ArticleThe Consultant pharmacist : the journal of the American Society of Consultant Pharmacists2009
Racial differences in medication use among older, long-stay Veterans Affairs nursing home care unit patients.
Article in The Consultant pharmacist : the journal of the American Society of Consultant Pharmacists, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Building evidence to advance health equity: a systematic review on care-related outcomes for older, minoritised populations in long-term care homes.Age and ageing · 2024Pooled it
- Antimuscarinic use among older adults with dementia and overactive bladder: a Medicare beneficiaries study.Current medical research and opinion · 2021Article
- Racial differences in anticholinergic use among community-dwelling elders.The Consultant pharmacist : the journal of the American Society of Consultant Pharmacists · 2015Article
- Potentially suboptimal prescribing for older veteran nursing home patients with dementia.The Annals of pharmacotherapy · 2015Article
- Use of antipsychotics among older residents in VA nursing homes.Medical care · 2012Article
- Potential underuse, overuse, and inappropriate use of antidepressants in older veteran nursing home residents.Journal of the American Geriatrics Society · 2011Article
- Potentially inappropriate prescribing of primarily renally cleared medications for older veterans affairs nursing home patients.Journal of the American Medical Directors Association · 2011Article
- The institutionalized elderly: sociodemographic and clinical-functional profiles related to dizziness.Brazilian journal of otorhinolaryngologyArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectiveTo examine racial differences in medication use by older long-stay Veterans Affairs Nursing Home Care Unit (NHCU) patients.
designLongitudinal study. SETTINGS: 133 Veterans Affairs NHCUs.
participantsThree 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.
resultsThe 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).
conclusionThere appears to be racial differences in the overall use of antihistamines and CNS medications and some of their subclasses.
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