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Activity and obesity of Colombian immigrants in Canada who use a food bank.

https://arctichealth.org/en/permalink/ahliterature159910
Source
Percept Mot Skills. 2007 Oct;105(2):681-7
Publication Type
Article
Date
Oct-2007
Author
Victor Ng
Timothy J Rush
Meizi He
Jennifer D Irwin
Author Affiliation
Faculty of Health Sciences, University of Western Ontario, London, Ontario.
Source
Percept Mot Skills. 2007 Oct;105(2):681-7
Date
Oct-2007
Language
English
Publication Type
Article
Keywords
Acculturation
Adult
Aged
Colombia - ethnology
Emigrants and Immigrants - psychology - statistics & numerical data
Ethnic Groups - psychology
Exercise - psychology
Female
Food Services - utilization
Humans
Male
Middle Aged
Obesity - epidemiology - ethnology - psychology
Ontario
Overweight - epidemiology - ethnology - psychology
Questionnaires
Sex Factors
Social Support
Socioeconomic Factors
Utilization Review - statistics & numerical data
Abstract
The purpose of this study was to provide some preliminary description of the Latin-Canadian community by reporting the socioeconomic status, physical activity, and weight status (i.e., healthy weight, overweight, or obese status) of Colombians newly immigrated to London, Ontario Canada. Face-to-face interviews were conducted on a convenience sample of 77 adult Colombian immigrant food bank users (46.8% men; mean age 39.9 yr., SD=11.8). Physical activity was gauged using the International Physical Activity Questionnaire and self-report Body Mass Index, and sociodemographic data were collected. Of respondents, 47% had a university education, and 97% received social support. 61% met recommended levels of physical activity. Men were more active, being involved in about 130 min. more of exercise per week, and more men were overweight than women (63.9% versus 39.0%, respectively). Of respondents, 73% reported being less active than before coming to Canada. This pilot study indicates that Latin-Canadian immigrants are a vulnerable group in need of acculturational support. Further study is warranted.
PubMed ID
18065093 View in PubMed
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Adolescent psychosis risk symptoms predicting persistent psychiatric service use: A 7-year follow-up study.

https://arctichealth.org/en/permalink/ahliterature298906
Source
Eur Psychiatry. 2019 01; 55:102-108
Publication Type
Journal Article
Research Support, Non-U.S. Gov't
Date
01-2019
Author
Maija Lindgren
Minna Jonninen
Markus Jokela
Sebastian Therman
Author Affiliation
Mental Health Unit, National Institute for Health and Welfare, Helsinki, Finland. Electronic address: maija.lindgren@thl.fi.
Source
Eur Psychiatry. 2019 01; 55:102-108
Date
01-2019
Language
English
Publication Type
Journal Article
Research Support, Non-U.S. Gov't
Keywords
Adolescent
Female
Finland - epidemiology
Follow-Up Studies
Humans
Male
Mental Disorders - epidemiology - therapy
Mental Health Services - statistics & numerical data
Patient Acceptance of Health Care - statistics & numerical data
Prodromal Symptoms
Prognosis
Prospective Studies
Psychiatric Status Rating Scales
Psychopathology
Psychotic Disorders - diagnosis - epidemiology - psychology
Risk Assessment - methods
Risk factors
Utilization Review - statistics & numerical data
Abstract
We investigated whether psychosis risk symptoms predicted psychiatric service use using seven-year register follow-up data.
Our sample included 715 adolescents aged 15-18, referred to psychiatric care for the first time. Psychosis risk symptoms were assessed with the Prodromal Questionnaire (PQ) at the beginning of the treatment. We assessed the power of the overall PQ as well as its positive, negative, general, and disorganized psychosis risk symptom factors in predicting prolonged service use. Baseline psychiatric diagnoses (grouped into 7 categories) were controlled for. Based on both inpatient and outpatient psychiatric treatment after baseline, adolescents were divided into three groups of brief, intermittent, and persistent service use.
Stronger symptoms on any PQ factor as well as the presence of a mood disorder predicted prolonged service use. All of the PQ factors remained significant predictors when adjusted for baseline mood disorder and multimorbidity.
