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Does drug and alcohol use undermine concordance between doctors' assessments of major depression and patients' scores on a screening tool for depression among gay men attending general practice?
Does drug and alcohol use undermine concordance between doctors' assessments of major depression and patients' scores on a screening tool for depression among gay men attending general practice?
dc.contributor.author | Bryant, Joanne | en_US |
dc.contributor.author | Newman, Christy | en_US |
dc.contributor.author | Holt, Martin | en_US |
dc.contributor.author | Paquette, Dana | en_US |
dc.contributor.author | Gray, Rebecca | en_US |
dc.contributor.author | Canavan , Peter | en_US |
dc.contributor.author | Saltman , Deborah | en_US |
dc.contributor.author | Kippax, Susan | en_US |
dc.contributor.author | Kidd , Michael | en_US |
dc.date.accessioned | 2021-11-25T12:24:18Z | |
dc.date.available | 2021-11-25T12:24:18Z | |
dc.date.issued | 2011 | en_US |
dc.description.abstract | General practitioners (GPs) identify that depression can be difficult to diagnose in populations with high rates of alcohol and other drug (AOD) use. This is a particular concern with gay men who are a population known to engage in high rates of AOD use and who are vulnerable to depression. This paper uses data from 563 gay men and their GPs to describe concordance between assessments of major depression and, in particular, whether AOD use undermines concordance. Data were collected as part of a larger study of male patients and GPs at high HIV-caseload general practices in Australia. Concordance was measured by comparing patients’ scores on the PHQ-9 screening tool, which is based on DSM-IV criteria, and GPs’ ratings of the likelihood of depression for each participant. We observed high concordance between GPs’ assessments of major depression and patients’ scores on the PHQ-9 (79% agreement), although our analysis also suggests that concordance was better when it related to cases in which there was no depression. The high concordance observed in our study did not appear to be undermined by gay male patients’ AOD use, with the exception of frequent use of crystal methamphetamine. Here, men who reported frequent use of methamphetamine were significantly less likely to have concordant assessments (AOR 0.3, 95% CI 0.1-0.8). Overall, GPs appear to identify depression among many of their gay male patients. While GPs should be aware of the potential complications presented by frequent crystal methamphetamine use, other AOD use may have less impact on the diagnosis of depression. | en_US |
dc.identifier.issn | 1448-7527 | en_US |
dc.identifier.uri | http://hdl.handle.net/1959.4/51707 | |
dc.language | English | |
dc.language.iso | EN | en_US |
dc.rights | CC BY-NC-ND 3.0 | en_US |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/3.0/au/ | en_US |
dc.source | Legacy MARC | en_US |
dc.subject.other | Diagnosis | en_US |
dc.subject.other | Alcohol and other drugs | en_US |
dc.subject.other | Depression | en_US |
dc.subject.other | Gay men | en_US |
dc.subject.other | General practitioners | en_US |
dc.title | Does drug and alcohol use undermine concordance between doctors' assessments of major depression and patients' scores on a screening tool for depression among gay men attending general practice? | en_US |
dc.type | Journal Article | en |
dcterms.accessRights | metadata only access | |
dspace.entity.type | Publication | en_US |
unsw.accessRights.uri | http://purl.org/coar/access_right/c_14cb | |
unsw.identifier.doiPublisher | http://dx.doi.org/10.1071/PY11011 | en_US |
unsw.relation.faculty | Arts Design & Architecture | |
unsw.relation.ispartofjournal | Australian Journal of Primary Health | en_US |
unsw.relation.originalPublicationAffiliation | Bryant , Joanne, National Centre in HIV Social Research, UNSW | en_US |
unsw.relation.originalPublicationAffiliation | Newman , Christy, National Centre in HIV Social Research, UNSW | en_US |
unsw.relation.originalPublicationAffiliation | Holt , Martin, National Centre in HIV Social Research, UNSW | en_US |
unsw.relation.originalPublicationAffiliation | Paquette , Dana, National Centre in HIV Social Research, UNSW | en_US |
unsw.relation.originalPublicationAffiliation | Gray , Rebecca, National Centre in HIV Social Research, UNSW | en_US |
unsw.relation.originalPublicationAffiliation | Canavan , Peter | en_US |
unsw.relation.originalPublicationAffiliation | Saltman , Deborah | en_US |
unsw.relation.originalPublicationAffiliation | Kippax , Susan, Social Policy Research Centre, UNSW | en_US |
unsw.relation.originalPublicationAffiliation | Kidd , Michael | en_US |
unsw.relation.school | Centre for Social Research in Health | * |
unsw.relation.school | Social Policy Research Centre | * |
unsw.subject.fieldofresearchcode | 111717 Primary Health Care | en_US |
unsw.subject.fieldofresearchcode | 111714 Mental Health | en_US |
unsw.subject.fieldofresearchcode | 200205 Culture, Gender, Sexuality | en_US |
unsw.subject.fieldofresearchcode | 169999 Studies in Human Society not elsewhere classified | en_US |