التفاصيل البيبلوغرافية
| العنوان: |
Medication Use by Race and Ethnicity in Women Transitioning Through the Menopause: A Study of Women's Health Across the Nation Drug Epidemiology Study. |
| المؤلفون: |
Solomon, Daniel H., Ruppert, Kristine, Greendale, Gail A., Lian, Yinjuan, Selzer, Faith, Finkelstein, Joel S. |
| المصدر: |
Journal of Women's Health (15409996); Jun2016, Vol. 25 Issue 6, p599-605, 7p |
| مصطلحات موضوعية: |
JAPANESE people, HEALTH, ANALYSIS of variance, BLACK people, DRUG therapy, CHI-squared test, CHINESE people, COMPARATIVE studies, CONFIDENCE intervals, HEALTH surveys, HISPANIC Americans, LONGITUDINAL method, MEDICAL cooperation, MENOPAUSE, PROBABILITY theory, PSYCHOLOGICAL tests, QUESTIONNAIRES, RACE, REGRESSION analysis, RESEARCH, RESEARCH funding, SELF-evaluation, WHITE people, WOMEN'S health, COMORBIDITY, LOGISTIC regression analysis, BODY mass index, DATA analysis software, ODDS ratio, KRUSKAL-Wallis Test |
| مصطلحات جغرافية: |
UNITED States |
| مستخلص: |
Background: Medication utilization and costs increased over the last decade, but the effects of race/ethnicity have never been well studied in longitudinal data. We analyzed reports of prescription medication use to (1) identify trajectories of use and (2) determine predictors associated with a large increase in use. Specifically, variations in medication use by race/ethnicity were examined. Methods: We analyzed the Study of Women's Health Across the Nation cohort with a median of 14 years of follow-up. Group-based trajectory models helped distinguish women with a low use of medications versus those with heavy use. Logistic regression was used to estimate the odds ratio (OR) for each racial/ethnic group associated with heavy use, controlling for potential baseline confounders. Results: The 2,798 women sampled had a mean age of 46 years at baseline and the median number of medications at baseline was 2, increasing to 4 over the follow-up period. Trajectory models identified that 16% of participants demonstrated heavy use of medications, from a median of 5 at baseline to 10 medications at final follow-up. Regression models controlling for age, obesity, number of comorbid conditions, and pain found that Hispanic (OR = 0.085, 95% confidence interval [CI]: 0.037-0.20), Chinese (OR = 0.32, 95% CI: 0.16-0.63), Japanese (OR = 0.33, 95% CI: 0.17-0.64), and Black (OR = 0.79, 95% CI: 0.57-1.11) women had lower odds for heavy use compared with White women. Conclusions: Longitudinal medication use among women in Study of Women's Health Across the Nation (SWAN) differed by race/ethnicity with non-White women having a lower odds of heavy use. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
