Antidepressant and antipsychotic use and adherence among Medicaid youths: differences by race.
Antidepressant and antipsychotic use and adherence among Medicaid youths: differences by race.
复制标题
医疗补助青少年抗抑郁和抗精神病药物的使用和依从性：种族差异。
DOI：
10.1007/s10597-009-9277-5
复制
发表时间：
2010
影响因子：
2.7
通讯作者：
Carey,Tim
中科院分区：
文献类型：
--
作者：
Sleath,Betsy;Domino,MarisaE;Wiley-Exley,Elizabeth;Martin,Bradley;Richards,Shirley;Carey,Tim
The purpose of our study is to use Medicaid data to examine the relationship between race and (a) whether youth with schizophrenia or depression diagnoses receive anti-psychotic and antidepressant prescriptions and (b) adherence to anti-psychotics and antidepressants. The analysis is based on claims files from January 1, 2000 through June 30, 2001. To assess adherence, we used the Proportion of Days Covered (PDC) measure. Multivariable logistic regression was used to analyze the data. Black children with schizophrenia were significantly less likely to be adherent to anti-psychotics during a quarter than White children. White children with depression were significantly more likely to receive an antidepressant prescription and they were significantly more adherent during a quarter than Black children. Providers should make sure to investigate both youth and caregiver concerns, fears, and barriers to using these medications and work with the families to develop strategies to improve medication use among youth.