In a prospective follow-up of a large sample using comprehensive mental health records, our findings indicate that assessing psychosis risk symptoms in clinical adolescent settings at the beginning of treatment could predict long-term need for care beyond diagnostic information. Our findings replicate the previous findings that positive psychosis risk symptoms are unspecific markers of severity of psychopathology. Also psychosis risk symptoms of the negative, disorganization, and general clusters are approximately as strongly associated with prolonged psychiatric service use in the upcoming years.
PubMed ID
30447416 View in PubMed
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Alternative and complementary treatment needs and experiences of women with breast cancer.

https://arctichealth.org/en/permalink/ahliterature116662
Source
J Altern Complement Med. 2013 Jul;19(7):657-63
Publication Type
Article
Date
Jul-2013
Author
Christiane Brems
Jodi Barnett
Virginia Cress Parret
Jesse Metzger
Mark E Johnson
Author Affiliation
School of Professional Psychology, Pacific University, Hillsboro, OR 97123, USA. cbrems@pacificu.edu
Source
J Altern Complement Med. 2013 Jul;19(7):657-63
Date
Jul-2013
Language
English
Publication Type
Article
Keywords
Adult
Aged
Aged, 80 and over
Alaska
Breast Neoplasms - epidemiology - psychology - therapy
Complementary Therapies - utilization
Cooperative Behavior
Female
Health Services Accessibility - statistics & numerical data
Health Services Needs and Demand - statistics & numerical data
Health Services Research - statistics & numerical data
Humans
Interdisciplinary Communication
Middle Aged
Quality of Life - psychology
Survivors - psychology - statistics & numerical data
Utilization Review - statistics & numerical data
Abstract
The study objectives were to explore the potential need for and use of complementary and alternative (CAM) services among women diagnosed with breast cancer and to investigate reasons for nonreceipt of CAM.
The Alaska Breast Cancer Needs Assessment Survey was completed by female breast cancer survivors in Alaska. The survey assessed physical and psychologic symptoms, services received, satisfaction with treatment, communication with providers, and informational needs. Survey responses were obtained from 309 women with breast cancer, with a mean age of 56 years and high level of education.
Results revealed that most breast cancer survivors have significant needs for CAM services, and yet only a small proportion actually receives them. For example, virtually all women reported symptoms potentially amenable to treatment via individual counseling or nutritional interventions; however, only 29% and 45%, respectively, received such services. Women who did and those who did not receive CAM services (e.g., counseling, massage, meditation, and supplementation) generally did not differ in terms of their need for such services as measured via symptoms that could be supported by these interventions. However, the majority failed to be referred for such treatments or were unable to access them if referred.
Results suggest that while access to services played a small role in nonreceipt of CAM services, the largest reason for CAM nonreceipt was failure to recognize their potential benefit on the part of providers and at least some patients. Raising awareness about the potential value of CAM among care providers for women with breast cancer is crucial, as it will likely lead to more CAM acceptance and utilization. Once providers accept and refer for CAM, patients' quality of life may be considerably enhanced, as the extant literature has demonstrated the potential value of CAM for breast cancer survivors.
PubMed ID
23373443 View in PubMed
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An assessment of quality of sleep and the use of drugs with sedating properties in hospitalized adult patients.

https://arctichealth.org/en/permalink/ahliterature180959
Source
Health Qual Life Outcomes. 2004 Mar 24;2:17
Publication Type
Article
Date
Mar-24-2004
Author
Luciana Frighetto
Carlo Marra
Shakeel Bandali
Kerry Wilbur
Terryn Naumann
Peter Jewesson
Author Affiliation
Pharmaceutical Sciences Clinical Service Unit, Vancouver Hospital and Health Sciences Center, 855 West 12th Avenue, Vancouver, BC, Canada. frighett@interchange.ubc.ca
Source
Health Qual Life Outcomes. 2004 Mar 24;2:17
Date
Mar-24-2004
Language
English
Publication Type
Article
Keywords
Adult
Aged
Aged, 80 and over
Antidepressive Agents - therapeutic use
Canada
Chronic Disease
Drug Utilization Review - statistics & numerical data
Female
Hospital Bed Capacity, 500 and over
Hospitalization
Hospitals, Teaching - utilization
Humans
Hypnotics and Sedatives - therapeutic use
Inpatients - psychology
Male
Middle Aged
Prospective Studies
Quality of Life
Questionnaires
Sickness Impact Profile
Sleep Initiation and Maintenance Disorders - drug therapy - etiology
Abstract
Hospitalization can significantly disrupt sleeping patterns. In consideration of the previous reports of insomnia and apparent widespread use of benzodiazepines and other hypnotics in hospitalized patients, we conducted a study to assess quality of sleep and hypnotic drug use in our acute care adult patient population. The primary objectives of this study were to assess sleep disturbance and its determinants including the use of drugs with sedating properties.
