Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY 10032, USA.
Gen Hosp Psychiatry. 2012 Jan-Feb;34(1):98-100. doi: 10.1016/j.genhosppsych.2011.09.008. Epub 2011 Oct 22.
The objective was to determine whether the effects of new patient status on primary care depression diagnoses differ by patient race.
Primary care visits (n=168,482) from the National Ambulatory Medical Care Survey were analyzed. Logistic regression was used to evaluate main effects of new patient status on depression diagnoses and interactions with race.
Among Whites, approximately 2% of new visits and 3% of return visits resulted in depression diagnoses, whereas among African Americans, these corresponding proportions were 0.5% and 2%, respectively. The lower likelihood of receiving a depression diagnosis during new versus return primary care visits was significantly greater among African Americans than Whites (P=.04).
For African American primary care patients, first visits may be a high-risk period for missed diagnoses of depression.
本研究旨在确定新患者身份对初级保健抑郁症诊断的影响是否因患者种族而异。
对全国门诊医疗调查（National Ambulatory Medical Care Survey）中的 168482 例初级保健就诊进行分析。采用 logistic 回归分析评估新患者身份对抑郁症诊断的主要影响以及与种族的交互作用。
在白人中，约有 2%的新就诊和 3%的复诊会导致抑郁症的诊断，而在非裔美国人中，这两个比例分别为 0.5%和 2%。与白人相比，非裔美国人在新的初级保健就诊中被诊断出抑郁症的可能性明显较低（P=.04）。
对于非裔美国初级保健患者而言，首次就诊可能是漏诊抑郁症的高风险期。
