| Ethnicity/race, use of pharmacotherapy, scope of physician-ordered cholesterol screening, and provision of diet/nutrition or exercise counseling during US office-based visits by patients with hyperlipidemia. | |
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MedLine Citation:
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PMID: 20334447 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Elevation of serum cholesterol, or hyperlipidemia, is recognized as one of the major modifiable risk factors in the development of atherosclerosis and cardiovascular disease. On a US population basis, there has been a downward trend in total- and LDL-cholesterol levels, and an increase in cholesterol screening. Nevertheless, previous research suggests that there remain racial/ethnic disparities in the access to and quality of care for hyperlipidemia. OBJECTIVE: The aim of this study was to examine the extent of racial/ethnic disparities in the provision of pharmacotherapy, cholesterol screening and diet/nutrition or exercise counseling during US office-based physician-patient encounters (visits) by patients with hyperlipidemia. METHODS: We examined data from the 2005 US National Ambulatory Medical Care Survey for office-based visits for hyperlipidemia for patients aged > or =20 years in terms of prescribing for hyperlipidemia, and the ordering/provision of cholesterol testing, diet/nutrition counseling, and exercise counseling. RESULTS: Use of pharmacotherapy for hyperlipidemia varied by ethnicity/race (chi2, p < 0.05). Physician-ordered/provided cholesterol screening occurred in 44.2% of all office-based visits; 46.5% for Whites, 35.4% for Blacks, and 30.3% for Hispanics (chi2, p < 0.05). Diet/nutrition counseling was ordered/provided in 39.7% of office-based visits; 40.4% for Whites, 32.6% for Blacks, and 39.0% for Hispanics (chi2, p < 0.05). Exercise counseling was ordered/provided in 32.1% of office-based visits; 32.7% for Whites, 27.2% for Blacks, and 30.6% for Hispanics (chi2, p < 0.05). CONCLUSIONS: These findings reveal a disparity in use of pharmacotherapy for hyperlipidemia, physician-ordered/provided cholesterol screening, diet/nutrition counseling, and exercise counseling by ethnicity/race. Further research is required to discern, in greater detail, reasons for the observed differences reported, and to ensure equitable access to established standards of care. |
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Authors:
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Megan N Willson; Joshua J Neumiller; David A Sclar; Linda M Robison; Tracy L Skaer |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: American journal of cardiovascular drugs : drugs, devices, and other interventions Volume: 10 ISSN: 1175-3277 ISO Abbreviation: Am J Cardiovasc Drugs Publication Date: 2010 |
Date Detail:
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Created Date: 2010-03-25 Completed Date: 2010-06-08 Revised Date: 2010-09-16 |
Medline Journal Info:
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Nlm Unique ID: 100967755 Medline TA: Am J Cardiovasc Drugs Country: New Zealand |
Other Details:
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Languages: eng Pagination: 105-8 Citation Subset: IM |
Affiliation:
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Department of Pharmacotherapy, College of Pharmacy, Washington State University, Spokane, Washington, USA. mwillson@wsu.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult African Americans / statistics & numerical data Aged Cholesterol / blood Directive Counseling / standards, statistics & numerical data* European Continental Ancestry Group / statistics & numerical data Exercise Therapy Female Health Care Surveys Health Services Accessibility / statistics & numerical data Healthcare Disparities / statistics & numerical data* Hispanic Americans / statistics & numerical data Humans Hyperlipidemias / therapy* Male Mass Screening / methods Middle Aged Office Visits / statistics & numerical data Physician's Practice Patterns / standards, statistics & numerical data* United States / epidemiology Young Adult |
| Chemical | |
Reg. No./Substance:
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57-88-5/Cholesterol |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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