Table 3: Perceived Patient and Provider Barriers.

 

Full Sample

Physicians (n=23)

Nurses (n=48)

Mental Health Workers (n=15)

Public Health Practitioners (n=13)

P-Value

Patients often deny feeling depressed+

64.6%

60.9%

60.4%

80.0%

69.2%

0.54

Patients believe feeling depressed is normal+

33.3%

47.8%

29.2%

33.3%

23.1%

0.37

Patients do not follow up with treatment for depression+

76.8%

73.9%

72.9%

93.3%

76.9%

0.42

Patients feel stigmatized by being told they have depression+

62.6%

69.6%

56.3%

46.7%

92.3%

0.05*

Patients have other beliefs that interfere with assessment and/or treatment for depression+

60.4%

50.0%

59.6%

85.7%

53.8%

0.17

 

 

Provider barriers to diagnose

 

 

 

a.  Perceived patient barriers

57.0%

69.6%

55.3%

71.4%

35.7%

0.26

b.  Limited time

44.0%

60.9%

44.7%

35.7%

21.4%

0.68

c.  Availability of mental health referral options

41.0%

47.8%

46.8%

21.4%

36.7%

0.31

d.  Lack of knowledge/skills

29.0%

8.7%

36.2%

21.4%

50.0%

0.02*

e.  Reimbursement/insurance options

20.0%

21.7%

23.4%

28.6%

0.0%

0.28

+Responses to items were captured on a 5-point scale and values represent % agree or strongly agree.

*p≤0.05; **p≤0.01; ***p<0.001.