Integrative health services use for depression in middle-aged and older Australian women

Sibbritt, D; McIntyre, E; Steel, A; Peng, W; Adams, J

Integrative health services use for depression in middle-aged and older Australian women

Sibbritt, D

McIntyre, E

Steel, A

Peng, W

Adams, J

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Publisher:: Elsevier BV
Publication Type:: Journal Article
Citation:: European Journal of Integrative Medicine, 2021, 46, pp. 101367-101367
Issue Date:: 2021-09-01

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Field	Value	Language
dc.contributor.author	Sibbritt, D https://orcid.org/0000-0003-3561-9447
dc.contributor.author	McIntyre, E https://orcid.org/0000-0002-3970-9979
dc.contributor.author	Steel, A https://orcid.org/0000-0001-6643-9444
dc.contributor.author	Peng, W https://orcid.org/0000-0001-9747-2466
dc.contributor.author	Adams, J https://orcid.org/0000-0002-9901-5717
dc.date.accessioned	2021-11-18T06:58:16Z
dc.date.available	2021-11-18T06:58:16Z
dc.date.issued	2021-09-01
dc.identifier.citation	European Journal of Integrative Medicine, 2021, 46, pp. 101367-101367
dc.identifier.issn	1876-3820
dc.identifier.issn	1876-3839
dc.identifier.uri	http://hdl.handle.net/10453/151714
dc.description.abstract	Introduction: Globally, depressive disorders affect over 311 million people and women are more likely than men to suffer depression. However, no study has comprehensively described the diverse health services used for managing depression in middle-aged and older women. Methods: A cross-sectional survey was sent to 800 Australian women aged over 45-year reporting a diagnosis of depression, ( a sub-study of the 45 and Up Study) in 2016. The survey measured consultations with conventional, allied, and complementary health practitioners, and use of medications and complementary health products/practices for depression, and the associated out-of-pocket expenses. Results: Of the 361 (45.1%) participants returning a completed questionnaire, most women (72.2%) consulted at least one health practitioner, while 40.7% used at least one prescription medication and 51.8% used at least one form of complementary product or practice for depression in the previous 12 months. Women with more severe self-reported depression were more likely to consult with doctors and allied health practitioners, and use prescription medications and multiple complementary health products/practices. Combined integrative health out-of-pocket expenditure on depression management by the women in our study was $568.0 per annum, equating to approximately AU$367 million per annum for Australian women aged 50 years and over. Conclusion: Middle-aged and older Australian women were high users of integrative health services for the management of depression. Women with depression have an additional financial burden associated with their mental health services requiring consideration by primary health practitioners when recommending treatments for depression.
dc.language	en
dc.publisher	Elsevier BV
dc.relation	http://purl.org/au-research/grants/arc/FT140100195
dc.relation.ispartof	European Journal of Integrative Medicine
dc.relation.isbasedon	10.1016/j.eujim.2021.101367
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	11 Medical and Health Sciences
dc.title	Integrative health services use for depression in middle-aged and older Australian women
dc.type	Journal Article
utslib.citation.volume	46
utslib.for	11 Medical and Health Sciences
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/DVC (Research)
pubs.organisational-group	/University of Technology Sydney/DVC (Research)/Institute For Sustainable Futures
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Public Health
utslib.copyright.status	closed_access	*
dc.date.updated	2021-11-18T06:58:15Z
pubs.publication-status	Published
pubs.volume	46

Abstract:

Introduction: Globally, depressive disorders affect over 311 million people and women are more likely than men to suffer depression. However, no study has comprehensively described the diverse health services used for managing depression in middle-aged and older women. Methods: A cross-sectional survey was sent to 800 Australian women aged over 45-year reporting a diagnosis of depression, ( a sub-study of the 45 and Up Study) in 2016. The survey measured consultations with conventional, allied, and complementary health practitioners, and use of medications and complementary health products/practices for depression, and the associated out-of-pocket expenses. Results: Of the 361 (45.1%) participants returning a completed questionnaire, most women (72.2%) consulted at least one health practitioner, while 40.7% used at least one prescription medication and 51.8% used at least one form of complementary product or practice for depression in the previous 12 months. Women with more severe self-reported depression were more likely to consult with doctors and allied health practitioners, and use prescription medications and multiple complementary health products/practices. Combined integrative health out-of-pocket expenditure on depression management by the women in our study was $568.0 per annum, equating to approximately AU$367 million per annum for Australian women aged 50 years and over. Conclusion: Middle-aged and older Australian women were high users of integrative health services for the management of depression. Women with depression have an additional financial burden associated with their mental health services requiring consideration by primary health practitioners when recommending treatments for depression.

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