title: Exploring patient and provider level variables that may impact depression outcomes among African American adolescents.
abstract: OBJECTIVE
  Optimizing development outcomes among African American adolescents with depression.
  
  
  OBJECTIVE
  This paper aims to explore patient and/or provider level variables that may impact the assessment, detection, and diagnosis of depression among African American adolescents.
  
  
  METHODS
  Multidisciplinary literature specific to depression among African American adolescents and clinical experience.
  
  
  CONCLUSIONS
  Nurses are in a position to advocate for the appropriate detection of depression among African American adolescents. Both patient- and provider-level variables (i.e., potential attitudes toward mental health care, ethnocultural variations in the manifestation of depression, and individual provider biases) must be sensitively addressed to affect much needed change and minimize disparate health outcomes.
authors.affiliation: Center for Health Disparities Research, University of Pennsylvania School of Nursing, Philadelphia, PA, USA. brawnerb@nursing.upenn.edu
authors.forename: Bridgette M
authors.initials: BM
authors.lastname: Brawner
authors.forename: Roberta L
authors.initials: RL
authors.lastname: Waite
mesh_terms: D000293:Adolescent; D001741:Black or African American / Q000523:psychology*; D003431:Cross-Cultural Comparison; D054521:Cultural Competency / Q000523:psychology; D003866:Depressive Disorder / Q000175:diagnosis / Q000208:ethnology* / Q000451:nursing* / Q000523:psychology; D003937:Diagnosis, Differential; D042241:Early Diagnosis; D006297:Health Services Accessibility; D006801:Humans; D007389:Internal-External Control; D009723:Nurse-Patient Relations; D010342:Patient Acceptance of Health Care / Q000208:ethnology / Q000523:psychology; D010552:Personality Assessment; D011287:Prejudice