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Table 3 Proportions of respondents citing reasons for not consulting a GP for depression, by gender and nationality

From: Why underserved patients do not consult their general practitioner for depression: results of a qualitative and a quantitative survey at a free outpatient clinic in Paris, France

  Total (n = 250) Men (n = 129) Women (n = 121)   Foreigners (n = 132) French (n = 118)  
  N % n % n % p n % n % p
1. Treatment of depression             
a) Reluctance: 229* 91.6 121* 93.8 108* 89.3 0.196 120* 90.9 109* 92.4 0.677
  - The inefficacy of drugs. 137 54.8 69 53.5 68 56.2 0.667 61 46.2 76 64.4 0.004
  - The possibility that the physician would prescribe drugs with side effects. 173 69.2 84 65.1 89 73.6 0.149 87 65.9 86 72.9 0.233
  - Afraid of the duration and complexity of the treatment. 136 54.4 74 57.4 62 51.2 0.331 71 53.8 65 55.1 0.837
  - Afraid of the side effects of drugs. 142 56.8 73 56.6 69 57.0 0.945 58 43.9 84 71.2 <0.001
  - Afraid to face reality. 121 48.4 59 45.7 62 51.2 0.384 75 56.8 46 39.0 0.005
b) Psychiatrist better suited than a GP 76 30.4 40 31.0 36 29.8 0.829 34 25.8 42 35.6 0.091
c) Trust in God: 173* 69.2 85* 65.9 88* 72.7 0.242 108* 81.8 65* 55.1 <0.001
  - God can heal 166 66.4 81 62.8 85 70.2 0.212 103 78.0 63 53.4 <0.001
  - Prayer can heal 158 63.2 78 60.5 80 66.1 0.355 99 75.0 59 50.0 <0.001
d) Not believing that treatment is necessary: 200* 80.0 99* 76.7 101* 83.5 0.184 102* 77.3 98* 83.1 0.254
  - I know why I’m depressed, so if I solve the problem, I’ll feel better 188 75.2 94 72.9 94 77.7 0.378 97 73.5 91 77.1 0.507
  - I don’t think I’m depressed (enough) 170 68.0 84 65.1 86 71.1 0.313 84 63.6 86 72.9 0.118
2. Perception of depression             
a) Loss of self-worth (poor self-image): 169* 67.6 89* 69.0 80* 66.1 0.627 102* 77.3 67* 56.8 0.001
  - Shame of being depressed . 90 36.0 48 37.2 42 34.7 0.681 56 42.4 34 28.8 0.025
  - Feeling guilty towards society. 58 23.2 37 28.7 21 17.4 0.034 41 31.1 17 14.4 0.002
  - Depression is a weakness. 129 51.6 72 55.8 57 47.1 0.169 77 58.3 52 44.1 0.024
  - Lack of virility*. 37 28.7** 37 28.7     27 20.5 10 8.5 0.040
b) Stigmatization: 75* 70.0 88* 68.2 87* 71.9 0.525 97* 73.5 78* 66.1 0.203
  - Afraid of being judged by society. 101 40.4 56 43.4 45 37.2 0.316 64 48.5 37 31.4 0.006
  - Afraid of being considered crazy. 98 39.2 44 34.1 54 44.6 0.089 54 40.9 44 37.3 0.558
  - I’m afraid of being categorized by society or my friends and family. 130 52.0 63 48.8 67 55.4 0.301 74 56.1 56 47.5 0.174
c) Mental health problems are not diseases. 71 28.4 48 37.2 23 19.0 <0.001 44 33.3 27 22.9 0.067
d) Depression is a taboo subject. 95 38.0 65 50.4 30 24.8 <0.001 56 42.4 39 33.1 0.127
e) I have a family history of depression and don’t want to follow suit. 71 28.4 35 27.1 36 29.8 0.646 34 25.8 37 31.4 0.327
3. Social environment             
a) Someone at home to talk to. 175 70.0 90 69.8 85 70.2 0.934 88 66.7 87 73.7 0.224
b) Afraid to bother those around him/her. 147 58.8 77 59.7 70 57.9 0.768 73 55.3 74 62.7 0.235
c) Incompatibility with social status: 99* 39.6 57* 44.2 42* 34.7 0.126 56* 42.4 43* 36.4 0.334
  - Prohibited because of social status. 76 30.4 44 34.1 32 26.4 0.188 45 34.1 31 26.3 0.180
  - Prohibited because of role among family and friends. 71 28.4 40 31.0 31 25.6 0.345 42 31.8 29 24.6 0.205
4. Doctor-patient relationship             
a) Not knowing a doctor to talk to 125* 50.0 74* 57.4 51* 42.1 0.016 73* 55.3 52* 44.1 0.076
  - No GP to talk to about it. 83 33.2 45 34.9 38 31.4 0.559 57 43.2 26 22.0 <0.001
  - Don’t know who to talk to. 96 38.4 57 44.2 39 32.2 0.052 60 45.5 36 30.5 0.015
  - Don’t know GP well enough. 108 43.2 66 51.2 42 34.7 0.009 69 52.3 39 33.1 0.002
b) Neglect on the part of the GP 112* 44.8 63* 48.8 49* 40.5 0.185 60* 45.5 52* 44.1 0.826
  - The GP would not listen to the complaint 110 44.0 54 41.9 56 46.3 0.482 52 39.4 58 49.2 0.121
  - Bad experiences with GP. 60 24.0 38 29.5 22 18.2 0.037 37 28.0 23 19.5 0.115
c) Not a GP’s role 158* 63.2 81* 62.8 77* 63.6 0.890 81* 61.4 77* 65.3 0.524
  - The GP could not look after this problem. 88 35.2 47 36.4 41 33.9 0.673 43 32.6 45 38.1 0.358
  - Afraid to bother GP. 101 40.4 51 39.5 50 41.3 0.773 56 42.4 45 38.1 0.490
  1. *At least one event.