This single-centre prospective study involved an assessment of sleep quality for consenting patients admitted to the general medicine and family practice units of an acute care Canadian hospital. A validated Verran and Snyder-Halpern (VSH) Sleep Scale measuring sleep disturbance, sleep effectiveness, and sleep supplementation was completed daily by patients and scores were compared to population statistics. Patients were also asked to identify factors influencing sleep while in hospital, and sedating drug use prior to and during hospitalization was also assessed.
During the 70-day study period, 100 patients completed at least one sleep questionnaire. There was a relatively even distribution of males versus females, most patients were in their 8th decade of life, retired, and suffered from multiple chronic diseases. The median self-reported pre-admission sleep duration for participants was 8 hours and our review of PharmaNet profiles revealed that 35 (35%) patients had received a dispensed prescription for a hypnotic or antidepressant drug in the 3-month period prior to admission. Benzodiazepines were the most common sedating drugs prescribed. Over 300 sleep disturbance, effective and supplementation scores were completed. Sleep disturbance scores across all study days ranged 16-681, sleep effectiveness scores ranged 54-402, while sleep supplementation scores ranged between 0-358. Patients tended to have worse sleep scores as compared to healthy non-hospitalized US adults in all three scales. When compared to US non-hospitalized adults with insomnia, our patients demonstrated sleep disturbance and supplementation scores that were similar on Day 1, but lower (i.e. improved) on Day 3, while sleep effectiveness were higher (i.e. better) on both days. There was an association between sleep disturbance scores and the number of chronic diseases, the presence of pain, the use of bedtime tricyclic antidepressants, and the number of chronic diseases without pain. There was also an association between sleep effectiveness scores and the length of hospitalization, the in hospital use of bedtime sedatives and the presence of pain. Finally, an association was identified between sleep supplementation scores and the in hospital use of bedtime sedatives (tricyclic antidepressants and loxapine), and age. Twenty-nine (29%) patients received a prescription for a hypnotic drug while in hospital, with no evidence of pre-admission hypnotic use. The majority of these patients were prescribed zopiclone, lorazepam or another benzodiazepine.
The results of this study reveal that quality of sleep is a problem that affects hospitalized adult medical service patients and a relatively high percentage of these patients are being prescribed a hypnotic prior to and during hospitalization.
Notes
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PubMed ID
15040803 View in PubMed
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Appropriateness of omeprazole prescribing in Quebec's senior population.

https://arctichealth.org/en/permalink/ahliterature195938
Source
Can J Gastroenterol. 2000 Sep;14(8):676-80
Publication Type
Article
Date
Sep-2000
Author
J P Grégoire
J. Moisan
I. Chabot
M. Gaudet
Author Affiliation
Faculté de Pharmacie et Groupe de recherche in epidémiologie, Université Laval, Québec. Jean-Pierre.Gregoire@pha.ulaval.ca
Source
Can J Gastroenterol. 2000 Sep;14(8):676-80
Date
Sep-2000
Language
English
Publication Type
Article
Keywords
Aged
Cohort Studies
Drug Utilization Review - statistics & numerical data
Enzyme Inhibitors - economics - therapeutic use
Humans
Insurance, Pharmaceutical Services - statistics & numerical data
National Health Programs - statistics & numerical data
Omeprazole - economics - therapeutic use
Proton Pump Inhibitors
Proton-Translocating ATPases - antagonists & inhibitors
Quebec
Retrospective Studies
Abstract
Prescribing omeprazole for the treatment of digestive disorders accounts for an important part of the costs in Quebec's drug benefit plan. In July 1993, the Quebec drug program listed omeprazole, with restriction, in its formulary. On January 1, 1994, this restriction was lifted; since then, omeprazole has been listed in the regular provincial formulary.
