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Antidepressant Class and Dosing Among Older Mexican Americans: Application of Geropsychiatric Treatment Guidelines

From the Department of Epidemiology, University of Michigan, School of Public Health, Ann Arbor, Michigan (HMG, MNH), and the Department of Psychiatry, University of California, Davis, School of Medicine, Sacremento, California (LH, TO).

Objective: The objective of this study was to characterize patterns and correlates of antidepressant drugs (AD) among older Mexican Americans (MAs).

Methods: This study consisted of a cross-sectional, community-based sample from Northern California. AD class and dosing label information were inventoried and compared with Expert Consensus Guidelines for geriatric depression pharmacotherapy.

Results: Overall, 7.1% had been prescribed an AD, but 4.9% were within starting dose ranges. Fewer ADs (3.9%) were consistent with Consensus class and dose guidelines. Depressive symptoms and diabetes were significant positive predictors of ADs. Recent immigrants had lower odds of AD prescriptions.

Conclusions: AD prescriptions among older MAs are low. Omitting AD class and dosing information may overestimate pharmacotherapy for geriatric depression.

Key Words: Latino/Hispanic Americans • geriatric • depression • antidepressive agents

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