Antidepressant utilization after hospitalization with depression: A comparison between non-Western immigrants and Danish-born residents

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Background: Antidepressant (AD) therapy is recommended for patients 4-12months after remission from depression. The aim was to examine whether immigrants (refugees or family reunited immigrants) from non-Western countries are at greater risk than Danish-born residents of 1) not initiating AD therapy after discharge and 2) early AD discontinuation. Methods: A cohort of immigrants from non-Western countries (n=132) and matched Danish-born residents (n=396) discharged after first admission with moderate to severe depression between 1 January 1996 and 31 May 2008 was followed in the Danish registries. Results: Immigrants had higher odds for not initiating AD treatment after discharge than Danish-born residents (OR=1.55; 95% CI: 1.01-2.38). When income was included in the model, the strength of the association was attenuated. Odds for early discontinuation was non-significantly higher among immigrants than Danish-born residents (OR=1.80; 0.87-3.73). Immigrants also had a non-significantly higher hazard of early discontinuation (HR=1.46; 95% CI: 0.87-2.45). Including income had only minor impact on these associations. Conclusion: Immigrants seem less likely to receive the recommended AD treatment after hospitalization with depression. This may indicate a need for a better understanding of the circumstances of this vulnerable group.

Original languageEnglish
Article number77
JournalBMC Psychiatry
Volume14
Issue number1
ISSN1471-244X
DOIs
Publication statusPublished - 17 Mar 2014

    Research areas

  • Antidepressant, Ethnic disparities, Health care, Immigrants, Post-remission

ID: 167505897