Janelle Cambron-Mellott M, Way Nate, Pesa Jacqueline, Adigun Muideen, Jean Wright Ii H
Cerner Enviza, an Oracle Company, 2800 Rock Creek Parkway, Kansas City, MO 64117, USA.
Janssen Scientific Affairs, LLC, 1125 Trenton Harbourton Road, Titusville, NJ 08560, USA.
Prev Med Rep. 2023 Jun 25;35:102299. doi: 10.1016/j.pmedr.2023.102299. eCollection 2023 Oct.
Increasing patient activation may be vital for improving quality of care for individuals with depression. Among adults with depression who reside in the United States, we sought to examine the association of depression severity, race/ethnicity, and household income with patient activation and within identify factors associated with patient activation within race/ethnicity groups. Data from the 2020 US National Health and Wellness Survey, a cross-sectional, general population survey, were used to identify White, Black/African American, Asian, and Hispanic respondents with self-reported physician-diagnosed depression. Generalized linear models were used to identify factors associated with patient activation. Analyses included 8,216 respondents (mean age = 44 years, 68.0% female). Depression severity was negatively associated with patient activation (β = -0.29, < 0.001). Patient activation was significantly higher in Black vs. White respondents (β = 1.50, = 0.001) and in respondents with a household income of $25,000-$49,999 (β = 0.96, = 0.015), $50,000-$99,000 (β = 0.88, = 0.031), and ≥$100,000 (β = 1.78, < 0.001) vs. <$25,000. Adjusted mean patient activation scores were highest among Black respondents (61.1), followed by Hispanic (60.2), White (59.6), and Asian (59.0) respondents. Neither race/ethnicity nor household income moderated the relationship between depression severity and patient activation; however, the factors most strongly associated with patient activation differed by race/ethnicity. These results indicate that the pathway to improving patient activation in individuals with depression may vary by race/ethnicity. Understanding factors associated with patient activation can help inform the design of interventions to increase patient activation in individuals with depression.
提高患者的积极性对于改善抑郁症患者的护理质量可能至关重要。在美国患有抑郁症的成年人中，我们试图研究抑郁症严重程度、种族/民族和家庭收入与患者积极性之间的关联，并确定种族/民族群体中与患者积极性相关的因素。来自2020年美国国家健康与幸福调查（一项横断面的普通人群调查）的数据，用于识别自我报告有医生诊断抑郁症的白人、黑人/非裔美国人、亚洲人和西班牙裔受访者。使用广义线性模型来识别与患者积极性相关的因素。分析包括8216名受访者（平均年龄 = 44岁，68.0%为女性）。抑郁症严重程度与患者积极性呈负相关（β = -0.29，< 0.001）。黑人受访者的患者积极性显著高于白人受访者（β = 1.50， = 0.001），家庭收入在25,000美元至49,999美元的受访者（β = 0.96， = 0.015）、50,000美元至99,000美元的受访者（β = 0.88， = 0.031）以及100,000美元及以上的受访者（β = 1.78，< 0.001）的患者积极性显著高于收入低于25,000美元的受访者。调整后的平均患者积极性得分在黑人受访者中最高（61.1），其次是西班牙裔（60.2）、白人（59.6）和亚洲人（59.0）受访者。种族/民族和家庭收入均未调节抑郁症严重程度与患者积极性之间的关系；然而，与患者积极性最密切相关的因素因种族/民族而异。这些结果表明，改善抑郁症患者患者积极性的途径可能因种族/民族而异。了解与患者积极性相关的因素有助于为设计提高抑郁症患者患者积极性的干预措施提供信息。