To describe the appropriateness of initial omeprazole prescribing in the ambulatory senior population of Quebec in the 27 months after being listed without restriction.
A retrospective population-based cohort study was performed using prescription and medical services claims databases of the Quebec drug program. Data were extracted for elderly patients who received their first omeprazole prescription between July 1, 1994 and March 31, 1996.
Among the 47,140 first-time users of omeprazole identified, 7516 (15.9%) had had an endoscopy in the previous six months, 2308 (4.9%) were given an antimicrobial agent and omeprazole simultaneously, and 22,730 (48.2%) received omeprazole after prior use of an H2 receptor antagonist (H2RA) or a prokinetic drug. A total of 26,525 (56.3%) first-time users were prescribed omeprazole based on at least one of the three criteria listed above. Among these users, 729 (2.8%) received an H2RA concurrently with omeprazole. Altogether, 25,796 (54.7%) first-time users received omeprazole appropriately.
Although reimbursement for omeprazole prescriptions has not been restricted in Quebec since January 1, 1994, it was prescribed appropriately for elderly patients in the majority of cases studied.
Notes
Comment In: Can J Gastroenterol. 2000 Sep;14(8):66711185529
PubMed ID
11185532 View in PubMed
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Are Posttraumatic Stress Symptoms Related to Mental Health Service Use? A Prospective Study of Danish Soldiers Deployed to Afghanistan.

https://arctichealth.org/en/permalink/ahliterature282788
Source
J Clin Psychiatry. 2016 Oct;77(10):e1226-e1232
Publication Type
Article
Date
Oct-2016
Author
Trine Madsen
Søren Bo Andersen
Karen-Inge Karstoft
Source
J Clin Psychiatry. 2016 Oct;77(10):e1226-e1232
Date
Oct-2016
Language
English
Publication Type
Article
Keywords
Adult
Cohort Studies
Cross-Sectional Studies
Denmark
Drug Utilization - statistics & numerical data
Female
Follow-Up Studies
Health Services Needs and Demand - statistics & numerical data
Humans
Male
Mental Health Services - utilization
Patient Admission - statistics & numerical data
Prospective Studies
Psychotherapy - statistics & numerical data
Psychotropic Drugs - therapeutic use
Statistics as Topic
Stress Disorders, Post-Traumatic - diagnosis - epidemiology - psychology - therapy
Surveys and Questionnaires
Utilization Review - statistics & numerical data
Veterans - psychology - statistics & numerical data
Abstract
Investigating the use of mental health services by combat veterans can help illuminate utilization and unmet needs of this population. The aims of this study were to estimate the use of mental health services and to examine how such use is associated with self-reported symptoms of posttraumatic stress disorder (PTSD) in soldiers before and after deployment to Afghanistan.
Prospectively, 703 Danish soldiers who deployed from January 2009 to August 2009 were followed up with 6 assessments from predeployment to 2.5 years postdeployment in 2012. At assessments, the soldiers responded to a comprehensive questionnaire including a measure of PTSD symptoms (the PTSD Checklist-Civilian version). These self-reported data were combined with individual-level records of receiving psychotherapy from the Military Psychological Division at the Danish Defense and psychiatric treatment from the Danish registers.
The prevalence of PTSD symptoms increased over time, and almost 10% of the sample reported high levels of PTSD symptoms 2.5 years postdeployment. Overall, 37% of the soldiers utilized mental health services; 6% utilized psychiatric services, and 12.4% redeemed a prescription for psychiatric medicine. Approximately one-third received psychotherapy at the Military Psychological Division. In those reporting high PTSD symptomatology, 83% utilized 1 or more types of mental health service. At predeployment and homecoming, high PTSD symptomatology was significantly (P
PubMed ID
27529142 View in PubMed
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Assessing the utilization of in-patient facilities in a Canadian pediatric hospital.

https://arctichealth.org/en/permalink/ahliterature220118
Source
Pediatrics. 1993 Oct;92(4):587-93
Publication Type
Article
Date
Oct-1993
Author
H E Smith
S. Sheps
D S Matheson
Author Affiliation
Department of Health Care and Epidemiology, University of British Columbia, Vancouver, Canada.
