title: Determinants of receiving mental health care for depression in older adults.
abstract: BACKGROUND
  Major Depressive Disorder (MDD) is common among elderly people. However, it appears that only a minority receives treatment. This study aims to identify and analyse the factors that determine whether elderly people with depressive disorders have contact with health care professionals for mental problems.
  
  
  METHODS
  Cross-sectional analysis of cohort data collected in the Netherlands Study of Depression in Older persons (NESDO) and the Netherlands Study of Depression and Anxiety (NESDA) among 167 respondents aged ≥55 with a depressive disorder as indicated by the CIDI. Contacts for mental health problems during the past six months (TiC-P), and indicators of predisposing, enabling, and objective need factors were assessed by interview.
  
  
  RESULTS
  Of the total sample, 70% had contact for mental health problems, almost entirely within primary care (62%). The odds of having contact increased with advancing age; for respondents born in the Netherlands; for those who felt less lonely; and for those with a higher household income.
  
  
  CONCLUSIONS
  Our study is based on base-line interviews and thus has a cross-sectional character. Therefore, causal conclusions cannot be drawn. Furthermore, we studied the respondents' perception whether mental health care was received.
  
  
  CONCLUSIONS
  The contact rate for mental health problems is high. Health care professionals should be aware that having contact is not associated with a higher objective need, but rather with increasing age, being Dutch-born, being less lonely and having a higher household income.
authors.affiliation: Department of General Practice, University Medical Center Groningen, A. Deusinglaan 1, 9713 AV Groningen, Netherlands. f.holvast@alumnus.rug.nl
authors.forename: Floor
authors.initials: F
authors.lastname: Holvast
authors.forename: Peter F M
authors.initials: PF
authors.lastname: Verhaak
authors.forename: Janny H
authors.initials: JH
authors.lastname: Dekker
authors.forename: Margot W M
authors.initials: MW
authors.lastname: de Waal
authors.forename: Harm W J
authors.initials: HW
authors.lastname: van Marwijk
authors.forename: Brenda W J H
authors.initials: BW
authors.lastname: Penninx
authors.forename: Hannie
authors.initials: H
authors.lastname: Comijs
mesh_terms: D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D003863:Depression / Q000628:therapy; D003866:Depressive Disorder / Q000628:therapy*; D003865:Major Depressive Disorder / Q000628:therapy; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D008297:Male; D008603:Mental Health; D008605:Mental Health Services; D008875:Middle Aged; D009426:Netherlands; D011320:Primary Health Care; D012959:Socioeconomic Factors