Document Detail

Osteoporosis healthcare disparities in postmenopausal women.
MedLine Citation:
PMID:  23140203     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Previous studies in referral populations have shown that fewer African American women complete dual-energy x-ray absorptiometry (DXA) screening and are prescribed medications for osteoporosis. This study examines if these disparities exist in primary care practices.
METHODS: Of 4748 eligible women ≥60 years of age in primary care practices, we randomly selected 500 African American and 500 Caucasian women. We compared the DXA screening referral rate and results, follow-up rate, and medication prescribing for low bone mineral density (BMD) between African American and Caucasian women and analyzed provider demographics. We used logistic regression analysis to control confounding variables, such as age and BMI.
RESULTS: Among the initial 1000 women, only 29.8% African American Women were referred to DXA compared to 38.4% Caucasian women (p<0.05), and 20.8% African American vs. 27.0% Caucasian (p<0.05) women completed the test. Among women with a diagnosis of osteoporosis, African Americans were less likely to receive medication (79.6% vs. 89.2%, p<0.05), without a difference in follow-up visit pattern between races. Female providers were more likely to refer women for DXA (27.7%) than male providers (21.7%) (p=0.035), and this gender difference in referral was more pronounced for African American patients.
CONCLUSIONS: Not enough eligible women are being screened and treated for osteoporosis in primary care. Even fewer African American women receive DXA screenings and are treated for osteoporosis. Controlling for age and BMI attenuated but did not eliminate the difference. Female providers were more likely than male providers to refer women for DXA.
Irene Hamrick; Qing Cao; Dorothy Agbafe-Mosley; Doyle M Cummings
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.     Date:  2012-11-09
Journal Detail:
Title:  Journal of women's health (2002)     Volume:  21     ISSN:  1931-843X     ISO Abbreviation:  J Womens Health (Larchmt)     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-12-05     Completed Date:  2013-04-03     Revised Date:  2013-12-04    
Medline Journal Info:
Nlm Unique ID:  101159262     Medline TA:  J Womens Health (Larchmt)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1232-6     Citation Subset:  IM    
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MeSH Terms
Absorptiometry, Photon
African Americans / statistics & numerical data
Bone Density
Delivery of Health Care / ethnology
Drug Prescriptions / statistics & numerical data*
European Continental Ancestry Group / statistics & numerical data
Follow-Up Studies
Healthcare Disparities / ethnology*
Logistic Models
Mass Screening / statistics & numerical data
Middle Aged
Osteoporosis, Postmenopausal / diagnosis*,  drug therapy,  ethnology
Physician's Practice Patterns
Referral and Consultation / statistics & numerical data*
Retrospective Studies
Risk Factors
Grant Support
1-K01 HP-00159-01//PHS HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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