Depression rates in women are twice that of men. In certain groups of
women depression exceeds 40 percent. These groups include urban, poor,
young mothers, and women who use primary health care facilities. We h
ypothesized that rates of depressive symptoms in rural women users of
primary care would exceed those reported in population studies. Depres
sive symptoms were expected to be associated with common risk factors
for depression. To test these hypotheses, 181 rural women, ages 18 to
52, were interviewed by telephone using the Center for Epidemiologic S
tudies Depression Scale (CES-D). Of these, 41.4 percent reported depre
ssive symptoms exceeding the cutoff score of 16 on the CES-D. The mean
CES-D score for the entire sample was 15.3 and was 27.6 for women sco
ring over 16 on the CES-D. Young, unemployed, and poorly educated wome
n were most likely to report depressive symptoms.