Racial differences in medication use among older, long-stay Veterans Affairs nursing home care unit patients
OBJECTIVE: To examine racial differences in medication use by older long-stay Veterans Affairs Nursing Home Care Unit (NHCU) patients.
DESIGN: Longitudinal study.
SETTINGS: 133 Veterans Affairs NHCUs.
PARTICIPANTS: Three thousand four hundred eighty veterans 65 years of age or older admitted between January 1, 2004, and June 30, 2005, for 90 days or more.
MAIN OUTCOMES MEASURES: Prevalence of those taking nine or more medications (i.e., polypharmacy) and medications from specific therapeutic medication classes. Racial differences were determined using 0.05 level chi-squared tests.
RESULTS: The sample consisted of 14.3% who were black. Blacks compared with whites (all comparisons P < 0.05 except where noted) were younger (13.6% vs. 17.4%, older than 85 years of age), had less depression (22.24 vs. 29.79%), less allergies (9.82% vs. 20.36%), and a similar rate of moderate-to severe pain (22.65% vs. 24.05; P = 0.49). The percent of polypharmacy was similar by race (blacks 74.35% vs. whites 71.18%; P = 0.62), as was the prevalence of medication class use with the exceptions that blacks were less likely than whites to take central nervous system (CNS) medications (75.75% vs. 80.14%; P = 0.02) and antihistamines (13.03% vs. 16.8%; P = 0.04). Specifically, blacks were less likely than whites to receive a selective serotonin-reuptake inhibitor (SSRI) antidepressant (20.84% vs. 27.17%; P < 0.01) or a second-generation antihistamine (3.41% vs. 6.51%; P < 0.01), but more likely than whites to receive opioids (14.63% vs. 11.27%; P = 0.03).
CONCLUSION: There appears to be racial differences in the overall use of antihistamines and CNS medications and some of their subclasses.
| Medienart: |
Artikel |
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| Erscheinungsjahr: |
2009 |
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| Erschienen: |
2009 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:24 |
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| Enthalten in: |
The Consultant pharmacist : the journal of the American Society of Consultant Pharmacists - 24(2009), 6 vom: 06. Juni, Seite 439-46 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Hanlon, Joseph T [VerfasserIn] |
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| Themen: |
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| Anmerkungen: |
Date Completed 13.08.2009 Date Revised 12.03.2024 published: Print Citation Status MEDLINE |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM189557125 |
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| 100 | 1 | |a Hanlon, Joseph T |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Racial differences in medication use among older, long-stay Veterans Affairs nursing home care unit patients |
| 264 | 1 | |c 2009 | |
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| 500 | |a Date Completed 13.08.2009 | ||
| 500 | |a Date Revised 12.03.2024 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a OBJECTIVE: To examine racial differences in medication use by older long-stay Veterans Affairs Nursing Home Care Unit (NHCU) patients | ||
| 520 | |a DESIGN: Longitudinal study | ||
| 520 | |a SETTINGS: 133 Veterans Affairs NHCUs | ||
| 520 | |a PARTICIPANTS: Three thousand four hundred eighty veterans 65 years of age or older admitted between January 1, 2004, and June 30, 2005, for 90 days or more | ||
| 520 | |a MAIN OUTCOMES MEASURES: Prevalence of those taking nine or more medications (i.e., polypharmacy) and medications from specific therapeutic medication classes. Racial differences were determined using 0.05 level chi-squared tests | ||
| 520 | |a RESULTS: The sample consisted of 14.3% who were black. Blacks compared with whites (all comparisons P < 0.05 except where noted) were younger (13.6% vs. 17.4%, older than 85 years of age), had less depression (22.24 vs. 29.79%), less allergies (9.82% vs. 20.36%), and a similar rate of moderate-to severe pain (22.65% vs. 24.05; P = 0.49). The percent of polypharmacy was similar by race (blacks 74.35% vs. whites 71.18%; P = 0.62), as was the prevalence of medication class use with the exceptions that blacks were less likely than whites to take central nervous system (CNS) medications (75.75% vs. 80.14%; P = 0.02) and antihistamines (13.03% vs. 16.8%; P = 0.04). Specifically, blacks were less likely than whites to receive a selective serotonin-reuptake inhibitor (SSRI) antidepressant (20.84% vs. 27.17%; P < 0.01) or a second-generation antihistamine (3.41% vs. 6.51%; P < 0.01), but more likely than whites to receive opioids (14.63% vs. 11.27%; P = 0.03) | ||
| 520 | |a CONCLUSION: There appears to be racial differences in the overall use of antihistamines and CNS medications and some of their subclasses | ||
| 650 | 4 | |a Journal Article | |
| 650 | 7 | |a Pharmaceutical Preparations |2 NLM | |
| 700 | 1 | |a Wang, Xiaoqjang |e verfasserin |4 aut | |
| 700 | 1 | |a Good, C Bernie |e verfasserin |4 aut | |
| 700 | 1 | |a Rossi, Michelle I |e verfasserin |4 aut | |
| 700 | 1 | |a Stone, Roslyn A |e verfasserin |4 aut | |
| 700 | 1 | |a Selma, Todd P |e verfasserin |4 aut | |
| 700 | 1 | |a Handler, Steven M |e verfasserin |4 aut | |
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