Examination of treatment pattern differences by race

Examine differences in treatment patterns among Blacks and non-Blacks in the U.S. Schizophrenia Care and Assessment Program. Baseline data from medical record abstraction, participant self-report and clinical assessment used to examine differences by race (race-gender pairings) (n = 2,239). Descript...

Full description

Saved in:
Bibliographic Details
Published inMental health services research Vol. 5; no. 4; pp. 241 - 250
Main Authors Mark, Tami L, Palmer, Liisa A, Russo, Patricia A, Vasey, Joseph
Format Journal Article
LanguageEnglish
Published United States Springer Nature B.V 01.12.2003
Subjects
African Americans - psychology
Analysis of Variance
Antipsychotic Agents - classification
Antipsychotic Agents - therapeutic use
European Continental Ancestry Group - psychology
Female
Humans
Male
Mental Health Services - utilization
Patient Compliance - ethnology
Psychiatric Status Rating Scales
Schizophrenia - diagnosis
Schizophrenia - drug therapy
Schizophrenia - ethnology
Schizophrenic Psychology
Self Administration
Sex Factors
United States
United States
Online AccessGet full text

Cover

More Information
Summary:Examine differences in treatment patterns among Blacks and non-Blacks in the U.S. Schizophrenia Care and Assessment Program. Baseline data from medical record abstraction, participant self-report and clinical assessment used to examine differences by race (race-gender pairings) (n = 2,239). Descriptive and multivariate (logistic) analysis employed. More Blacks were diagnosed with paranoid subtype. Blacks exhibited a more negative PANSS composite score, lower quality of life scores, and higher AIMS scores than non-Blacks. There was no statistically significant difference in the number of outpatient visits or inpatient admissions between Blacks and non-Blacks. Blacks had lower medication adherence and received less second-generation agents and more antiparkinson/anticholinergic agents. Proportion of Black males receiving depot was greater than other race-gender pairings. Regression results indicate Blacks more likely to be prescribed only first-generations after controlling for depot (OR = 1.64; CI = 1.27-2.12; p = 0.0002). Schizophrenia is, on average, accompanied by different diagnoses and symptoms in Blacks. Symptom profiles indicate that second-generation antipsychotics may be underprescribed to Black patients.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:1522-3434
1573-6636
DOI:10.1023/A:1026281118990