Nonsteroidal Anti-Inflammatory Drug Use in Chronic Arthritis Pain: Variations by Ethnicity
| Autor: | Ernest R. Vina, Michael J. Hannon, C. Kent Kwoh, Jazmin Dagnino, Said A. Ibrahim, Hana S. Masood, Andrea Arellano, Leslie R. M. Hausmann |
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| Rok vydání: | 2020 |
| Předmět: |
Male
Drug medicine.medical_specialty medicine.drug_class media_common.quotation_subject Ethnic group Arthritis Nonprescription Drugs Osteoarthritis 030204 cardiovascular system & hematology Logistic regression Article Osteoarthritis Hip White People Anti-inflammatory 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Internal medicine Humans Medicine 030212 general & internal medicine Medical prescription Aged media_common Nonsteroidal business.industry Anti-Inflammatory Agents Non-Steroidal Hispanic or Latino General Medicine Middle Aged Osteoarthritis Knee medicine.disease Logistic Models Socioeconomic Factors chemistry Female Chronic Pain business |
| Zdroj: | Am J Med |
| ISSN: | 0002-9343 |
| Popis: | Our objective was to determine if there are ethnic differences in the use of over-the-counter (OTC) and prescription oral nonsteroidal anti-inflammatory drugs (NSAIDs) and if observed ethnic differences persist after adjustment for sociodemographic and clinical factors.Knee and hip osteoarthritis study participants were identified. Surveys were administered to collect sociodemographics, clinical information, and oral treatment methods for arthritis. Multivariable logistic regression models were created using a fully conditional method.Hispanics (n = 130), compared to non-Hispanic whites (n = 204), were less likely to have a high school education (26.9% vs 63.2%, P0.001), less likely to have private medical insurance (P0.001), and more likely to have worse health (P = 0.004). OTC oral NSAID use was less common (52.9% vs 66.3%, P = 0.019), whereas prescription oral NSAID use was more common (43.4% vs 31.7%, P = 0.042) among Hispanics than non-Hispanic whites in the last 6 months. The ethnic difference in using an OTC NSAID instead of not using any oral NSAID was attenuated and no longer significant when adjusted for age, sex, education, and medical insurance (odds ratio [OR] 0.54 [95% confidence interval [CI]: 0.28-1.02]). The odds of using a prescription instead of an OTC NSAID remained significantly higher among Hispanics than non-Hispanic whites when adjusted for the same variables (odds ratio 2.17 [95% confidence interval: 1.16-4.05]).Among patients with osteoarthritis, OTC NSAIDs were less commonly used but prescription NSAIDs were more commonly used by Hispanics than non-Hispanic whites. Sociodemographic factors partially mediate ethnic differences in the use of oral NSAIDs. |
| Databáze: | OpenAIRE |
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