Ahmed Fahamina, Lin Jonathan, Ahmed Taha, Siddiqui Danish, Nguyen John, Sarpong Daniel
Division of Clinical and Administrative Sciences, College of Pharmacy, Xavier University of Louisiana, New Orleans, Louisiana, USA.
School of Medicine, Ross University, Miramar, Florida, USA.
Health Equity. 2022 Apr 8;6(1):291-297. doi: 10.1089/heq.2021.0144. eCollection 2022.
To analyze the impact of gender and race on statin prescribing patterns in patients with diabetes in a family medicine clinic.
This study (=192) was a single-center, cross-sectional study that examined statin prescribing patterns at a family medicine clinic. Patients were obtained from January 2015 to November 2018, who were considered eligible for statin therapy based on a documented diagnosis of diabetes. The patients were divided into four subgroups for analysis (white males, non-white males, white females, and non-white females).
Females were found to have higher rates of prescribed statin therapy and appropriate statin intensity therapy when compared to males (>0.05). When evaluating gender and race, white females were more likely to be prescribed an appropriate statin when compared to non-white females (<0.05).
The study shows that although males had a significantly higher mean 10-year atherosclerotic cardiovascular disease risk score, they were less likely than females to receive the appropriate intensity statin. Previous studies have shown race and gender disparities exist in the prevention of cardiovascular disease. A more collective, unified approach to improve prescribing patterns for statin therapy can eliminate these disparities.
分析性别和种族对一家家庭医学诊所中糖尿病患者他汀类药物处方模式的影响。
本研究（n = 192）是一项单中心横断面研究，调查了一家家庭医学诊所的他汀类药物处方模式。研究对象为2015年1月至2018年11月期间因有糖尿病确诊记录而被认为适合接受他汀类药物治疗的患者。将患者分为四个亚组进行分析（白人男性、非白人男性、白人女性和非白人女性）。
与男性相比，女性接受他汀类药物治疗的比例以及他汀类药物强度治疗的适宜率更高（P>0.05）。在评估性别和种族时，与非白人女性相比，白人女性更有可能被处方适宜的他汀类药物（P<0.05）。
研究表明，尽管男性的10年动脉粥样硬化性心血管疾病平均风险评分显著更高，但他们接受适宜强度他汀类药物治疗的可能性低于女性。先前的研究表明，在心血管疾病预防方面存在种族和性别差异。采用更具整体性、统一性的方法来改善他汀类药物治疗的处方模式可以消除这些差异。
