TY - JOUR
KW - Antidepressive Agents/therapeutic use
KW - Attitude of Health Personnel
KW - Attitude to Health
KW - Depressive Disorder, Major/drug therapy/ethnology/psychology
KW - Female
KW - Hispanic Americans/psychology/statistics & numerical data
KW - Humans
KW - Male
KW - Middle Aged
KW - Physician-Patient Relations
KW - Primary Health Care/utilization
KW - Questionnaires
KW - Stereotyping
AU - W. A. Vega
AU - M. A. Rodriguez
AU - A. Ang
A1 - 
AB - OBJECTIVES: To develop a validated stigma checklist to assist physicians in addressing depression in Latino patients. METHOD: Two hundred low-income, Spanish-speaking, Latino patients in primary care clinics were screened for depression using Patient Health Questionnaires (PHQ-2 and PHQ-9), and medical records were reviewed. With the use of a wide pool of stigma items, empirical methods were used to develop a stigma checklist from this primary care sample and patient information was used to demonstrate construct validity. RESULTS: Patients reporting higher levels of perceived stigma using the stigma checklist were less likely to disclose their depression diagnosis to their family and friends (P<.05) and also less likely to be taking depression medication (OR=.78; 95% CI, .62-.99). Patients with stigma were less likely to be able to manage their depression (OR=.79; 95% CI, .65-.96) and more likely to have missed scheduled appointment visits (OR=1.44; 95% CI, 1.03-2.02). CONCLUSION: Given the strong relationship between stigma and care of depression, primary care clinicians should be aware of and address stigma among their depressed Latino patients. The stigma checklist presented for treating Spanish-speaking Latino patients in primary care may be used to assess depressed patients for stigma to help inform clinical management of patients.
BT - General hospital psychiatry
C5 - Healthcare Disparities
CP - 2
CY - United States
DO - 10.1016/j.genhosppsych.2009.10.008
IS - 2
JF - General hospital psychiatry
N2 - OBJECTIVES: To develop a validated stigma checklist to assist physicians in addressing depression in Latino patients. METHOD: Two hundred low-income, Spanish-speaking, Latino patients in primary care clinics were screened for depression using Patient Health Questionnaires (PHQ-2 and PHQ-9), and medical records were reviewed. With the use of a wide pool of stigma items, empirical methods were used to develop a stigma checklist from this primary care sample and patient information was used to demonstrate construct validity. RESULTS: Patients reporting higher levels of perceived stigma using the stigma checklist were less likely to disclose their depression diagnosis to their family and friends (P<.05) and also less likely to be taking depression medication (OR=.78; 95% CI, .62-.99). Patients with stigma were less likely to be able to manage their depression (OR=.79; 95% CI, .65-.96) and more likely to have missed scheduled appointment visits (OR=1.44; 95% CI, 1.03-2.02). CONCLUSION: Given the strong relationship between stigma and care of depression, primary care clinicians should be aware of and address stigma among their depressed Latino patients. The stigma checklist presented for treating Spanish-speaking Latino patients in primary care may be used to assess depressed patients for stigma to help inform clinical management of patients.
PB - Elsevier Inc
PP - United States
PY - 2010
SN - 1873-7714; 0163-8343
SP - 182
EP - 191
EP - 
T1 - Addressing stigma of depression in Latino primary care patients
T2 - General hospital psychiatry
TI - Addressing stigma of depression in Latino primary care patients
U1 - Healthcare Disparities
U2 - 20302993
U3 - 10.1016/j.genhosppsych.2009.10.008
VL - 32
VO - 1873-7714; 0163-8343
Y1 - 2010
ER -