TY - JOUR
KW - Adult
KW - Aged
KW - Aged, 80 and over
KW - Depressive Disorder/diagnosis/ethnology
KW - Female
KW - Humans
KW - Male
KW - Mass Screening
KW - Medical Records
KW - Mexican Americans/psychology
KW - Middle Aged
KW - Poverty/ethnology
KW - Prevalence
KW - Primary Health Care/standards
KW - Questionnaires
KW - Social Class
KW - Socioeconomic Factors
KW - Texas/epidemiology
AU - K. B. Schmaling
AU - D. V. Hernandez
A1 - 
AB - Between one and two thirds of depressive disorders go undetected in primary care settings. Four hundred ninety-six Mexican American primary care patients from high-poverty areas were screened for depressive symptoms, and 41% endorsed depressive symptoms. Eighty percent of screened patients with depressive symptoms agreed to structured diagnostic interviews and 90% of those interviewed met diagnostic criteria for one or more depressive disorders. Cases of depression detected through this systematic process were compared with evidence of depression detected by providers in medical charts. Provider and study evaluation agreement was poor (kappa= 0.13); providers noted depression in 21% of patients with depressive disorders based on the systematic evaluation. More work is needed to enhance detection of depression in primary care, especially in minority populations.
BT - Journal of health care for the poor and underserved
C5 - Healthcare Disparities
CP - 4
CY - United States
DO - 10.1353/hpu.2005.0105
IS - 4
JF - Journal of health care for the poor and underserved
N2 - Between one and two thirds of depressive disorders go undetected in primary care settings. Four hundred ninety-six Mexican American primary care patients from high-poverty areas were screened for depressive symptoms, and 41% endorsed depressive symptoms. Eighty percent of screened patients with depressive symptoms agreed to structured diagnostic interviews and 90% of those interviewed met diagnostic criteria for one or more depressive disorders. Cases of depression detected through this systematic process were compared with evidence of depression detected by providers in medical charts. Provider and study evaluation agreement was poor (kappa= 0.13); providers noted depression in 21% of patients with depressive disorders based on the systematic evaluation. More work is needed to enhance detection of depression in primary care, especially in minority populations.
PP - United States
PY - 2005
SN - 1049-2089; 1049-2089
SP - 780
EP - 790
EP - 
T1 - Detection of depression among low-income Mexican Americans in primary care
T2 - Journal of health care for the poor and underserved
TI - Detection of depression among low-income Mexican Americans in primary care
U1 - Healthcare Disparities
U2 - 16311498
U3 - 10.1353/hpu.2005.0105
VL - 16
VO - 1049-2089; 1049-2089
Y1 - 2005
ER -