González HM, Hinton L, Ortiz T, Haan MN. Antidepressant class and dosing among older Mexican Americans: application of geropsychiatric treatment guidelines. American Journal of Geriatric Psychiatry. 2006;14:79-83.
OBJECTIVE: The objective of this study was to characterize patterns and correlates of antidepressant drugs (AD) among older Mexican Americans (MAs).
METHODS: This study consisted of a cross-sectional, community-based sample from Northern California. AD class and dosing label information were inventoried and compared with Expert Consensus Guidelines for geriatric depression pharmacotherapy.
RESULTS: Overall, 7.1% had been prescribed an AD, but 4.9% were within starting dose ranges. Fewer ADs (3.9%) were consistent with Consensus class and dose guidelines. Depressive symptoms and diabetes were significant positive predictors of ADs. Recent immigrants had lower odds of AD prescriptions.
CONCLUSIONS: AD prescriptions among older MAs are low. Omitting AD class and dosing information may overestimate pharmacotherapy for geriatric depression.