Correlates of prescription and over-the-counter medication usage among older Mexican Americans: The Hispanic EPESE study
Correlates of prescription and over-the-counter medication usage among older Mexican Americans: The Hispanic EPESE study
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DOI：
10.1111/j.1532-5415.1998.tb04538.x
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发表时间：
1998-10-01
影响因子：
6.3
通讯作者：
Markides, KS
中科院分区：
文献类型：
--
作者：
Espino, DV;Lichtenstein, LJ;Markides, KS
目的：确定居住在社区的老年墨西哥裔美国人中处方药和非处方药 (OTC) 药物使用的流行率。设计：对老年墨西哥裔美国人的区域概率样本进行横断面调查。背景：1992-1997 年西班牙裔老年人流行病学研究人口 (H-EPESE)，是居住在 5 岁以上的非机构化墨西哥裔美国人的概率样本，年龄 65 岁及以上西南各州，德克萨斯州、新墨西哥州、科罗拉多州、亚利桑那州和加利福尼亚州。 参与者：2899 名年龄在 65 岁及以上的墨西哥裔美国人，使用适当的加权程序来生成区域估计值。 结果衡量： 在调查前的最后 2 周内使用处方药和非处方药，并通过药物容器的家庭审查确认。 结果： 药物使用者平均消耗 2.9 种处方药和 1.3 种非处方药。超过一半 (58.9%，n = 1,798) 的参与者在参与研究前 2 周内至少使用过一种处方药，31.3% (n = 847) 的参与者至少使用过一种非处方药。与处方药和非处方药使用相关的因素是自我感知的健康状况和合并症的数量。仅与处方药使用相关的因素包括女性、饮酒、ADL 依赖以及是否有额外保险。结构同化仅与非处方药的使用相关。结论：这些数据显示，与之前报告的其他族裔群体相比，墨西哥裔美国老年男性中处方药的使用率较低，墨西哥裔美国老年男女中非处方药的使用率也较低。这可能反映了西班牙裔 EPESE 相对于其他 EPESE 研究的时间和地理位置差异、医疗保险之外的保险所反映的获得护理的种族差异、生存的种族差异（尤其是男性）或药物偏好的种族差异。
OBJECTIVES: To determine the prevalence rates of prescription and over-the-counter (OTC) medication usage among community-dwelling older Mexican Americans.DESIGN: Cross-sectional survey of a regional probability sample of older Mexican Americans.SETTING: The 1992-1997 Hispanic Established Population for the Epidemiologic Study of the Elderly (H-EPESE), a probability sample of noninstitutionalized Mexican Americans, age 65 and over, living in the five Southwestern states of Texas, New Mexico, Colorado, Arizona, and California.PARTICIPANTS: 2899 persons, age 65 and over, considered Mexican American, using appropriate weighting procedures to produce regional estimates.OUTCOME MEASURES: Use of prescription and OTC medication within the last 2 weeks before the survey confirmed by in-home review of medication containers.RESULTS: Medication users consumed a mean of 2.9 prescription and 1.3 OTC medications. Over half (58.9%, n 1,798) of the participants used at least one prescribed medication, and 31.3% (n = 847) used at least one OTC medication within the 2 weeks before their participation in the study. Factors associated with both prescription and OTC medication usage were self-perceived health and number of comorbid conditions. Factors associated only with prescription medication usage included female gender, alcohol usage, ADL dependency, and presence of additional insurance. Structural assimilation was associated only with OTC medication usage. CCONCLUSIONS: These data show lower prevalence rates of prescription medication usage among Mexican American older men and lower rates of OTC medication usage in older Mexican Americans of both genders than previously reported in other ethnic groups. This may reflect differences in time and geographic location of the Hispanic EPESE relative to other EPESE studies, ethnic differences in access to care as reflected by insurance in addition to Medicare, ethnic differences in survival, especially among males, or ethnic differences in medication preferences.