Source
Pediatrics. 1993 Oct;92(4):587-93
Date
Oct-1993
Language
English
Publication Type
Article
Keywords
Adolescent
British Columbia
Child
Child, Preschool
Female
Health Services Misuse - statistics & numerical data
Hospitals, Pediatric - statistics & numerical data - utilization
Humans
Infant
Male
Patient Admission - statistics & numerical data
Reproducibility of Results
Utilization Review - statistics & numerical data
Abstract
To validate the pediatric appropriateness evaluation protocol (P-AEP) for use in the Canadian health care system and then to use it to assess the extent of inappropriate utilization in a Canadian tertiary care pediatric facility.
The P-AEP was applied to a 10% random sample of all general pediatric admissions during 1990 and to a sample of 547 subsequent days of care. The reliability of the P-AEP was assessed using a subsample of 72 admissions and 72 days of care. Validity was tested by comparing the P-AEP judgment on a sample of 50 admissions and 50 days of care with the subjective opinion of panels of three pediatric staff physicians.
In the reliability test, there was a high level of agreement between the two independent observers applying the P-AEP. In validity testing, the physicians found a slightly lower rate of inappropriateness relative to the P-AEP, but the validity was good overall. In the main study, 136 of 477 admissions (29%) were found to be inappropriate. Factors associated with inappropriate admission included nonurgent or emergent admission, surgical (versus medical) cases, residence outside the Greater Vancouver area, and admission on Sundays or Mondays. Fifty-five percent of inappropriate admissions were judged necessary but premature, whereas 45% were judged medically unnecessary. Of 547 subsequent days of care, 121 (22%) were found to be medically inappropriate. Inappropriate days of care were associated with girls, Mondays, and patients older than 14 years of age.
The P-AEP seems to be a valid and useful instrument for assessing the utilization of pediatric beds in a Canadian health care setting. Using the P-AEP made it possible to identify several service and policy developments which would help improve the efficiency of utilization at the hospital.
PubMed ID
8414832 View in PubMed
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Assessment of regional variation in polypharmacy.

https://arctichealth.org/en/permalink/ahliterature97865
Source
Pharmacoepidemiol Drug Saf. 2010 Apr;19(4):375-83
Publication Type
Article
Date
Apr-2010
Author
Bo Hovstadius
Bengt Astrand
Göran Petersson
Author Affiliation
eHealth Institute, School of Pure and Applied Natural Sciences, Linnaeus University, Kalmar, Sweden. bo.hovstadius@se.pwc.com
Source
Pharmacoepidemiol Drug Saf. 2010 Apr;19(4):375-83
Date
Apr-2010
Language
English
Publication Type
Article
Keywords
Adult
Age Distribution
Age Factors
Aged
Aged, 80 and over
Drug Utilization Review - statistics & numerical data
Female
Humans
Male
Middle Aged
Physician's Practice Patterns
Polypharmacy
Prescription Drugs - administration & dosage - therapeutic use
Sex Factors
Socioeconomic Factors
Sweden
Young Adult
Abstract
PURPOSE: To assess polypharmacy in a population with emphasis on regions. METHODS: We studied the individual-based data of all dispensed prescription drugs (DP) during a 3-month study period in Sweden 2006. As an indicator of polypharmacy, five or more (DP > or = 5) different drugs (substances) dispensed were applied. For analysis, we used comparisons of prevalence, correlation of prevalence of polypharmacy with different socioeconomic variables, and a novel weighted polypharmacy index. RESULTS: The national prevalence of polypharmacy, DP > or = 5, was 10.5% (inter-regional variation 9.1-12.1%). The regional variation in the prevalence of polypharmacy was largest for the age groups > or =90 (45.6-59.1%), 80-89 (46.1-53.4%) and 70-79 years (33.1-38.0%). The national prevalence of excessive polypharmacy, DP > or = 10, was 2.2% (inter-regional variation 1.9-2.6%). The regional variation in prevalence of excessive polypharmacy was largest for the age groups > or =90 (9.8-22.3%), 80-89 (11.4-17.1%) and 70-79 years (7.0-9.4%). We found a fairly strong positive correlation between polypharmacy and the age group > or =70 years (r = 0.84 for men and 0.71 for women). The novel weighted polypharmacy index indicated regional differences in the internal distribution of the prevalence of dispensed drugs for individuals with polypharmacy. CONCLUSION: Our findings indicate that the observed regional differences in the prevalence of polypharmacy partly can be explained by the regional age distribution in Sweden. The use of the novel weighted polypharmacy index indicated regional differences in drug therapy for individuals with polypharmacy.
