Identification and treatment of depression of older adults in primary care: Findings from the São Paulo Ageing and Health Study

Marcia Scazufca, Paulo Menezes, Karen Margaret-Tabb Dina, Rachel Kester, Wulf Rössler, Hsiang Huang

Research output: Contribution to journalArticle

Abstract

Background: Depression, diabetes and hypertension are major contributors to the global burden of disease; however, the majority of research on depression and co-morbid conditions originates in high-income countries. Objective: This study examines the depression identification rate and compares treatment rates of depression with those of diabetes and hypertension among elderly individuals served in primary care through the Family Health Program (FHP) in São Paulo, Brazil. Method: A total of 1558 São Paulo Ageing and Health Study participants (low-income adults ≥65 years old living in São Paulo) registered in the FHP were included for analysis. Chart review was performed for participants with an International Classification of Diseases, 10th edition (ICD-10) depression diagnosis (from survey interview) to verify if depression was recorded for these individuals. Depression, diabetes and hypertension treatment were assessed based on clinical assessments and medication checks. Results: Seventy-three participants (4.8%) had ICD-10 depression, 344 (23.2%) had confirmed diabetes and 1207 (79.3%) had confirmed hypertension. The proportion of those identified with depression by medical chart review (n = 63 for individuals whose chart could be found) was 4.8% (n = 3). Nine individuals (12.3%) with ICD-10 depression were treated. Rates of diabetes and hypertension treatment were 72.4% and 77.4%, respectively. Conclusion: Levels of treatment of depression in older adults receiving care in the FHP is very low compared to treatment rates of diabetes and hypertension. Collaborative care effectiveness trials for the treatment of depression in the FHP are needed to improve the quality of depression care for this population.

Original languageEnglish (US)
Pages (from-to)233-237
Number of pages5
JournalFamily Practice
Volume33
Issue number3
DOIs
StatePublished - Jun 1 2016

Fingerprint

Primary Health Care
Family Health
Hypertension
Health
International Classification of Diseases
Therapeutics
Quality of Health Care
Brazil
Interviews
Research
Population

Keywords

  • Aged
  • Brazil
  • Depression
  • Depressive disorder
  • Patient-centered care
  • Primary health care

ASJC Scopus subject areas

  • Family Practice

Cite this

Identification and treatment of depression of older adults in primary care : Findings from the São Paulo Ageing and Health Study. / Scazufca, Marcia; Menezes, Paulo; Dina, Karen Margaret-Tabb; Kester, Rachel; Rössler, Wulf; Huang, Hsiang.

In: Family Practice, Vol. 33, No. 3, 01.06.2016, p. 233-237.

Research output: Contribution to journalArticle

Scazufca, Marcia ; Menezes, Paulo ; Dina, Karen Margaret-Tabb ; Kester, Rachel ; Rössler, Wulf ; Huang, Hsiang. / Identification and treatment of depression of older adults in primary care : Findings from the São Paulo Ageing and Health Study. In: Family Practice. 2016 ; Vol. 33, No. 3. pp. 233-237.
@article{6f198781ccd74db88ad1c48a77c747b8,
title = "Identification and treatment of depression of older adults in primary care: Findings from the S{\~a}o Paulo Ageing and Health Study",
abstract = "Background: Depression, diabetes and hypertension are major contributors to the global burden of disease; however, the majority of research on depression and co-morbid conditions originates in high-income countries. Objective: This study examines the depression identification rate and compares treatment rates of depression with those of diabetes and hypertension among elderly individuals served in primary care through the Family Health Program (FHP) in S{\~a}o Paulo, Brazil. Method: A total of 1558 S{\~a}o Paulo Ageing and Health Study participants (low-income adults ≥65 years old living in S{\~a}o Paulo) registered in the FHP were included for analysis. Chart review was performed for participants with an International Classification of Diseases, 10th edition (ICD-10) depression diagnosis (from survey interview) to verify if depression was recorded for these individuals. Depression, diabetes and hypertension treatment were assessed based on clinical assessments and medication checks. Results: Seventy-three participants (4.8{\%}) had ICD-10 depression, 344 (23.2{\%}) had confirmed diabetes and 1207 (79.3{\%}) had confirmed hypertension. The proportion of those identified with depression by medical chart review (n = 63 for individuals whose chart could be found) was 4.8{\%} (n = 3). Nine individuals (12.3{\%}) with ICD-10 depression were treated. Rates of diabetes and hypertension treatment were 72.4{\%} and 77.4{\%}, respectively. Conclusion: Levels of treatment of depression in older adults receiving care in the FHP is very low compared to treatment rates of diabetes and hypertension. Collaborative care effectiveness trials for the treatment of depression in the FHP are needed to improve the quality of depression care for this population.",
keywords = "Aged, Brazil, Depression, Depressive disorder, Patient-centered care, Primary health care",
author = "Marcia Scazufca and Paulo Menezes and Dina, {Karen Margaret-Tabb} and Rachel Kester and Wulf R{\"o}ssler and Hsiang Huang",
year = "2016",
month = "6",
day = "1",
doi = "10.1093/fampra/cmv062",
language = "English (US)",
volume = "33",
pages = "233--237",
journal = "Family Practice",
issn = "0263-2136",
publisher = "Oxford University Press",
number = "3",

