Files and links (2)
Published, Version of Record (VoR)CC BY-NC-ND V4.0, Open
Journal article
Age and Sex Disparities in Discharge Statin Prescribing in the Stroke Belt: Evidence From the Reasons for Geographic and Racial Differences in Stroke Study
Journal of the American Heart Association, v 6(8), pn/a
02 Aug 2017
PMID: 28768644
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Stroke is a costly and debilitating disease that disproportionately affects blacks. Despite the efficacy of statins, evidence suggests racial disparities may exist in statin prescribing.
We analyzed discharge medications for participants hospitalized for an ischemic stroke during follow-up of the REGARDS (Reasons for Geographic and Racial Differences in Stroke) study. Medications on admission and discharge were abstracted from medical records. Among the 666 eligible incident strokes (2003-2013), analyses were restricted to 323 participants who were not statin users at the time of admission and had no history of atrial fibrillation. Overall, 48.7% were prescribed a statin on discharge. In the Stroke Belt, participants aged 65 years and older were 47% less likely to be discharged on a statin compared with those younger than 65 years (relative risk [RR], 0.53; 95% CI, 0.38-0.74). This association was not observed in non-Stroke Belt residents. Outside the Stroke Belt, blacks were more likely than whites to be discharged on a statin (RR, 1.42; 95% CI, 1.04-1.94), while no black:white association was present among Stroke Belt residents (RR, 0.93; 95% CI, 0.69-1.26;
for interaction=0.228). Compared with women, men in the Stroke Belt were 31% less likely to be discharged on a statin (RR, 0.69; 95% CI, 0.50-0.94) while men outside the Stroke Belt were more likely to be discharged on a statin (RR, 1.38; 95% CI, 0.99-1.92;
for interaction=0.004).
Statin discharge prescribing may differ among Stroke Belt and non-Stroke Belt residents, particularly in older Americans and men.
Metrics
Details
- Title
- Age and Sex Disparities in Discharge Statin Prescribing in the Stroke Belt: Evidence From the Reasons for Geographic and Racial Differences in Stroke Study
- Creators
- Karen C Albright - Birmingham VA Medical CenterVirginia J Howard - University of Alabama at BirminghamGeorge Howard - University of Alabama at BirminghamPaul Muntner - University of Alabama at BirminghamVera Bittner - University of Alabama at BirminghamMonika M Safford - University of Alabama at BirminghamAmelia K Boehme - Columbia UniversityJ David Rhodes - University of Alabama at BirminghamT Mark Beasley - University of Alabama at BirminghamSuzanne E Judd - University of Alabama at BirminghamLeslie A McClure - University of Alabama at BirminghamNita Limdi - University of Alabama at BirminghamJustin Blackburn - Department of Health Care Organization & Policy, University of Alabama at Birmingham, AL.
- Publication Details
- Journal of the American Heart Association, v 6(8), pn/a
- Grant note
- R01 HL080477 / NHLBI NIH HHS P30 DK079626 / NIDDK NIH HHS K24 HL133373 / NHLBI NIH HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Epidemiology and Biostatistics
- Web of Science ID
- WOS:000406948200008
- Scopus ID
- 2-s2.0-85030665427
- Other Identifier
- 991019231752304721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Cardiac & Cardiovascular Systems