Please use this identifier to cite or link to this item:
https://hdl.handle.net/2440/4213
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DC Field | Value | Language |
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dc.contributor.author | Stocks, N. | - |
dc.contributor.author | Ryan, P. | - |
dc.contributor.author | McElroy, H. | - |
dc.contributor.author | Allan, J. | - |
dc.date.issued | 2004 | - |
dc.identifier.citation | Medical Journal of Australia, 2004; 180(5):229-231 | - |
dc.identifier.issn | 0025-729X | - |
dc.identifier.issn | 1326-5377 | - |
dc.identifier.uri | http://hdl.handle.net/2440/4213 | - |
dc.description | The document attached has been archived with permission from the editor of the Medical Journal of Australia. An external link to the publisher’s copy is included. | - |
dc.description.abstract | OBJECTIVE: To assess if there are any differences in statin prescribing across Australia by socioeconomic status or sex and to relate prescribing rates to coronary heart disease (CHD) mortality rates. DESIGN: Cross-sectional study using data on statin prescribing by age, sex and patient postcode for the period May to December 2002. SETTING AND PARTICIPANTS: The Australian population, stratified by sex and quintile of Index of Relative Socio-Economic Disadvantage (IRSD). MAIN OUTCOME MEASURES: Age-standardised rates of statin scripts per 1000 population per month for each sex and IRSD quintile. RESULTS: 9.1 million prescriptions for statins were supplied between May and December 2002, for a total cost of $570 million. The age-standardised rates for statin prescribing in women varied from 56.9 (95% CI, 56.6–57.2) scripts per 1000 population per month in the most disadvantaged socioeconomic quintile through 53.4 (95% CI, 53.0–53.7), 50.3 (95% CI, 50.0–50.6), 48.4 (95% CI, 48.1–48.7) to 46.3 (95% CI, 46.0–46.6) in the least disadvantaged quintile. For men the figures were 52.6 (95% CI, 52.3–52.9), 50.9 (95% CI, 50.6–51.2), 48.8 (95% CI, 48.6–49.1), 47.7 (95% CI, 47.4–47.9), and 51.9 (95% CI, 51.6–52.2). There was a significant linear association between statin prescribing and CHD mortality by quintile of socioeconomic disadvantage in women (weighted least squares slope, 0.380; 95% CI, 0.366 to 0.395; P < 0.0001), but not in men (slope, −0.002; 95% CI, −0.010 to 0.006; P = 0.65). Conclusions: Our results suggest that in men there is either overprescribing of statins in the highest socioeconomic quintile or underprescribing in the lowest. Furthermore, contrary to expectation, women — relative to men — are prescribed statins at higher rates at lower levels of risk (using CHD deaths as a proxy MJA 2004; 180: 229–231 measure of risk). | - |
dc.description.statementofresponsibility | Nigel P Stocks, Philip Ryan, Heather McElroy and James Allan | - |
dc.language.iso | en | - |
dc.publisher | Australasian Med Publ Co Ltd | - |
dc.source.uri | http://www.mja.com.au/public/issues/180_05_010304/sto10334_fm.html | - |
dc.subject | Humans | - |
dc.subject | Coronary Disease | - |
dc.subject | Hydroxymethylglutaryl-CoA Reductase Inhibitors | - |
dc.subject | Health Care Surveys | - |
dc.subject | Linear Models | - |
dc.subject | Least-Squares Analysis | - |
dc.subject | Cross-Sectional Studies | - |
dc.subject | Family Practice | - |
dc.subject | Sex Factors | - |
dc.subject | Sex Distribution | - |
dc.subject | Socioeconomic Factors | - |
dc.subject | Adult | - |
dc.subject | Aged | - |
dc.subject | Middle Aged | - |
dc.subject | Vulnerable Populations | - |
dc.subject | Drug Utilization | - |
dc.subject | Health Services Accessibility | - |
dc.subject | Australia | - |
dc.subject | Female | - |
dc.subject | Male | - |
dc.subject | Practice Patterns, Physicians' | - |
dc.title | Statin prescribing in Australia: socioeconomic and sex differences - A cross-sectional study | - |
dc.type | Journal article | - |
dc.identifier.doi | 10.5694/j.1326-5377.2004.tb05891.x | - |
pubs.publication-status | Published | - |
dc.identifier.orcid | Stocks, N. [0000-0002-9018-0361] | - |
dc.identifier.orcid | McElroy, H. [0000-0003-3650-1141] | - |
Appears in Collections: | Aurora harvest General Practice publications Public Health publications |
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Sto_sta_v18n42004.pdf | 106.21 kB | Adobe PDF | View/Open |
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