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Titolo:
RACIAL DISPARITY IN PSYCHOTROPIC MEDICATIONS PRESCRIBED FOR YOUTHS WITH MEDICAID INSURANCE IN MARYLAND
Autore:
ZITO JM; SAFER DJ; DOSREIS S; RIDDLE MA;
Indirizzi:
UNIV MARYLAND,ROOM 240B,100 PENN ST BALTIMORE MD 21201 JOHNS HOPKINS UNIV,SCH MED BALTIMORE MD 00000 UNIV MARYLAND,SCH PHARM,PHARM PRACTICE & SCI DEPT COLLEGE PK MD 20742
Titolo Testata:
Journal of the American Academy of Child and Adolescent Psychiatry
fascicolo: 2, volume: 37, anno: 1998,
pagine: 179 - 184
SICI:
0890-8567(1998)37:2<179:RDIPMP>2.0.ZU;2-J
Fonte:
ISI
Lingua:
ENG
Soggetto:
UNITED-STATES; PSYCHIATRIC-DISORDERS; HEALTH-CARE; ADOLESCENTS; CHILDREN; ACCESS; RACE; PSYCHOPHARMACOLOGY; AMERICANS; INCOME;
Keywords:
CHILD AND ADOLESCENT PHARMACOTHERAPY; PSYCHOTROPIC DRUG UTILIZATION; MEDICAID; RACE; PHARMACOEPIDEMIOLOGY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Physical, Chemical & Earth Sciences
Physical, Chemical & Earth Sciences
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
28
Recensione:
Indirizzi per estratti:
Citazione:
J.M. Zito et al., "RACIAL DISPARITY IN PSYCHOTROPIC MEDICATIONS PRESCRIBED FOR YOUTHS WITH MEDICAID INSURANCE IN MARYLAND", Journal of the American Academy of Child and Adolescent Psychiatry, 37(2), 1998, pp. 179-184

Abstract

Design: A retrospective analysis was conducted using state Medicaid prescription drug reimbursement claims for youths aged 5 through 14 years according to the race of the recipients of psychotropic and medicaldrugs. Method: A person-based data set was created from Medicaid administrative data for fiscal year 1991 from the state of Maryland to yield the following: (1) estimates of prevalence of prescription recipients per 100 eligible enrollees; (2) relative prescription use ratios according to race (African-American versus Caucasian); and (3) the interrelation of race and geographic region on prescription prevalence. Results: Five major findings were observed: (1) African-American youths with Medicaid insurance aged 5 through 14 were less than half (39% to 52%) as likely to have been prescribed psychotropic medications as Caucasian youths with Medicaid insurance; (2) the relative difference for nonpsychotropic medication classes was much less pronounced: African-American youths were prescribed nonpsychotropic medications at a rate 60% to 87% of the Caucasian youths' rate; (3) the stimulants (essentially methylphenidate) had the most disparate African-American/Caucasian ratio (1:2.5); (4) the racial disparity for psychotropics was not altered by partial (noncontinuous enrollment) eligibility status; and (5) although geographic variation reduced the racial disparity, the substantial racial difference (1:2.0) remained. Conclusion: Compared with Caucasians, African-American youths aged 5 through 14 with Medicaid insurance coverage showed a distinctly lower rate of treatment with psychopharmacological agents.

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Documento generato il 21/09/20 alle ore 08:17:59