Minorities, Medicare Recipients Less Likely to Get
MONDAY, April 9 (HealthDay News) -- Hispanics and blacks are
less likely to be prescribed antidepressants than whites, and
Medicare and Medicaid patients are less likely to receive the drugs
than those with private insurance, a new study says.
University of Michigan School of Public Health researchers
examined data from 1993 to 2007 and found that whites were 1.5
times more likely to receive antidepressants than blacks or
Hispanics with major depression.
The study also found that Medicare and Medicaid patients were 31
percent and 38 percent less likely to be prescribed antidepressants
than privately insured patients.
Race didn't play a role in the type of antidepressants
prescribed to patients, but insurance did. Medicare and Medicaid
patients were 58 percent and 61 percent less likely to receive
newer antidepressants than privately insured patients.
Newer types of antidepressants such as serotonin reuptake
inhibitors (SSRIs) are considered the first-line drug treatments
for major depression. Older types of antidepressants tend to cause
more side effects.
"This study confirmed previous findings that sociological factors, such as race and ethnicity, and patient health insurance status, influence physician prescribing behaviors," principal investigator Rajesh Balkrishnan, an associate professor in the school of public health, said in a university news release.
The study was published online recently in the
International Journal of Psychiatry in Medicine.
The findings show the need for "policy makers to design
interventions to improve physician practice guidelines adherence,"
Balkrishnan said. "This will help eliminate unnecessary variations
among physician practices and ... obtain optimal health care for
The U.S. Agency for Healthcare Research and Quality has more
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