Race, education, and the treatment of depression in nursing homes

Michele J. Siegel, Judith A. Lucas, Ayse Akincigil, Dorothy Gaboda, Donald R. Hoover, Ece Kalay, Stephen Crystal

Research output: Contribution to journalArticlepeer-review

8 Scopus citations

Abstract

Objectives: We investigate, among older adult nursing home residents diagnosed with depression, whether depression treatment differs by race and schooling, and whether differences by schooling differ by race. We examine whether Blacks and less educated residents are placed in facilities providing less treatment, and whether differences reflect disparities in care. Method: Data from the 2006 Nursing Home Minimum Data Set for 8 states (n = 124,431), are merged with facility information from the Online Survey Certification and Reporting system. Logistic regressions examine whether resident and/or facility characteristics explain treatment differences; treatment includes antidepressants and/or psychotherapy. Results: Blacks receive less treatment (adj. OR =.79); differences by education are small. Facilities with more Medicaid enrollees, fewer high school graduates, or more Blacks provide less treatment. Discussion: We found disparities at the resident and facility level. Facilities serving a low-SES (socioeconomic status), minority clientele tend to provide less depression care, but Blacks also receive less depression treatment than Whites within nursing homes (NHs).

Original languageEnglish (US)
Pages (from-to)752-778
Number of pages27
JournalJournal of aging and health
Volume24
Issue number5
DOIs
StatePublished - Aug 2012

All Science Journal Classification (ASJC) codes

  • Health(social science)
  • Sociology and Political Science
  • Life-span and Life-course Studies

Keywords

  • Blacks
  • medications
  • mental health
  • nursing homes
  • social factors

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