Favorable Ratings of Providers' Communication Behaviors Among U.S. Women with Depression: A Population-based Study Applying the Behavioral Model of Health Services Use

Authors

Abiola O. Keller, Marquette UniversityFollow
Ronald Gangnon, University of Wisconsin - MadisonFollow
Whitney P. Witt, University of Wisconsin - Madison

Document Type

Article

Language

eng

Publication Date

9-2013

Publisher

Elsevier

Source Publication

Women's Health Issues

Source ISSN

1049-3867

Abstract

Background

Little is known about the relationships between sociodemographic characteristics and ratings of provider communication behavior among women with depression in the United States. This study uses the Andersen Behavioral Model to examine the relationships among predisposing, enabling, and need factors and ratings of perceived patient–provider communication in women with depression.

Methods

The sample consisted of women with depression who visited any provider in the previous 12 months in the 2002–2008 Medical Expenditure Panel Survey (n = 3,179; weighted n = 4,707,255). Multivariate logistic regression was used to examine the independent contribution of predisposing, enabling, and need factors on providers' communication behavior measures.

Findings

Black (non-Hispanic) women were more likely to report that providers always listened carefully (odds ratio [OR], 1.40; 95% confidence interval [CI], 1.01–1.94), explained so they understood (OR, 1.53; 95% CI, 1.10–2.11), and showed respect for what they had to say (OR, 1.39; 95% CI, 1.01–1.92). Women participating in the paid workforce and those without a usual source of care were at increased risk for less favorable experiences.

Conclusions

Participation in the paid workforce and lack of a usual source of care were associated with an increased likelihood of less optimal communication experiences.

Implications for Practice and/or Policy

Ensuring that women with depression have reliable access to a continuous source of care and expanding the availability of nonemergent, after-hours care may be instrumental for improving patient–provider communication in this population.

Comments

Accepted version. Women’s Health Issues, Vol. 23, No. 5 (September-October 2013): e309-e317. DOI. © 2013 Elsevier. Used with permission.

Abiola O. Keller was affiliated with University of Wisconsin, Madison at the time of publication.

Recommended Citation

Keller, Abiola O.; Gangnon, Ronald; and Witt, Whitney P., "Favorable Ratings of Providers' Communication Behaviors Among U.S. Women with Depression: A Population-based Study Applying the Behavioral Model of Health Services Use" (2013). College of Nursing Faculty Research and Publications. 675.
https://epublications.marquette.edu/nursing_fac/675