Use of prescription medications in an elderly rural population: The movies project

Holly C. Lassila, Gary P. Stoehr, Mary Ganguli, Eric Carl Seaberg, Joanne E. Gilby, Steven H. Belle, Deborah A. Echement

Research output: Contribution to journalArticle

Abstract

OBJECTIVE: To determine the pharmacoepidemiology of prescription drug use in a rural elderly community sample, specifically the numbers and categories of medications taken and the factors associated with them. DESIGN: Cross-sectional community survey. SETTING: The mid-Monongahela Valley of southwestern Pennsylvania. PARTICIPANTS: An age-stratified random sample of 1360 communitydwelling individuals, aged 65 years and older. MEASURES: Self-reported use of prescription drugs, demographic characteristics, and use of health services. RESULTS: Nine hundred sixty-seven participants (71%) reported regularly taking at least one prescription medication and 157 (10%) reported taking five or more medications (median 2.0, range 0-13). Women took significantly more medications than men (median 2.0, range 0-13 and median 1.0, range 0-9, respectively; p = 0.01). The use of a greater number of medications was independently and statistically significantly associated with older age, hospitalization within the previous 6 months, home health care in previous year, visit to a physician within the previous year, and insurance coverage for prescription medication. Individuals older than 85 years were significantly more likely to be taking cardiovascular agents, anticoagulants, vasodilating agents, diuretics, and potassium supplements. Significantly more women than men were taking nonsteroidal antiinflammatory drugs, antidepressants, potassium supplements, and thyroid replacement medications. CONCLUSIONS: Both the number and the types of prescription medications vary with age and gender. The demographic and health service use variables associated with greater medication use in the community may help define high-risk groups for polypharmacy and adverse drug reactions. Longitudinal studies are needed.

Original languageEnglish (US)
Pages (from-to)589-594
Number of pages6
JournalAnnals of Pharmacotherapy
Volume30
Issue number6
StatePublished - 1996
Externally publishedYes

Fingerprint

Rural Population
Motion Pictures
Prescriptions
Prescription Drugs
Health Services
Potassium
Pharmacoepidemiology
Demography
Cardiovascular Agents
Polypharmacy
Insurance Coverage
Home Care Services
Drug-Related Side Effects and Adverse Reactions
Diuretics
Anticoagulants
Antidepressive Agents
Longitudinal Studies
Thyroid Gland
Hospitalization
Anti-Inflammatory Agents

ASJC Scopus subject areas

  • Pharmacology (medical)
  • Pharmacology, Toxicology and Pharmaceutics(all)

Cite this

Lassila, H. C., Stoehr, G. P., Ganguli, M., Seaberg, E. C., Gilby, J. E., Belle, S. H., & Echement, D. A. (1996). Use of prescription medications in an elderly rural population: The movies project. Annals of Pharmacotherapy, 30(6), 589-594.

Use of prescription medications in an elderly rural population : The movies project. / Lassila, Holly C.; Stoehr, Gary P.; Ganguli, Mary; Seaberg, Eric Carl; Gilby, Joanne E.; Belle, Steven H.; Echement, Deborah A.

In: Annals of Pharmacotherapy, Vol. 30, No. 6, 1996, p. 589-594.

Research output: Contribution to journalArticle

Lassila, HC, Stoehr, GP, Ganguli, M, Seaberg, EC, Gilby, JE, Belle, SH & Echement, DA 1996, 'Use of prescription medications in an elderly rural population: The movies project', Annals of Pharmacotherapy, vol. 30, no. 6, pp. 589-594.
Lassila HC, Stoehr GP, Ganguli M, Seaberg EC, Gilby JE, Belle SH et al. Use of prescription medications in an elderly rural population: The movies project. Annals of Pharmacotherapy. 1996;30(6):589-594.
Lassila, Holly C. ; Stoehr, Gary P. ; Ganguli, Mary ; Seaberg, Eric Carl ; Gilby, Joanne E. ; Belle, Steven H. ; Echement, Deborah A. / Use of prescription medications in an elderly rural population : The movies project. In: Annals of Pharmacotherapy. 1996 ; Vol. 30, No. 6. pp. 589-594.
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