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Ann S. O’Malley, MD, MPH, Christopher B. Forrest, MD, PhD and Jeanne Miranda, PhD

Ann S. O’Malley is with the Departments of Medicine and Oncology, Georgetown University Medical Center, Washington, DC. Christopher B. Forrest is with the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Md. Jeanne Miranda is with the Department of Psychiatry, Georgetown University Medical Center.

Correspondence: Requests for reprints should be sent to Ann S. O’Malley, MD, MPH, 2233 Wisconsin Ave NW, Suite 440, Washington, DC 20007 (e-mail: omalleya{at}georgetown.edu).

Objectives. We examined the association between attributes of primary care providers and care for depression, from a patients’ perspective, among a sample of predominantly low-income African American women.

Methods. Computer-assisted telephone interviews were conducted among a population-based sample of 1202 women residing in Washington, DC.

Results. Respondents whose primary care physicians provided more comprehensive medical services were more likely to be asked about and treated for depressive symptoms than women whose providers were less medically comprehensive. Women who rated their providers as having more respect for them also were more likely to be asked about and treated for depression.

Conclusions. More comprehensive primary care delivery and a physician–patient relationship focused on mutual respect are associated with greater rates of physician inquiry about and treatment for depression among vulnerable women.

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