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Am J Geriatr Psychiatry 12:531-535, October 2004
© 2004 American Association for Geriatric Psychiatry

Brief Report

Late-Life Depression Among Black and White Elderly Homecare Patients

Denise C. Fyffe, Ph.D., Jo Anne Sirey, Ph.D., Moonseong Heo, Ph.D., and Martha L. Bruce, Ph.D., M.P.H.

Received February 27, 2003; revised July 3, September 17, 2003; accepted January 14, 2004. From the Department of Psychiatry, Westchester Division, Weill Medical College of Cornell University, White Plains, NY. Send correspondence to Denise C. Fyffe, Ph.D., Institute for the Elimination of Health Disparities, UMDNJ School of Public Health, 65 Bergen St., Room 1346 University Heights, Newark, NJ 07107-3001. e-mail: fyffedc{at}umdnj.edu
© 2004 American Association for Geriatric Psychiatry

Objective: The authors compared the prevalence of major depressive disorder (MDD) and the prescription rates of antidepressant medication, by race, among frail, older homecare patients. Methods: A random sample of 56 black and 458 white newly admitted homecare patients age 65 and over was assessed for MDD with structured interviews and medical records, and antidepressant prescription rates were tallied. Results: The prevalence of MDD did not differ significantly across racial groups. Only 16.7% of black patients and 32.0% of white patients were prescribed antidepressant medication. Conclusions: Prevalence of MDD was similar among black and white elderly homecare patients. In both groups, depression is undertreated and contributes to the burden of this frail, older patient group.

Key Words: Home Care • Depression • Ethnicity




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