Evidence map›Paper›PMID 28153704›Full record

ArticleJournal of the American Pharmacists Association : JAPhA

Pharmacy accessibility and cost-related underuse of prescription medications in low-income Black and Hispanic urban communities.

Dima Mazen Qato, Jocelyn Wilder, Shannon Zenk, Andrew Davis, Jennifer Makelarski, Stacy Tessler Lindau

Abstract read
In one paragraph

Article in Journal of the American Pharmacists Association : JAPhA. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Social Determinants of Pharmacy Deserts in Los Angeles County.Journal of racial and ethnic health disparities · 2021
    Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Dima Mazen Qato
Jocelyn Wilder
Shannon Zenk
Andrew Davis
Jennifer Makelarski
Stacy Tessler Lindau

Funding

Evaluating a Self-Care Innovation for Older Adults using Agent-Based ModelingR01AG047869 · NIA · UNIVERSITY OF CHICAGO · PI LINDAU, STACY TESSLER · 2014 to 2018
$3.4M
Pharmacy Accessibility and Disparities in Adherence to Cardiovascular Medications in ElderlyR21AG049283 · NIA · UNIVERSITY OF ILLINOIS AT CHICAGO · PI QATO, DIMA MAZEN · 2015 to 2016
$443k
NIA NIH HHS R01 AG047869NIA NIH HHS R21 AG049283
6 · The paper itself

Abstract

objectivesPolicy efforts to reduce the cost of prescription medications in the US have failed to reduce disparities in cost-related underuse. Little is known about the relationships between pharmacy accessibility, utilization, and cost-related underuse of prescription medications among residents of low-income minority communities. The aim of this work was to examine the association between pharmacy accessibility, utilization, and cost-related underuse of prescription medications among residents of predominantly low-income Black and Hispanic urban communities.

methodsData from a population-based probability sample of adults 35 years of age and older residing on the South Side of Chicago in 2012-2013 were linked with the use of geocoded information on the type and location of the primary and the nearest pharmacy. Multivariable regression models were used to examine associations between pharmacy accessibility, utilization of and travel distance to the primary pharmacy, and cost-related underuse overall and by pharmacy type.

resultsOne-third of South Side residents primarily filled their prescriptions at the pharmacy nearest to their home. Among those who did not use mail order, median distance traveled from home to the primary pharmacy was 1.2 miles. Residents whose primary pharmacy was at a community health center or clinic where they usually received care traveled the farthest but were least likely to report cost-related underuse of their prescription medications.

conclusionMost residents of minority communities on Chicago's South Side were not using the pharmacies closest to their home to obtain their prescription medications. Efforts to improve access to prescription medications in these communities should focus on improving the accessibility of affordable pharmacies at site of care.

Indexed as

Healthcare DisparitiesHealth Services AccessibilityAdultAgedAged, 80 and overBlack or African AmericanChicagoDrug CostsFemaleHispanic or LatinoHumansMaleMiddle AgedPharmaceutical ServicesPovertyPrescription DrugsPrescription Drugs

Identifiers

PMID28153704
PMCPMC5348265

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.