健选择）。我们评估了这种不确定性是否反映了西班牙裔人群之间的异质性，并调查了可能的机制。具体来说，我们研究了与非西班牙裔白人、说西班牙语和英语的西班牙裔人的药物偏好相关的因素。我们分析了对 839 名非西班牙裔白人和 139 名西班牙裔受访者进行的后续电话采访的数据，这些受访者最初是通过 2008 年加州行为风险因素监测系统进行调查的。衡量标准包括治疗偏好（包括与不包括抗抑郁药的治疗计划）；抑郁症病史和当前症状；社会人口统计；和心理措施。与非西班牙裔白人受访者（调整年龄、性别、抑郁症诊断史和当前抑郁症状）相比，说西班牙语的西班牙裔（调整后优势比 [AOR] = 0.41，95% 置信区间 [CI] 0.19 - 0.90）但说英语的西班牙裔（AOR = 1.18，95% CI 0.60-2.33）受访者没有对包含抗抑郁药物的选择的偏好较低。所有受访者认可抑郁症的生物医学解释与抗抑郁药物包容性选择的偏好相关（AOR = 4.76，95% CI 3.13 - 7.14），并考虑了西班牙语访谈的影响。考虑到其他因素并没有改变这些关系，尽管年龄较大和抑郁症诊断史仍然是所有受访者抗抑郁包容性治疗偏好的重要预测因素。西班牙裔受访者对抑郁症药物治疗的较低偏好与西班牙语访谈以及不太相信抑郁症的生物医学解释（而不是种族）有关。了解治疗偏好和疾病信念有助于优化初级保健中的抑郁症治疗。
There is uncertainty regarding Hispanic individuals' depression treatment preferences, particularly regarding antidepressant medication, the most available primary care option. We assessed whether this uncertainty reflected heterogeneity among subgroups of Hispanic persons and investigated possible mechanisms. Specifically, we examined factors associated with medication preferences in non-Hispanic white, and Spanish-speaking and English-speaking Hispanic persons. We analyzed data from a follow-up telephone interview of 839 non-Hispanic white and 139 Hispanic respondents originally surveyed via the 2008 California Behavioral Risk Factor Surveillance System. Measures included treatment preferences (for treatment plans including versus not including antidepressants); depression history and current symptoms; socio-demographics; and psychological measures. Compared to non-Hispanic white respondents (adjusting for age, gender, history of depression diagnosis, and current depression symptoms), Spanish-speaking Hispanic (adjusted odds ratio [AOR] = 0.41, 95% Confidence Interval [CI] 0.19 - 0.90) but not English-speaking Hispanic (AOR = 1.18, 95% CI 0.60-2.33) respondents had a lower preference for antidepressant inclusive options. Endorsing a biomedical explanation of depression was associated with a preference for antidepressant inclusive options (AOR = 4.76, 95% CI 3.13 - 7.14) for all respondents and accounted for the effect of Spanish language interview. Accounting for other factors did not change these relationships, although older age and history of depression diagnosis remained significant predictors of antidepressant inclusive treatment preference for all respondents. Spanish language interview and less belief in a biomedical explanation for depression, not ethnicity, were associated with Hispanic respondents' lower preferences for pharmacologic treatment of depression. Understanding treatment preferences and illness beliefs could help optimize depression treatment in primary care.
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影响因子：
3.8
作者：
Interian, Alejandro;Ang, Alfonso;Vega, William A.
通讯作者：
Vega, William A.
影响因子：
4
作者：
Fischer, AR;Tokar, DM;Snell, AF
通讯作者：
Snell, AF
DOI：
10.1177/070674370505000807
发表时间：
2005-07-01
影响因子：
4
作者：
Fogel, J;Ford, DE
通讯作者：
Ford, DE
影响因子：
1.4
作者：
Guarnaccia, Peter J.;Pincay, Igda Martinez;Canino, Glorisa J.
通讯作者：
Canino, Glorisa J.
影响因子：
3.3
作者：
Cabassa, Leopoldo J.;Lagomasino, Isabel T.;Xie, Bin
通讯作者：
Xie, Bin