Diabetes and depression care among medicaid beneficiaries

Journal of Health Care for the Poor and Underserved
Usha SambamoorthiStephen Crystal

Abstract

This study evaluates the relationship between diabetes mellitus and depression care among non-elderly Medicaid beneficiaries, using claims data from the 1995 State Medicaid Research Files for Alabama, Georgia, New Jersey, and Wisconsin. Presence of comorbid diabetes was found to be significantly associated with a higher rate of depression diagnosis. Among those who were diagnosed as depressed, treatment of comorbid diabetes was associated with a higher rate of antidepressant treatment than among depression-diagnosed patients who did not also have diabetes. However, among patients with diabetes and depression, a quarter received only tricyclic antidepressants. Controlling for other characteristics, African Americans diagnosed with depression were less likely to receive antidepressant treatment and, if they did receive such treatment, more likely to receive the older tricyclic drugs. These findings raise concern for glycemic control among patients with diabetes and depression treated with tricyclic antidepressants in a low-income Medicaid population. Among depressed Medicaid beneficiaries with diabetes, there are racial differences with regard to quality of mental health care in the presence of diabetes.

Citations

Mar 7, 2009·Journal of the American Board of Family Medicine : JABFM·Chizobam AniRichard S Baker
May 6, 2009·Journal of General Internal Medicine·Jim E BantaMark G Haviland
Jul 1, 2011·Epidemiology and Psychiatric Sciences·D Cimpean, R E Drake
Feb 3, 2007·The Nursing Clinics of North America·Fredrick Astle
Apr 16, 2009·Journal of the American Academy of Nurse Practitioners·Hyeon-Joo LeeErika Friedmann
May 6, 2014·General Hospital Psychiatry·Amma A AgyemangBruce Rybarczyk
Feb 27, 2010·Diabetes Care·Chandra Y OsbornDavid G Schlundt
Jul 4, 2008·Western Journal of Nursing Research·Emelia AmoakoEileen K Rossen

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