在住院治疗痴呆症患者中,按性别和种族使用药物的差异
Barbara Resnick1, Marie Boltz2, Elizabeth Galik3
1University of Maryland School of Nursing, 655 West Lombard Street, Baltimore, MD, 21218, USA. Resnick@umaryland.edu.
Journal of racial and ethnic health disparities
|August 14, 2023
概括
老年人的药物使用因种族,性别和生活状况而异. 例如,白人老年人和女性分别比黑人老年人和男性处方更多的精神药物和止痛药.
科学领域:
- 老年学是指老年学的学科.
- 医疗保健服务研究 医疗服务研究
- 药理学 药理学是指药理学的学科.
背景情况:
- 老年人代表着具有多样化药物需求的重要人口.
- 了解药物管理中的差异对于公平的医疗保健至关重要.
- 精神药物,疼痛和心血管药物通常被处方给老年人.
研究的目的:
- 调查老年人中心理,疼痛和心血管药物使用的种族,性别和居住区别.
- 为了确定特定的药物类别,在人口和生活状况群体之间发生治疗变化.
- 提供数据,可以为旨在减少老年护理中的药物差异的干预提供信息.
主要方法:
- 对352名参与者在急性护理的功能集中护理研究中的基线数据的分析.
- 包括人口,临床,认知和药物数据.
- 应用通用的线性混合模型,控制相关的共变量.
主要成果:
- 与黑人老年人相比,白人老年人使用抗抑郁药,抗焦虑药,非阿片类止痛药和阿片类药的比例更高.
- 女性比男性更频繁地被处方抗焦虑药.
- 居住地点影响了非阿片类止痛药,抗精神病药,他类药和抗凝药的使用.
结论:
- 根据种族,性别和生活环境,老年人之间存在药物处方模式的显著差异.
- 这些发现凸显了进一步研究这些差异的根本原因的需要.
- 这项研究为制定有针对性的战略提供了有价值的见解,以促进老年人群中公平的药物管理.
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