| Predictors, barriers, and facilitators of lipid-lowering medication use among African Americans in a primary care clinic. | |
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MedLine Citation:
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PMID: 19806853 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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INTRODUCTION: Hypercholesterolemic African Americans are less likely than white Americans to be taking lipid-lowering medications, yet they suffer disproportionately from coronary heart disease (CHD). METHODS: Through medical record abstraction and focus groups with patients and physicians, we sought a better understanding of the predictors, barriers, and facilitators to lipid-lowering medication use in a Detroit primary care clinic. Stepwise regression analysis included 634 African American patients with abnormal cholesterol values (n = 575) or currently prescribed a lipid-lowering medication (n = 59). Focus group transcripts were analyzed with a framework approach. RESULTS: Overall 174 (30.3%) of hypercholesterolemic African Americans were prescribed a lipid-lowering medication. Patients with hypertension or CHD were significantly more likely to have a lipid-lowering medication prescription than those without, adjusted prevalence ratio 2.56 (95% CI, 1.76-3.74) for hypertension and 1.70 (95% CI, 1.45-2.00) for CHD. Focus groups revealed 2 barriers to lipid-lowering medication use named by both physicians (n = 12) and patients (n = 23): cost and forgetting to take medication, often because of lack of symptoms. CONCLUSIONS: Physicians and patients suggested better education by physicians and at the community level to improve lipid-lowering medication use. Simple and direct patient-physician discussions emphasizing long-term benefits are recommended. |
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Authors:
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Kendra L Schwartz; Rhonda Dailey; Monina Bartoces; Juliann Binienda; Carolyn Archer; Anne Victoria Neale |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: Journal of the National Medical Association Volume: 101 ISSN: 0027-9684 ISO Abbreviation: J Natl Med Assoc Publication Date: 2009 Sep |
Date Detail:
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Created Date: 2009-10-07 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7503090 Medline TA: J Natl Med Assoc Country: United States |
Other Details:
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Languages: eng Pagination: 944-52 Citation Subset: IM |
Affiliation:
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Department of Family Medicine, Wayne State University School of Medicine, Detroit, Michigan 48201, USA. kensch@med.wayne.edu |
Export Citation:
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Descriptor/Qualifier:
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| Grant Support | |
ID/Acronym/Agency:
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D12HP00175//PHS HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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