Individual and neighborhood characteristics as predictors of depression symptom response

Objective Assess whether neighborhood characteristics predict patient‐reported outcomes for depression. Data Sources VA electronic medical record data and U.S. census data. Study Design Retrospective longitudinal cohort. Data Extraction Methods Neighborhood and individual characteristics of patients...

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Bibliographic Details
Published in:Health services research 2019-06, Vol.54 (3), p.586-591
Main Authors: Panaite, Vanessa, Bowersox, Nicholas W., Zivin, Kara, Ganoczy, Dara, Kim, Hyungjin Myra, Pfeiffer, Paul N.
Format: Article
Language:English
Subjects:
administrative
Adult
Aged
Censuses
depression
Depression (Mood disorder)
Depression - epidemiology
Depression - therapy
Depression, Mental
Depressive personality disorders
Disability
Electronic health records
Electronic medical records
Electronic records
Extraction
Female
Florida
Health surveys
Humans
improvement
Longitudinal Studies
Male
Medical diagnosis
Medical records
Medical research
Medicine, Experimental
Mental depression
Michigan
Middle Aged
neighborhood
Neighborhoods
Post traumatic stress disorder
Poverty
Poverty - statistics & numerical data
Prognosis
Questionnaires
Research Brief
Residence Characteristics - statistics & numerical data
Retrospective Studies
Social Determinants and Mental Health
Socioeconomic Factors
United States
United States Department of Veterans Affairs
Veterans
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Summary:Objective Assess whether neighborhood characteristics predict patient‐reported outcomes for depression. Data Sources VA electronic medical record data and U.S. census data. Study Design Retrospective longitudinal cohort. Data Extraction Methods Neighborhood and individual characteristics of patients (N = 4,269) with a unipolar depressive disorder diagnosis and an initial Patient Health Questionnaire (PHQ‐9) score ≥10 were used to predict 50 percent improvement in 4‐8‐month PHQ‐9 scores. Principal Findings The proportion of a patient's neighborhood living in poverty (OR = 0.98; 95% CI: 0.97‐.1.00; P = 0.03) was associated with lower likelihood of depression symptom improvement in addition to whether the patient was black (OR = 0.76; 95% CI:0.61‐0.96; P = 0.02) had PTSD (OR = 0.59; 95% CI:0.50‐0.69; P 
ISSN:0017-9124
1475-6773
DOI:10.1111/1475-6773.13127