Medication assistance programs: do all in need benefit equally?

Academic Article

Abstract

  • OBJECTIVE: To determine if medication assistance programs (MAPs) provided by pharmaceutical companies were used differently by African Americans and Whites. RESEARCH DESIGN: A cross-sectional survey was conducted among patients of primary care practices from 2005 to 2007 within the Alabama Nonsteroidal Anti-Inflammatory Drug (NSAID) Patient Safety Study. SETTING: Telephone survey. PARTICIPANTS: Respondents were 568 African American and White patients reporting annual household incomes < $50,000. MAIN OUTCOME MEASURE: Use of MAPs. RESULTS: Of all patients, 12.8% used MAPs, 39.5% were African American, 75.2% were female, 69.1% were aged > 65 years, 79.8% had annual household incomes < $25,000, and 35.5% indicated that their income was inadequate to meet their basic needs. MAPs were used by 11.2% African-Americans and 14.0% Whites. After multivariable adjustment, MAP use was higher among respondents with incomes not adequate to meet basic needs (odds ratio [OR]: 2.19, 95% confidence interval [CI]: 1.17-4.08) but lower among African Americans than Whites (OR: 0.49, 95% CI: 0.25-0.95). Physician characteristics did not independently predict MAP use. CONCLUSIONS: Overall MAP use was low even among the most vulnerable, and especially among African Americans. As currently used, MAPs may contribute to disparities in medication access.
  • Published In

    Keywords

  • African Americans, Aged, Alabama, Cross-Sectional Studies, Drug Industry, Drug Prescriptions, European Continental Ancestry Group, Female, Humans, Logistic Models, Male, Middle Aged, Social Welfare
  • Author List

  • Pisu M; Crenshaw K; Funkhouser E; Ray M; Kiefe CI; Saag K; LaCivita C; Allison JJ
  • Start Page

  • 339
  • End Page

  • 345
  • Volume

  • 20
  • Issue

  • 4