Show simple item record

dc.contributor.authorRiiser, Sharline
dc.contributor.authorHaukenes, Inger
dc.contributor.authorBaste, Valborg
dc.contributor.authorSmith-Sivertsen, Tone
dc.contributor.authorHetlevik, Øystein
dc.contributor.authorRuths, Sabine
dc.description.abstractBackground Depression is more prevalent among women and people with low socio-economic status. Uncertainties exist about how general practitioner (GP) depression care varies with patients’ social position. Objective To investigate associations between patients’ gender and educational status combined and GP depression care following certification of sickness absence. Methods Nationwide registry-based cohort study, Norway, 2012–14. Reimbursement claims data from all consultations in general practice for depression were linked with information on socio-demographic data, social security benefits and depression medication. The study population comprised all individuals aged 25–66 years with taxable income, sick-listed with a new depression diagnosis in general practice in 2013 (n = 8857). We defined six intersectional groups by combining educational level and gender. The outcome was type of GP depression care during sick leave: follow-up consultation(s), talking therapy, medication and referral to secondary care. Associations between intersectional groups and outcome were estimated using generalized linear models. Results Among long-term absentees (17 days or more), highly educated women were less likely to receive medication compared to all other patient groups [relative risk (RR) ranging from 1.17 (95% confidence interval 1.03–1.33) to 1.49 (1.29–1.72)] and more likely to receive talking therapy than women with medium [RR = 0.90 (0.84–0.98)] or low [RR = 0.91 (0.85–0.98)] education. Conclusions Our findings suggest that GPs provide equitable depression care regarding consultations and referrals for all intersectional groups but differential drug treatment and talking therapy for highly educated women. GPs need to be aware of these variations to provide personalized care and to prevent reproducing inequity.
dc.rightsNavngivelse-Ikkekommersiell 4.0 Internasjonal*
dc.subjectAntidepressive midler
dc.subjectGeneral Practice
dc.subjectSickness Absence
dc.titleVariation in general practitioners’ depression care following certification of sickness absence: a registry-based cohort studyen_US
dc.typeJournal articleen_US
dc.typePeer revieweden_US
dc.rights.holder© 2020, Authors
dc.source.journalFamily Practiceen_US
dc.subject.nsiVDP::Allmennmedisin: 751
dc.subject.nsiVDP::General practice: 751

Files in this item


This item appears in the following Collection(s)

Show simple item record

Navngivelse-Ikkekommersiell 4.0 Internasjonal
Except where otherwise noted, this item's license is described as Navngivelse-Ikkekommersiell 4.0 Internasjonal