Online Program

Prescriptions and over the counter medications overuse among underserved African American elderly

Monday, November 4, 2013

Mohsen Bazargan, PhD, Professor, College of Medicine, Charles R. Drew Uinversity of Medicine and Science, Los Angeles, CA
Hamed Yazdanshenas, MD, Assistant Professor, College of Medicine, UCLA/ Charles R. Drew University of medicine and Science, Los Angels, CA
Gail Orum-Alexander, PharmD, Dean, College of Science and Health, Charles Drew University of Medicine and Science, Los Angeles, CA
Purpose: We aimed to describe pattern of medications overuse in prescription and over the counter data in a community-based sample of underserved aged African Americans. Methods: This study recruited 400 elderly African Americans (over 65 years old, taking at least two medications) from 16 churches located in South Los Angeles. Interviewer administer questionnaire was used to collect medication use data. Results: Our data indicates that in total, 3063 medications were used across all pharmaceutical classes by this sample of 400 African American elderly persons participated in this study. There were a total of 796 medications Overuse. Overuse of medication frequency occurred 299 times across all patients. The highest frequency of medication Overuse based on the number of medications (in each class) occurs in the following order: a) Vitamins, Hematinic & Electrolytes (82%), b) Non-Insulin Hypoglycemic Agents (53%), and c) Anti-parkinsonism Agents (50%). Across all Therapeutic classes there were a total of 2366 medications overuse. Overuse of medications frequency occurred 761 times across all patients. The highest frequency of medications overuse based on the number of medications (in each classes) occurs in the following order: a) Cardiovascular, Hypertension & Lipids (96%), b) Vitamin and Health Supplement (82%), c) Autonomic & CNS, Neurology & Psychiatry (79 %).Conclusion: Results suggest there is a need for an interventional study to promote awareness of use and misuse of medications, especially medication Overuse and it is critical that health care providers continue developing technology and resources to address Overuse duplication related issues among the elderly

Learning Areas:

Administration, management, leadership
Assessment of individual and community needs for health education
Clinical medicine applied in public health
Public health or related education
Public health or related research

Learning Objectives:
List Overuse Prescriptions and Over the Counter Medications among Underserved African American Elderly

Keyword(s): Aging, Minorities

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to be an abstract author on the content I am responsible for because I am the Principal Investigator of this project by CMS
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.