TY - JOUR
T1 - Depression care among depressed adults with and without comorbid substance use disorders in the United States
AU - Han, Beth
AU - Olfson, Mark
AU - Mojtabai, Ramin
N1 - Funding Information:
The data collection protocol of the National Survey on Drug Use and Health was approved by the Institutional Review Board at the RTI International. The survey questionnaires and informed consent procedures received full ethical review and approval from the U.S. Office of Management and Budget. Dr. Olfson's work for this study was supported by NIDA R01 DA019606. All authors declare that they have no conflict of interest. The findings and conclusions of this study are those of the authors and do not necessarily reflect the views of the Substance Abuse and Mental Health Services Administration or the U.S. Department of Health and Human Services.
Publisher Copyright:
© 2017 Wiley Periodicals, Inc.
PY - 2017/3/1
Y1 - 2017/3/1
N2 - Objective: We compared the prevalence of receiving depression care between adults with past-year major depressive episodes (depressed) and substance use disorders (SUD) in the United States and their depressed counterparts without SUD. Method: Data were from 25,500 adults who participated in the 2008–2014 National Surveys on Drug Use and Health. Descriptive analyses and logistic regression models were applied. Results: During 2008–2014, approximately 55.4% of depressed U.S. adults with SUD received past-year depression care, while 60.1% of depressed adults without SUD received such care. Overall, co-occurring SUD was associated with an 8% decreased likelihood of receiving past-year depression care (risk ratio (RR) = 0.92, 95% CI = 0.89–0.96). For depressed adults with severe functional impairment, co-occurring SUD was associated with a 9% decreased likelihood of receiving past-year depression care (RR = 0.91, 95% CI = 0.87–0.95). For depressed men, co-occurring SUD was associated with a 13% decreased likelihood of receiving past-year depression care (RR = 0.87, 95% CI = 0.81–0.94). The following depressed adults were at increased risk of not receiving depression care: those without functional impairment, without suicidal ideation, and without physical comorbidities, aged 18–29, male, racial/ethnic minorities, having less than high school education, uninsured, and never married. Conclusions: Among depressed adults in the United States, comorbid SUD modestly but significantly decreases the likelihood of receiving past-year depression care. Depressed young adults, men, racial/ethnic minorities, less educated individuals, uninsured adults, and never married adults are also at increased risk for not receiving depression care. Outreach efforts are needed to broaden access to depression care for these underserved adults.
AB - Objective: We compared the prevalence of receiving depression care between adults with past-year major depressive episodes (depressed) and substance use disorders (SUD) in the United States and their depressed counterparts without SUD. Method: Data were from 25,500 adults who participated in the 2008–2014 National Surveys on Drug Use and Health. Descriptive analyses and logistic regression models were applied. Results: During 2008–2014, approximately 55.4% of depressed U.S. adults with SUD received past-year depression care, while 60.1% of depressed adults without SUD received such care. Overall, co-occurring SUD was associated with an 8% decreased likelihood of receiving past-year depression care (risk ratio (RR) = 0.92, 95% CI = 0.89–0.96). For depressed adults with severe functional impairment, co-occurring SUD was associated with a 9% decreased likelihood of receiving past-year depression care (RR = 0.91, 95% CI = 0.87–0.95). For depressed men, co-occurring SUD was associated with a 13% decreased likelihood of receiving past-year depression care (RR = 0.87, 95% CI = 0.81–0.94). The following depressed adults were at increased risk of not receiving depression care: those without functional impairment, without suicidal ideation, and without physical comorbidities, aged 18–29, male, racial/ethnic minorities, having less than high school education, uninsured, and never married. Conclusions: Among depressed adults in the United States, comorbid SUD modestly but significantly decreases the likelihood of receiving past-year depression care. Depressed young adults, men, racial/ethnic minorities, less educated individuals, uninsured adults, and never married adults are also at increased risk for not receiving depression care. Outreach efforts are needed to broaden access to depression care for these underserved adults.
KW - addiction
KW - antidepressants
KW - depression
KW - drug abuse
KW - mood disorders
KW - primary care
KW - substance use disorders
KW - treatment
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U2 - 10.1002/da.22592
DO - 10.1002/da.22592
M3 - Article
C2 - 28152244
AN - SCOPUS:85011660618
VL - 34
SP - 291
EP - 300
JO - Anxiety
JF - Anxiety
SN - 1091-4269
IS - 3
ER -