PubMed ID
20191596 View in PubMed
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Association of polypharmacy with nutritional status, functional ability and cognitive capacity over a three-year period in an elderly population.

https://arctichealth.org/en/permalink/ahliterature137164
Source
Pharmacoepidemiol Drug Saf. 2011 May;20(5):514-22
Publication Type
Article
Date
May-2011
Author
Johanna Jyrkkä
Hannes Enlund
Piia Lavikainen
Raimo Sulkava
Sirpa Hartikainen
Author Affiliation
Kuopio Research Centre of Geriatric Care, University of Eastern Finland, Kuopio, Finland. johanna.jyrkka@uef.fi
Source
Pharmacoepidemiol Drug Saf. 2011 May;20(5):514-22
Date
May-2011
Language
English
Publication Type
Article
Keywords
Activities of Daily Living
Aged
Aged, 80 and over
Cognition - physiology
Cohort Studies
Drug Utilization Review - statistics & numerical data
Finland
Geriatric Assessment - statistics & numerical data
Humans
Malnutrition - epidemiology
Nutrition Assessment
Nutritional Status - physiology
Polypharmacy
Prospective Studies
Psychiatric Status Rating Scales
Socioeconomic Factors
Abstract
To determine the association of polypharmacy with nutritional status, functional ability and cognitive capacity among elderly persons.
This was a prospective cohort study of 294 survivors from the population-based Geriatric Multidisciplinary Strategy for the Good Care of the Elderly (GeMS) Study, with yearly follow-ups during 2004 to 2007. Participants were the citizens of Kuopio, Finland, aged 75 years and older at baseline. Polypharmacy status was categorized as non-polypharmacy (0-5 drugs), polypharmacy (6-9 drugs) and excessive polypharmacy (10+ drugs). A linear mixed model approach was used for analysis the impact of polypharmacy on short form of mini nutritional assessment (MNA-SF), instrumental activities of daily living (IADL) and mini-mental status examination (MMSE) scores.
Excessive polypharmacy was associated with declined nutritional status (p?=?0.001), functional ability (p?
PubMed ID
21308855 View in PubMed
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Associations of social relationships with consultation for symptoms of depression: a community study of depression in older men and women in Qu├ębec.

https://arctichealth.org/en/permalink/ahliterature133702
Source
Psychol Rep. 2011 Apr;108(2):537-52
Publication Type
Article
Date
Apr-2011
Author
Samia-Djemaa Mechakra-Tahiri
Maria Victoria Zunzunegui
Micheline Dubé
Michel Préville
Author Affiliation
Department of Social and Preventive Medicine, School of Public Health, Université de Montréal. samiatahiri@yahoo.fr
Source
Psychol Rep. 2011 Apr;108(2):537-52
Date
Apr-2011
Language
English
Publication Type
Article
Keywords
Age Factors
Aged
Depressive Disorder - diagnosis - epidemiology - psychology
Depressive Disorder, Major - diagnosis - epidemiology - psychology
Family Characteristics
Female
Health Surveys
Humans
Interpersonal Relations
Male
Marital status
Quebec
Referral and Consultation - utilization
Sex Factors
Social Support
Utilization Review - statistics & numerical data
Abstract
To assess associations between social relationships and consultation for symptoms of depression, data from a representative sample of 2,811 French-speaking community-dwelling older adults in Québec were used. Less than half of the older adults meeting DSM criteria for depression (N = 379; 47.1%) had sought consultation about their depression-relevant symptoms in the preceding 12 months. Having a cohabitant partner or having children were not associated with frequency of consultation for women. Men without a partner tended to consult more frequently than men with a cohabiting partner (OR = 2.5; 95% CI = 0.81, 7.88). None of the men without a confidant had consulted. Among the 67 men with a confidant, consultation was more frequent among those not cohabiting with a partner (70%) than among those with a cohabiting partner (46%). The influence of social relationships on consultation for depression differed in men and women in this population of depressed elderly people in Québec.
PubMed ID
21675568 View in PubMed
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140 records – page 1 of 14.