Abstract
Objective. To examine potential racial/ethnic disparities in osteoporosis care among community-dwelling older women with self-reported arthritis and previous fracture. Methods. We conducted a computer assisted telephone interview using a population based random sample drawn from 6 counties in Alabama, USA. Eligible respondents had self-reported arthritis and were over 50 years of age; 1424 people responded to the survey. Logistic regression was used to examine the association of race/ethnicity with the receipt of dual energy x-ray absorptiometry (DEXA) and prescription osteoporosis treatments (including bisphosphonates, calcitonin, hormone replacement, or selective estrogen receptor modulators) among older women with a history of fracture. Results. Of eligible African American and Caucasian female respondents, 251 (25%) reported a history of fracture after 45 years of age. Women with a history of self-reported fracture were predominantly Caucasian (n = 178, 71%) and had a mean age of 68 ± 11 years. After multivariable adjustment, African American women with a fracture history were less likely than Caucasian women with a history of fracture to receive a DEXA (OR 0.39, 95% CI 0.19-0.81) or prescription osteoporosis medicines (OR 0.17, 95% CI 0.08-0.37). Conclusion. In this population of community-dwelling older women, African American respondents at high risk for fracture were far less likely than Caucasians to receive osteoporosis related healthcare.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 870-875 |
| Number of pages | 6 |
| Journal | Journal of Rheumatology |
| Volume | 32 |
| Issue number | 5 |
| State | Published - May 1 2005 |
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Keywords
- Disparity
- Dual energy X-ray absorptiometry
- Ethnicity
- Fracture
- Osteoporosis
- Race
ASJC Scopus subject areas
- Rheumatology
- Immunology and Allergy
- Immunology
Cite this
Racial disparities in the receipt of osteoporosis related healthcare among community-dwelling older women with arthritis and previous fracture. / Mikuls, Ted R.; Saag, Kenneth G.; George, Varghese; Mudano, Amy S.; Banerjee, Samprit.
In: Journal of Rheumatology, Vol. 32, No. 5, 01.05.2005, p. 870-875.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Racial disparities in the receipt of osteoporosis related healthcare among community-dwelling older women with arthritis and previous fracture
AU - Mikuls, Ted R.
AU - Saag, Kenneth G.
AU - George, Varghese
AU - Mudano, Amy S.
AU - Banerjee, Samprit
PY - 2005/5/1
Y1 - 2005/5/1
N2 - Objective. To examine potential racial/ethnic disparities in osteoporosis care among community-dwelling older women with self-reported arthritis and previous fracture. Methods. We conducted a computer assisted telephone interview using a population based random sample drawn from 6 counties in Alabama, USA. Eligible respondents had self-reported arthritis and were over 50 years of age; 1424 people responded to the survey. Logistic regression was used to examine the association of race/ethnicity with the receipt of dual energy x-ray absorptiometry (DEXA) and prescription osteoporosis treatments (including bisphosphonates, calcitonin, hormone replacement, or selective estrogen receptor modulators) among older women with a history of fracture. Results. Of eligible African American and Caucasian female respondents, 251 (25%) reported a history of fracture after 45 years of age. Women with a history of self-reported fracture were predominantly Caucasian (n = 178, 71%) and had a mean age of 68 ± 11 years. After multivariable adjustment, African American women with a fracture history were less likely than Caucasian women with a history of fracture to receive a DEXA (OR 0.39, 95% CI 0.19-0.81) or prescription osteoporosis medicines (OR 0.17, 95% CI 0.08-0.37). Conclusion. In this population of community-dwelling older women, African American respondents at high risk for fracture were far less likely than Caucasians to receive osteoporosis related healthcare.
AB - Objective. To examine potential racial/ethnic disparities in osteoporosis care among community-dwelling older women with self-reported arthritis and previous fracture. Methods. We conducted a computer assisted telephone interview using a population based random sample drawn from 6 counties in Alabama, USA. Eligible respondents had self-reported arthritis and were over 50 years of age; 1424 people responded to the survey. Logistic regression was used to examine the association of race/ethnicity with the receipt of dual energy x-ray absorptiometry (DEXA) and prescription osteoporosis treatments (including bisphosphonates, calcitonin, hormone replacement, or selective estrogen receptor modulators) among older women with a history of fracture. Results. Of eligible African American and Caucasian female respondents, 251 (25%) reported a history of fracture after 45 years of age. Women with a history of self-reported fracture were predominantly Caucasian (n = 178, 71%) and had a mean age of 68 ± 11 years. After multivariable adjustment, African American women with a fracture history were less likely than Caucasian women with a history of fracture to receive a DEXA (OR 0.39, 95% CI 0.19-0.81) or prescription osteoporosis medicines (OR 0.17, 95% CI 0.08-0.37). Conclusion. In this population of community-dwelling older women, African American respondents at high risk for fracture were far less likely than Caucasians to receive osteoporosis related healthcare.
KW - Disparity
KW - Dual energy X-ray absorptiometry
KW - Ethnicity
KW - Fracture
KW - Osteoporosis
KW - Race
UR - http://www.scopus.com/inward/record.url?scp=18744389772&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=18744389772&partnerID=8YFLogxK
M3 - Article
C2 - 15868624
AN - SCOPUS:18744389772
VL - 32
SP - 870
EP - 875
JO - Journal of Rheumatology
JF - Journal of Rheumatology
SN - 0315-162X
IS - 5
ER -