Assessing provider and racial/ethnic variation in response to the FDA antidepressant box warning.

ABSTRACT:

Introduction

After the 2004 FDA box warning raised concerns about increased suicidal ideation among youth taking antidepressants, antidepressant use decreased for White youth but slightly increased for Black and Latino youth. Better understanding of patient and provider factors contributing to these differences is needed to improve future risk warning dissemination.

Methods

We analyzed antidepressant prescriptions for youth aged 5-17 in 2002-2006 Medicaid claims data from four states (CA, FL, NC, and NY). In multilevel models, we assessed provider- and patient-level contributions to changes in antidepressant use by race/ethnicity and compared responses to the box warning between providers with large (>2/3) and small (<1/3) proportions of minority patients.

Results

A s

SUBMITTER: Cook BL 

PROVIDER: S-EPMC6341210 | biostudies-literature | 2019 Feb

REPOSITORIES: biostudies-literature