PRESCRIPTION AND NONPRESCRIPTION DRUG-USE AMONG BLACK-AND-WHITE COMMUNITY-RESIDING ELDERLY
PRESCRIPTION AND NONPRESCRIPTION DRUG-USE AMONG BLACK-AND-WHITE COMMUNITY-RESIDING ELDERLY
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DOI：
10.2105/ajph.83.11.1577
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发表时间：
1993-11-01
影响因子：
12.7
通讯作者：
BROCK, D
中科院分区：
文献类型：
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作者：
FILLENBAUM, GG;HANLON, JT;BROCK, D
目标.检查和比较黑人和白色社区老年人处方药和非处方药使用的伴随物。从北卡罗来纳州的皮埃蒙特地区的黑人（n = 2152）和白色（n = 1821）社区居民老年人的概率为基础的样本中获得有关处方药和非处方药使用、人口统计学和健康特征以及卫生服务使用的信息。计算描述性统计量。线性回归，其中考虑到样本重量和设计的影响，被用于最终的模型。对于处方药的使用，白人和黑人分别解释了37%和32%的方差（非处方药分别为6%和5%）。健康状况和医疗服务的使用是两个种族处方药使用的最强预测因素（医疗保险对白人也很重要，医疗补助对黑人也很重要）。人口统计学特征和自我评估的健康是使用非处方药的重要因素。种族独立预测使用这两种类型的药物，但只解释了一小部分的方差。健康状况和保健服务的使用与处方药的使用有着重要的关系。非处方药的使用很难解释。
Objectives. To examine and compare concomitants of prescription and nonprescription drug use of Black and White community-dwelling elderly.Methods. Information on prescription and nonprescription drug use, demographic and health characteristics, and use of health services was obtained from a probability-based sample of Black (n = 2152) and White (n = 1821) community-resident elderly in the Piedmont area of North Carolina. Descriptive statistics were calculated. Linear regression, in which sample weights and design effects were taken into account, was used for the final models.Results. For prescription drug use, 37% and 32% of the variance was explained for Whites and Blacks, respectively (6% and 5% for nonprescription drugs). Health status and use of medical services were the strongest predictors of prescription drug use for both races (with Medi-gap insurance also important for Whites and Medicaid important for Blacks). Demographic characteristics and self-assessed health were significant factors in the use of nonprescription drugs. Race independently predicted use of both types of drugs but explained only a small proportion of the variance.Conclusions. Health status and use of health services are importantly related to prescription drug use. Nonprescription drug use is difficult to explain.