TY - JOUR
KW - Age Factors
KW - Aged
KW - Anxiety Disorders/diagnosis/epidemiology/ethnology
KW - Comorbidity
KW - Cross-Sectional Studies
KW - Depressive Disorder/diagnosis/epidemiology/ethnology
KW - Disability Evaluation
KW - Emergency Service, Hospital/utilization
KW - Female
KW - Health Services Needs and Demand/statistics & numerical data
KW - Health Services/utilization
KW - Hispanic Americans/psychology
KW - Humans
KW - Male
KW - Middle Aged
KW - Patient Acceptance of Health Care/ethnology/psychology
KW - Primary Health Care/utilization
KW - Puerto Rico
KW - Quality of Life/psychology
KW - Sick Role
KW - Social Adjustment
KW - Socioeconomic Factors
KW - Somatoform Disorders/diagnosis/epidemiology/ethnology
KW - Utilization Review/statistics & numerical data
AU - G. J. Diefenbach
AU - J. T. Robison
AU - D. F. Tolin
AU - K. Blank
A1 - 
AB - With the growing population of older Hispanic adults there is a need for additional research on the mental health care of this patient group. This study explored the impact of anxiety disorders on the health status of 291 older (>/=50 years) Puerto Rican primary care patients (n = 65 with anxiety disorders, n = 226 without anxiety disorders). All analyses controlled for potential confounding variables, including depression diagnosis and physical health burden. Logistic regression indicated that anxiety disorders were associated with higher psychological distress, suicidality, and emergency room service utilization, as well as lower instrumental functioning and perceived health quality. Analysis of covariance indicated that both anxiety disorder status and history of ataque de nervios were related to higher percentages of lifetime somatic symptoms. These data highlight the need for improved recognition and treatment of anxiety disorders in older Puerto Rican adults.
BT - Journal of anxiety disorders
C5 - Healthcare Disparities; Medically Unexplained Symptoms
CP - 6
CY - United States
DO - 10.1016/j.janxdis.2003.10.005
IS - 6
JF - Journal of anxiety disorders
N2 - With the growing population of older Hispanic adults there is a need for additional research on the mental health care of this patient group. This study explored the impact of anxiety disorders on the health status of 291 older (>/=50 years) Puerto Rican primary care patients (n = 65 with anxiety disorders, n = 226 without anxiety disorders). All analyses controlled for potential confounding variables, including depression diagnosis and physical health burden. Logistic regression indicated that anxiety disorders were associated with higher psychological distress, suicidality, and emergency room service utilization, as well as lower instrumental functioning and perceived health quality. Analysis of covariance indicated that both anxiety disorder status and history of ataque de nervios were related to higher percentages of lifetime somatic symptoms. These data highlight the need for improved recognition and treatment of anxiety disorders in older Puerto Rican adults.
PP - United States
PY - 2004
SN - 0887-6185; 0887-6185
SP - 841
EP - 858
EP - 
T1 - Late-life anxiety disorders among Puerto Rican primary care patients: impact on well-being, functioning, and service utilization
T2 - Journal of anxiety disorders
TI - Late-life anxiety disorders among Puerto Rican primary care patients: impact on well-being, functioning, and service utilization
U1 - Healthcare Disparities; Medically Unexplained Symptoms
U2 - 15474856
U3 - 10.1016/j.janxdis.2003.10.005
VL - 18
VO - 0887-6185; 0887-6185
Y1 - 2004
ER -