}

TY - JOUR

T1 - Identification and treatment of depression of older adults in primary care

T2 - Findings from the São Paulo Ageing and Health Study

AU - Scazufca, Marcia

AU - Menezes, Paulo

AU - Dina, Karen Margaret-Tabb

AU - Kester, Rachel

AU - Rössler, Wulf

AU - Huang, Hsiang

PY - 2016/6/1

Y1 - 2016/6/1

N2 - Background: Depression, diabetes and hypertension are major contributors to the global burden of disease; however, the majority of research on depression and co-morbid conditions originates in high-income countries. Objective: This study examines the depression identification rate and compares treatment rates of depression with those of diabetes and hypertension among elderly individuals served in primary care through the Family Health Program (FHP) in São Paulo, Brazil. Method: A total of 1558 São Paulo Ageing and Health Study participants (low-income adults ≥65 years old living in São Paulo) registered in the FHP were included for analysis. Chart review was performed for participants with an International Classification of Diseases, 10th edition (ICD-10) depression diagnosis (from survey interview) to verify if depression was recorded for these individuals. Depression, diabetes and hypertension treatment were assessed based on clinical assessments and medication checks. Results: Seventy-three participants (4.8%) had ICD-10 depression, 344 (23.2%) had confirmed diabetes and 1207 (79.3%) had confirmed hypertension. The proportion of those identified with depression by medical chart review (n = 63 for individuals whose chart could be found) was 4.8% (n = 3). Nine individuals (12.3%) with ICD-10 depression were treated. Rates of diabetes and hypertension treatment were 72.4% and 77.4%, respectively. Conclusion: Levels of treatment of depression in older adults receiving care in the FHP is very low compared to treatment rates of diabetes and hypertension. Collaborative care effectiveness trials for the treatment of depression in the FHP are needed to improve the quality of depression care for this population.

AB - Background: Depression, diabetes and hypertension are major contributors to the global burden of disease; however, the majority of research on depression and co-morbid conditions originates in high-income countries. Objective: This study examines the depression identification rate and compares treatment rates of depression with those of diabetes and hypertension among elderly individuals served in primary care through the Family Health Program (FHP) in São Paulo, Brazil. Method: A total of 1558 São Paulo Ageing and Health Study participants (low-income adults ≥65 years old living in São Paulo) registered in the FHP were included for analysis. Chart review was performed for participants with an International Classification of Diseases, 10th edition (ICD-10) depression diagnosis (from survey interview) to verify if depression was recorded for these individuals. Depression, diabetes and hypertension treatment were assessed based on clinical assessments and medication checks. Results: Seventy-three participants (4.8%) had ICD-10 depression, 344 (23.2%) had confirmed diabetes and 1207 (79.3%) had confirmed hypertension. The proportion of those identified with depression by medical chart review (n = 63 for individuals whose chart could be found) was 4.8% (n = 3). Nine individuals (12.3%) with ICD-10 depression were treated. Rates of diabetes and hypertension treatment were 72.4% and 77.4%, respectively. Conclusion: Levels of treatment of depression in older adults receiving care in the FHP is very low compared to treatment rates of diabetes and hypertension. Collaborative care effectiveness trials for the treatment of depression in the FHP are needed to improve the quality of depression care for this population.

KW - Aged

KW - Brazil

KW - Depression

KW - Depressive disorder

KW - Patient-centered care

KW - Primary health care

UR - http://www.scopus.com/inward/record.url?scp=84978766018&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84978766018&partnerID=8YFLogxK

U2 - 10.1093/fampra/cmv062

DO - 10.1093/fampra/cmv062

M3 - Article

C2 - 26219991

AN - SCOPUS:84978766018

VL - 33

SP - 233

EP - 237

JO - Family Practice

JF - Family Practice

SN - 0263-2136

IS - 3

ER -