AI Article Synopsis
- The study examines the relationship between prior depression and the likelihood of missing necessary medical care, highlighting that both uninsured and insured individuals are affected.
- Results show that individuals with a history of depression were significantly more likely to report missing medical care, regardless of their insurance status.
- Conclusions suggest that addressing mental health issues like depression could help improve access to medical services for vulnerable populations.
Article Abstract
Introduction: Rates of non-access to needed medical services are elevated among uninsured and sociodemographic subpopulations. Clinical depression is associated with comorbid medical illness and reduced treatment adherence. The purpose of this study was to examine whether prior depression predicts missed needed medical care independent of health insurance status and socioeconomic and demographic characteristics.
Methods: Data were from a cross-sectional representative sample of adult New York City residents, surveyed through the 2009 (n=9,900) and 2010 (n=8,622) annual Community Health Survey. Logistic regression was used to evaluate the association of lifetime depression with missed needed medical care in the past year, with stratification by health insurance status and adjustment for socioeconomic characteristics. Analyses were performed in 2014.
Results: Prior depression was associated with missed needed medical care among both insured (OR=1.9, 95% CI=1.7, 2.2) and uninsured adults (OR=1.8, 95% CI=1.3, 2.4). Missed needed care report was associated with uninsured status (OR=3.6, 95% CI=3.1, 4.0), controlling for employment, income, and demographics.
Conclusions: Prior depression corresponded to greater probability of missed needed medical care report in the previous year, independent of health insurance status, employment, income, and demographics.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5606238 | PMC |
| http://dx.doi.org/10.1016/j.amepre.2015.01.021 | DOI Listing |
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