Evidence map›Paper›PMID 23585359›Full record

ArticleInternational journal of geriatric psychiatry2013

Factors associated with help-seeking behaviors in Mexican older individuals with depressive symptoms: a cross-sectional study.

Mario Ulises Pérez-Zepeda, Victoria Eugenia Arango-Lopera, Fernando A Wagner, Joseph J Gallo, Sergio Sánchez-García, Teresa Juárez-Cedillo, Carmen García-Peña

Open access · bronzeAbstract read
In one paragraph

Article in International journal of geriatric psychiatry, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
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  7. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 2 countries.

Mario Ulises Pérez-ZepedaInstituto Nacional de Geriatría, Secretaría de Salud, Mexico, DF, México.
Victoria Eugenia Arango-Lopera
Fernando A Wagner
Joseph J Gallo
Sergio Sánchez-García
Teresa Juárez-Cedillo
Carmen García-Peña
Centro Medico Nacional Siglo XXI · MXSecretaria de Salud · MXJohns Hopkins University · USMexican Social Security Institute · MXMorgan State University · US

Funding

Implementation and Dissemination of the CEASE Intervention to Reduce Tobacco UseR24MD002803 · NIMHD · MORGAN STATE UNIVERSITY · PI SHEIKHATTARI, PAYAM · 2008 to 2015
$3.7M
Long Term Effects of Depression Care on Services Use and Mortality in Late LifeR01MH065539 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI GALLO, JOSEPH JOHN · 2003 to 2013
$2.9M
SPECTRUM OF DEPRESSION IN LATER LIFE--PRIMARY STUDYR01MH062210 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI GALLO, JOSEPH JOHN · 2000 to 2003
$2.1M
The SocioCultural Context of Depression in Late LifeR01MH067077 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI GALLO, JOSEPH JOHN · 2002 to 2005
$1.4M
Mexico: APOE, Depression, and Cognition in Late LifeR03TW005888 · FIC · UNIVERSITY OF PENNSYLVANIA · PI GALLO, JOSEPH JOHN · 2003 to 2005
$114k
OPPORTUNITIES AND ACTUAL DRUG USE AMONG HISPANICSR03DA017796 · NIDA · MORGAN STATE UNIVERSITY · PI WAGNER, FERNANDO A · 2003 to 2003
$79k
FIC NIH HHS R03 TW005888NIDA NIH HHS R03 DA017796NIMHD NIH HHS L60 MD002217NIMHD NIH HHS P60-MD002217NIMHD NIH HHS R24MD002803NIMH NIH HHS R01 MH062210NIMH NIH HHS R01 MH065539NIMH NIH HHS R01 MH067077
6 · The paper itself

Abstract

objectiveDepression in the older individuals is associated with multiple adverse outcomes, such as high health service utilization rates, low pharmacological compliance, and synergistic interactions with other comorbidities. Moreover, the help-seeking process, which usually starts with the feeling "that something is wrong" and ends with appropriate medical care, is influenced by several factors. The aim of this study was to explore factors associated with the pathway of help seeking among older adults with depressive symptoms.

methodsA cross-sectional study of 60-year or older community dwelling individuals belonging to the largest health and social security system in Mexico was carried out. A standardized interview explored the process of seeking health care in four dimensions: depressive symptoms, help seeking, help acquisition, and specialized mental health.

resultsA total of 2322 individuals were studied; from these, 67.14% (n = 1559) were women, and the mean age was 73.18 years (SD = 7.02); 57.9% had symptoms of depression; 337 (25.1%) participants sought help, and 271 (80.4%) received help; and 103 (38%) received specialized mental health care. In the stepwise model for not seeking help (χ(2) = 81.66, p < 0.0001), significant variables were female gender (odds ratio (OR) = 0.7, 95% confidence interval (CI) 0.511-0.958, p = 0.026), health-care use (OR 3.26, CI 95% 1.64-6.488, p = 0.001). Number of years in school, difficulty in activities, Short Anxiety Screening Test score, and indication that depression is not a disease belief were also significant.

conclusionsAppropriate mental health care is rather complex and is influenced by several factors. The main factors associated with help seeking were gender, education level, recent health service use, and the belief that depression is not a disease. Detection of subjects with these characteristics could improve care of the older individuals with depressive symptoms.

Indexed as

AgedAged, 80 and overCross-Sectional StudiesDepressive DisorderFemaleHumansLogistic ModelsMaleMental Health ServicesMexicoMiddle AgedPatient Acceptance of Health CareRisk Factorshelp seekinglate life depression carelate life depressive symptomsmental health services

Identifiers

PMID23585359
PMCPMC3797168
OpenAlexW2136515450

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.