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    Nonsteroidal Anti-Inflammatory Drug Use in Chronic Arthritis Pain: Variations by Ethnicity

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    Ethnic_Diff_NSAIDs_111919.pdf
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    Description:
    Final Accepted Manuscript
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    Author
    Vina, Ernest R
    Hannon, Michael J
    Masood, Hana S
    Hausmann, Leslie R M
    Ibrahim, Said A
    Dagnino, Jazmin
    Arellano, Andrea
    Kwoh, C Kent
    Affiliation
    Univ Arizona, Arthrit Ctr
    Univ Arizona, Coll Med, Dept Med, Div Rheumatol
    Issue Date
    2020-06
    Keywords
    Hispanic
    Nonsteroidal anti-inflammatory drugs
    Osteoarthritis
    
    Metadata
    Show full item record
    Publisher
    ELSEVIER SCIENCE INC
    Citation
    Vina, E. R., Hannon, M. J., Masood, H. S., Hausmann, L. R., Ibrahim, S. A., Dagnino, J., ... & Kwoh, C. K. (2020). Nonsteroidal Anti-Inflammatory Drug Use in Chronic Arthritis Pain: Variations by Ethnicity. The American journal of medicine, 133(6), 733-740. https://doi.org/10.1016/j.amjmed.2019.11.016
    Journal
    AMERICAN JOURNAL OF MEDICINE
    Rights
    Copyright © 2019 Elsevier Inc. All rights reserved.
    Collection Information
    This item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.
    Abstract
    PURPOSE: Our objective was to determine if there are ethnic differences in the use of over-the-counter (OTC) and prescription oral nonsteroidal anti-inflammatory drugs (NSAIDs) and if observed ethnic differences persist after adjustment for sociodemographic and clinical factors. METHODS: Knee and hip osteoarthritis study participants were identified. Surveys were administered to collect sociodemographics, clinical information, and oral treatment methods for arthritis. Multivariable logistic regression models were created using a fully conditional method. RESULTS: Hispanics (n = 130), compared to non -Hispanic whites (n = 204), were less likely to have a high school education (26.9% vs 63.2%, P <0.001), less likely to have private medical insurance (P <0.001), and more likely to have worse health (P = 0.004). OTC oral NSAID use was less common (52.9% vs 66.3%, P = 0.019), whereas prescription oral NSAID use was more common (43.4% vs 31.7%, P = 0.042) among Hispanics than non -Hispanic whites in the last 6 months. The ethnic difference in using an OTC NSAID instead of not using any oral NSAID was attenuated and no longer significant when adjusted for age, sex, edu-cation, and medical insurance (odds ratio [OR] 0.54 [95% confidence interval [CI]: 0.28-1.02]). The odds of using a prescription instead of an OTC NSAID remained significantly higher among Hispanics than non -Hispanic whites when adjusted for the same variables (odds ratio 2.17 [95% confidence interval: 1.16-4.05]). CONCLUSIONS: Among patients with osteoarthritis, OTC NSAIDs were less commonly used but prescrip-tion NSAIDs were more commonly used by Hispanics than non -Hispanic whites. Sociodemographic fac-tors partially mediate ethnic differences in the use of oral NSAIDs. (C) 2019 Elsevier Inc. All rights reserved.
    Note
    12 month embargo; published online: 17 December 2019
    ISSN
    0002-9343
    EISSN
    1555-7162
    PubMed ID
    31862331
    DOI
    10.1016/j.amjmed.2019.11.016
    Version
    Final accepted manuscript
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.amjmed.2019.11.016
    Scopus Count
    Collections
    UA Faculty Publications

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