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B, Other was defined as individuals who indicated race and ethnicity as other and individuals for whom race and ethnicity data were missing or unknown. Question Is implementation of routine depression screening in primary care associated with improved screening rates for groups at risk for undertreatment of depression?

Meaning These results suggest that implementation of depression screening may reduce disparities in screening and could improve recognition and appropriate treatment of depression for all patients.

Importance Depression is a debilitating and costly medical condition that is often undertreated. Men, racial and ethnic minority individuals, older adults, and those with language barriers are at increased risk for undertreatment of depression. Disparities in screening may contribute to undertreatment. Objective To examine depression screening rates among populations at risk for undertreatment of depression during and after rollout of general screening.

Patients were excluded if they had a baseline diagnosis of depression, bipolar disorder, schizophrenia, schizoaffective disorder, or dementia. Exposures Screening year, including rollout September 1, , to December 31, and each subsequent calendar year January 1 to December 31, , and January 1 to December 31, Main Outcomes and Measures Rates of depression screening performed by medical assistants using the Patient Health Questionnaire Data collected included age, sex, race and ethnicity, and language preference English vs non-English ; to compare English and non-English language preference groups and also assess depression screening by race and ethnicity within the English-speaking group, a single language-race-ethnicity variable with non—English language preference and English language preference categories was created.