Abstract
Objectives: More than 15 million individuals receive home health care for chronic conditions. This care allows them to maintain a level of independence and self-sufficiency. Even though poor mental health can negatively impact health outcomes, little research has been done on the mental health of these individuals enrolled in home health.
Methods: Utilizing NHIS survey years 2019-2022, we ran a cross-sectional analysis to determine rates of depression among individuals who indicated that they utilized HHC services, based on their sociodemographic statuses and diagnosis, as well as their rate of depression by condition based on whether they utilized HHC services.
Results: HHC recipients were significantly more likely to be depressed if they reported being female, age 55-64, low income, low educational attainment, American Indian/Alaskan Native (AIAN), Hispanic, or lived in a rural area. HHC recipients were more likely to be depressed than their non-HHC recipient counterparts (likely secondary to a more advanced disease process), except for individuals with dementia. Among all HHC recipients, a history of dementia, COPD, stroke, diabetes, and chronic heart disease was associated with higher reported depression, whereas a history of cancer did not see an increase in depression.
Conclusions: This data demonstrated that certain subsets of HHC recipients report higher rates of depression. The results underscore the need for better integrated mental health care services for recipients of HHCs. Further, the financial burden of HHC, which may have an additional impact on stress and depression, emphasizes the need for expanded insurance coverage and accessibility of these services.
Methods: Utilizing NHIS survey years 2019-2022, we ran a cross-sectional analysis to determine rates of depression among individuals who indicated that they utilized HHC services, based on their sociodemographic statuses and diagnosis, as well as their rate of depression by condition based on whether they utilized HHC services.
Results: HHC recipients were significantly more likely to be depressed if they reported being female, age 55-64, low income, low educational attainment, American Indian/Alaskan Native (AIAN), Hispanic, or lived in a rural area. HHC recipients were more likely to be depressed than their non-HHC recipient counterparts (likely secondary to a more advanced disease process), except for individuals with dementia. Among all HHC recipients, a history of dementia, COPD, stroke, diabetes, and chronic heart disease was associated with higher reported depression, whereas a history of cancer did not see an increase in depression.
Conclusions: This data demonstrated that certain subsets of HHC recipients report higher rates of depression. The results underscore the need for better integrated mental health care services for recipients of HHCs. Further, the financial burden of HHC, which may have an additional impact on stress and depression, emphasizes the need for expanded insurance coverage and accessibility of these services.
Original language | American English |
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Pages | 68 |
State | Published - 16 Feb 2024 |
Event | Oklahoma State University Center for Health Sciences Research Week 2024 - Oklahoma State University Center for Health Sciences, Tulsa, United States Duration: 13 Feb 2024 → 17 Feb 2024 https://medicine.okstate.edu/research/research_days.html |
Conference
Conference | Oklahoma State University Center for Health Sciences Research Week 2024 |
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Country/Territory | United States |
City | Tulsa |
Period | 13/02/24 → 17/02/24 |
Internet address |
Keywords
- home health care
- caregiving
- home care
- depression