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Potentially Inappropriate Medication in Older Persons With Dementia: Does a Migration Background Matter?
Bianca T Strooij1, Marieke T Blom2, Hein P J van Hout3
1Amsterdam UMC, Location Vrije Universiteit Amsterdam, Department of General Practice, Amsterdam, The Netherlands; Amsterdam Public Health, Health Behaviors & Chronic Diseases, Amsterdam, The Netherlands; Amsterdam Public Health, Aging & Later Life, Amsterdam, The Netherlands.
Journal of the American Medical Directors Association
|July 15, 2024
Summary
Older adults with dementia and a non-Western migration background were less likely to receive dementia-specific potentially inappropriate medications (PIMs). This study explored PIM prescribing patterns in this population.
Area of Science:
- Gerontology
- Pharmacology
- Public Health
Background:
- Potentially inappropriate medications (PIMs) are more common in individuals with a migration background.
- Dementia care presents unique challenges regarding medication management.
- Understanding PIM use in diverse dementia populations is crucial for equitable care.
Purpose of the Study:
- To investigate the association between non-Western migration background (nw-MB) and dementia-specific PIMs in older adults with dementia in the Netherlands.
- To compare PIM prescribing patterns between individuals with and without an nw-MB.
Main Methods:
- A cohort study utilizing routinely recorded electronic health records and administrative data from 2013-2014.
- Inclusion of 9055 community-dwelling older adults diagnosed with dementia.
- Logistic regression analysis comparing dementia-specific PIM prescriptions between individuals with and without an nw-MB, adjusted for covariates.
Main Results:
- Individuals with an nw-MB were less likely to receive dementia-specific PIMs compared to those without an MB (30.6% vs 34.4%).
- Benzodiazepine prescriptions were notably less frequent in the nw-MB group (15.0% vs 19.3%).
- Factors like dementia duration, living situation, income, and urbanization did not alter these associations.
Conclusions:
- Older adults with dementia and an nw-MB in the Netherlands received fewer dementia-specific PIM prescriptions.
- Further research is needed to determine if this reflects better care quality, professional uncertainty, or under-recognition of health issues.
- Addressing disparities in PIM prescribing for dementia patients with migration backgrounds is essential.
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