ArticleSocial science & medicine (1982)2020
Depression treatment preferences by race/ethnicity and gender and associations between past healthcare discrimination experiences and present preferences in a nationally representative sample.
Article in Social science & medicine (1982), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled 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.
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.
Who cites it
21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 33 citations in OpenAlex.
- The Evolving Landscape of Discrete Choice Experiments in Health Economics: A Systematic Review.PharmacoEconomics · 2025Pooled it
- Codesign of Mental Health Interventions With Young People From Racially Minoritised Populations: A Systematic Review of Methods and Outcomes.Health expectations : an international journal of public participation in health care and health policy · 2025Pooled it
- Discrete Choice Experiments to Elicit Patient Preferences for the Treatment of Major Depressive Disorder: A Systematic Review.The patient · 2025Pooled it
- Trends and Disparities in Mental Health Use Among Asian American Sub-groups, 2013-2019.Journal of racial and ethnic health disparities · 2025Article
- Physician Preferences for Universal Routine Depression Screening for Adolescents in Primary Care.JAMA network open · 2025Article
- Perceived Discrimination in Health Care Settings: Analysis of In-Depth Interviews of Patients With Type 2 Diabetes.Clinical diabetes : a publication of the American Diabetes Association · 2025Article
- Social Risk Factors and Racial and Ethnic Disparities in Health Care Resource Utilization Among Medicare Advantage Beneficiaries With Psychiatric Disorders.Medical care research and review : MCRR · 2024Article
- People of color's relative valuing of having therapist performance data inform the referral/assignment process.Cogent mental health · 2024Article
- Coverage Parity And Racial And Ethnic Disparities In Mental Health And Substance Use Care Among Medicare Beneficiaries.Health affairs (Project Hope) · 2023Article
- Patients' race/ethnicity in relation to their experiences of and attitudes toward therapist referral/assignment.Cogent mental health · 2023Article
- Racial and Ethnic Disparities in Childhood ADHD Treatment Access and Utilization: Results From a National Study.Psychiatric services (Washington, D.C.) · 2022Article
- Typologies of mental healthcare discrimination experiences and associations with current provider care ratings: A latent class analysis.SSM. Mental health · 2022Article
- Racial/Ethnic Disparity Trends in Children's Mental Health Care Access and Expenditures From 2010-2017: Disparities Remain Despite Sweeping Policy Reform.Journal of the American Academy of Child and Adolescent Psychiatry · 2022Article
- Perceived healthcare discrimination and well-being among older adults in the United States and Brazil.SSM - population health · 2022Article
- Racism in healthcare: a scoping review.BMC public health · 2022Article
- Promoting Racial/Ethnic Equity in Psychosocial Treatment Outcomes for Child and Adolescent Anxiety and Depression.Psychiatric research and clinical practice · 2022Article
- Psychometric evaluation of a decision quality instrument for medication decisions for treatment of depression symptoms.BMC medical informatics and decision making · 2021Article
- Impact of the Medicare Shared Savings Program on utilization of mental health and substance use services by eligibility and race/ethnicity.Health services research · 2021Article
- Racial and Ethnic Differences in Psychiatry Resident Prescribing: a Quality Improvement Education Intervention to Address Health Equity.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2021Article
- Understanding the Role of Past Health Care Discrimination in Help-Seeking and Shared Decision-Making for Depression Treatment Preferences.Qualitative health research · 2020Article
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundDepression treatment disparities are well documented. Differing treatment preferences across social groups have been suggested as a cause of these disparities. However, existing studies of treatment preferences have been limited to individuals currently receiving clinical care, and existing measures of depression treatment preferences have not accounted for factors that may be disproportionately relevant to the preferences of disparities populations. This study therefore aimed to assess depression treatment preferences by race/ethnicity and gender in a representative community sample, while accounting for access to healthcare, provider characteristics, and past experiences of discrimination in healthcare settings.
methodsWe conducted a nationally representative study of individuals with depression in and out of clinical care. Treatment preferences (medication versus talk therapy) were elicited through a discrete choice experiment that accounted for tradeoffs with factors related to access and provider characteristics deemed relevant by community stakeholders. Past discrimination was assessed through questions about unfair treatment from medical providers and front desk staff due to personal characteristics (e.g., race, gender). We used conditional logit models to assess treatment preferences by race/ethnicity and gender and examined whether preferences were associated with past experiences of healthcare discrimination.
resultsNon-Hispanic white respondents (OR-here, the odds of a talk therapy preference over the odds of a medication preference: 0.80, 95% CI: 0.64, 0.99) and men (OR 0.76, 95% CI: 0.60, 0.96) preferred medication over talk therapy, while non-Hispanic black respondents, Hispanic respondents, and women did not prefer one over the other. Past discrimination in healthcare settings was associated with lower preferences for talk therapy and greater preferences for medication, particularly among non-Hispanic black respondents and women respondents.
conclusionsAddressing previous methodological limitations yielded estimates for depression treatment preferences by race/ethnicity and gender that differed from past studies. Also, past discrimination in healthcare settings was associated with current treatment preferences.
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Registered trials
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.