Medication assistance programs: do all in need benefit equallyQuantitative Health Sciences Publications and Presentations
UMMS AffiliationDepartment of Quantitative Health Sciences
SubjectsAfrican Americans; Aged; Alabama; Cross-Sectional Studies; Drug Industry; Drug Prescriptions; European Continental Ancestry Group; Female; Humans; Logistic Models; Male; Middle Aged; Social Welfare
AbstractOBJECTIVE: To determine if medication assistance programs (MAPs) provided by pharmaceutical companies were used differently by African Americans and Whites. RESEARCH DESIGN: A cross-sectional survey was conducted among patients of primary care practices from 2005 to 2007 within the Alabama Nonsteroidal Anti-Inflammatory Drug (NSAID) Patient Safety Study. SETTING: Telephone survey. PARTICIPANTS: Respondents were 568 African American and White patients reporting annual household incomes < $50,000. MAIN OUTCOME MEASURE: Use of MAPs. RESULTS: Of all patients, 12.8% used MAPs, 39.5% were African American, 75.2% were female, 69.1% were aged > 65 years, 79.8% had annual household incomes < $25,000, and 35.5% indicated that their income was inadequate to meet their basic needs. MAPs were used by 11.2% African-Americans and 14.0% Whites. After multivariable adjustment, MAP use was higher among respondents with incomes not adequate to meet basic needs (odds ratio [OR]: 2.19, 95% confidence interval [CI]: 1.17-4.08) but lower among African Americans than Whites (OR: 0.49, 95% CI: 0.25-0.95). Physician characteristics did not independently predict MAP use. CONCLUSIONS: Overall MAP use was low even among the most vulnerable, and especially among African Americans. As currently used, MAPs may contribute to disparities in medication access.
SourceEthn Dis. 2010 Autumn;20(4):339-45.
Related ResourcesLink to Article in PubMed
Citation InformationMaria Pisu, Katie Crenshaw, Ellen M. Funkhouser, Midge N. Ray, et al.. "Medication assistance programs: do all in need benefit equally" Vol. 20 Iss. 4 (2010) ISSN: 1049-510X (Linking)
Available at: http://works.bepress.com/catarina_kiefe/195/