Less than 1% had no insurance, and 50% had a college or higher educational level. Self-reported health was listed as fair or poor by Pacritinib phase 3 19.2%, and 15% of the sample had four or more chronic diseases (Table 1).Table 1Characteristics of the study sample N = 529, () = %.Ninety-three (17.5%) participants had a past history of depression and were older (P = 0.05), had poorer self-reported health (P = 0.01), were more likely to be female (13% versus 5%, P = 0.005), and were likely to have had a diagnosis of heart disease or stroke (25% versus 16%, P = 0.04). Sixty (11.3%) had PHQ-9 scores of 10 or greater, and 134 (25%) had PHQ-9 scores of 5 or greater.Participants believed depression is a disease, not a part of normal aging, and requires treatment.

They perceived an inability to control depression by themselves and that treatment for depression is not embarrassing (Table 2). There was general agreement by participants that they could afford treatment, and they would not decline treatment because of age, life circumstances, or other more important medical problems. There was agreement that they would discuss treatment with their family and a sense that families would want them to be treated if they were depressed (Table 2). Participants also agreed that, if they were depressed, they would use medication and counseling and follow their doctor’s recommendations. They were less likely to use prayer or herbal supplements and would not consider alcohol as a treatment option (Table 3).Table 2Attitudes about depression and treatment.Table 3Treatment options.

Depressive symptoms measured by the PHQ-9 scores were associated with the degree of agreement with statements regarding depression and treatments (Table 4). Compared to nondepressed participants, participants currently with depressive symptoms were less likely to disagree with beliefs that ��depression means you are weak,�� ��depression is a normal part of aging,�� ��treatment for depression is embarrassing,�� ��I could not afford treatment for depression,�� and ��I could not travel to receive treatment for depression.�� Subjects with depressive symptoms were also less likely to agree to discuss treatment with family members.Table 4Depressive symptoms and associations with attitudes about depression and treatment.In regression analyses, accepting medications from the primary physician was strongly associated with a past history of depression (P < 0.

01) and with agreeing that depression needs treatment Anacetrapib (P < 0.01) and that depression is caused by life events (P < 0.05). Agreement to receive medication from a psychiatrist was positively related to accepting the statement that depression needs treatment (P < 0.01) and negatively associated with the feeling that medications would not help (P < 0.001). Counseling was not acceptable treatment for those believing they can control depression on their own (P < 0.01) or those thinking treatment was embarrassing (P < 0.001). Older patients (P < 0.