Disparities among the disadvantaged: variation in lipid management in the Ohio Medicaid program.

Prev Med

Louis Stokes Cleveland Veterans Administration Medical Center, Case Western Reserve University, Cleveland, OH 44106, USA.

Published: April 2006

Background: Racial disparities exist in cardiovascular disease (CVD) prevention, but other non-clinical factors may influence treatment, further exacerbating disparities.

Methods: Using Ohio Medicaid data from 1992 to 1999, we identified a sample of 19,106 individuals with CVD-related diagnoses or procedures. A review of pharmacy claims identified previous, new, and long-term users of lipid-lowering agents, including statins, fibrates, and bile sequestrants.

Results: 3,934 (20.6%) Medicaid beneficiaries used lipid-lowering medications previously, 1,598 (10.5%) filed new claims, and 2,998 of 5,532 (54.2%) previous or new users filed >or=6 claims for refills. Minority adults
Conclusions: Targeted efforts to enhance younger minority adults' receipt and long-term use of lipid-lowering agents may reduce risks for subsequent morbidity and mortality related to CVD.

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http://dx.doi.org/10.1016/j.ypmed.2005.11.016DOI Listing

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