Hawkins Jaclynn M, Schwenzer Claudia, Hecht Hillary K, Jones Lenette, Velez-Ortiz Daniel, Lee Jaewon, Ahmedani Brian, Piatt Gretchen
School of Social Work University of Michigan, USA.
School of Nursing University of Michigan, USA.
Health Educ Care. 2019 Oct;4(3). doi: 10.15761/hec.1000163. Epub 2019 Oct 1.
Older adults with diabetes have double the normal average risk for depression. While women also report higher rates of depression, men are less likely than women to recognize symptoms and seek assistance for mental health treatment. Racial disparities in mental health care use among men have also been identified. While age and gender differences in mental health care use have been accounted for in adults with comorbid diabetes and depression little is known about within group differences among men. The purpose of this study was to examine the influence of age and race on mental health service use in a sample of men with comorbid diabetes and depression.
This study utilized secondary data from a large health care delivery system serving in a Midwestern urban city and included 335 Black, and non-Latino White men with comorbid type 2 diabetes and depression.
Findings indicate that men under the age of 55 were less likely to experience a 6-month or more delay in receiving a psychiatric medication prescription after their initial depression diagnosis. Black men over 55 years of age were significantly more likely to experience a delay of over six months to receiving psychiatric medication. More research is needed to explore preferred depression treatment methods for older Black men with type 2 diabetes, in addition to any issues with access to pharmacological medications to treat depression.
患有糖尿病的老年人患抑郁症的平均风险是正常人的两倍。虽然女性报告的抑郁症发病率也较高，但男性比女性更不容易识别症状并寻求心理健康治疗。在男性中，使用心理健康护理方面的种族差异也已被发现。虽然在患有糖尿病和抑郁症的成年人中，心理健康护理使用方面的年龄和性别差异已得到考虑，但对于男性群体内部的差异知之甚少。本研究的目的是在患有糖尿病和抑郁症的男性样本中，研究年龄和种族对心理健康服务使用的影响。
本研究利用了来自中西部一个城市的大型医疗保健系统的二手数据，样本包括335名患有2型糖尿病和抑郁症的黑人以及非拉丁裔白人男性。
研究结果表明，55岁以下的男性在首次被诊断出抑郁症后，不太可能在6个月或更长时间后才获得精神科药物处方。55岁以上的黑人男性在获得精神科药物方面经历超过六个月延迟的可能性显著更高。除了在获得治疗抑郁症的药物方面存在的任何问题外，还需要更多的研究来探索适合患有2型糖尿病的老年黑人男性的抑郁症治疗方法。
