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Antidepressant class and dosing among older Mexican Americans: application of geropsychiatric treatment guidelines
Hector M González1, Ladson Hinton, Teresa Ortiz
1Department of Epidemiology, University of Michigan, School of Public Health, Ann Arbor, Michigan 48104-2029, USA. hmgonz@umich.edu
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.
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