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Rural Residence and Prescription Medication Use by Community-Dwelling Older Adults: A Review of the Literature

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Title: Rural Residence and Prescription Medication Use by Community-Dwelling Older Adults: A Review of the Literature
Language: English
Authors: Grymonpre, Ruby E., Hawranik, Pamela G.
Source: Journal of Rural Health. Spr 2008 24(2):203-209.
Availability: Blackwell Publishing. 350 Main Street, Malden, MA 02148. Tel: 800-835-6770; Tel: 781-388-8599; Fax: 781-388-8232; e-mail: customerservices@blackwellpublishing.com; Web site: http://www.blackwellpublishing.com/jnl_default.asp
Peer Reviewed: Y
Physical Description: PDF
Page Count: 7
Publication Date: 2008
Document Type: Information Analyses
Reports - Evaluative
Descriptors: Health Services, Incidence, Social Sciences, Doctoral Dissertations, Older Adults, Rural Urban Differences, Geographic Location, Access to Health Care, Rural Areas, Drug Therapy, Journal Articles, Books, Therapy, Health Insurance
DOI: 10.1111/j.1748-0361.2008.00159.x
ISSN: 0890-765X
Abstract: Context: Due to various barriers to health care access in the rural setting, there is concern that rural older adults might have lower access to prescribed medications than their urban counterparts. Purpose: To review published research reports to determine prevalence and mean medication use in rural, noninstitutionalized older adults and assess whether rural-urban differences exist. Methods: PubMed, Ageline, Cinahl, PsycInfo, International Pharmaceutical Abstracts, Agricola, and Institute for Scientific Information Web of Science-Social Science Index were searched. English-language articles through May 2005 involving a sample of rural, noninstitutionalized older adults and analyses of overall medication prevalence and/or intensity were included. Review articles, conference abstracts, dissertations, books, and articles targeting nonprescription or specific therapeutic categories were excluded. A total of 206 citations were identified and 26 met the inclusion criteria. Findings: Reported prevalence of prescription medication use by rural older adults varied between 62% and 96%, with 2-6 prescriptions per person. Multivariate analyses results were equally inconsistent. Controlling for insurance, most US studies suggest there is no rural-urban difference in access to prescribed medications. However, this finding may not be generalizable across all regions in the United States or other countries. Conclusions: Geographic location may not be as important a variable for medication usage as for other health services utilization.
Abstractor: Author
Number of References: 36
Entry Date: 2008
Accession Number: EJ790408
Database: ERIC
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  Data: Blackwell Publishing. 350 Main Street, Malden, MA 02148. Tel: 800-835-6770; Tel: 781-388-8599; Fax: 781-388-8232; e-mail: customerservices@blackwellpublishing.com; Web site: http://www.blackwellpublishing.com/jnl_default.asp
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  Data: Context: Due to various barriers to health care access in the rural setting, there is concern that rural older adults might have lower access to prescribed medications than their urban counterparts. Purpose: To review published research reports to determine prevalence and mean medication use in rural, noninstitutionalized older adults and assess whether rural-urban differences exist. Methods: PubMed, Ageline, Cinahl, PsycInfo, International Pharmaceutical Abstracts, Agricola, and Institute for Scientific Information Web of Science-Social Science Index were searched. English-language articles through May 2005 involving a sample of rural, noninstitutionalized older adults and analyses of overall medication prevalence and/or intensity were included. Review articles, conference abstracts, dissertations, books, and articles targeting nonprescription or specific therapeutic categories were excluded. A total of 206 citations were identified and 26 met the inclusion criteria. Findings: Reported prevalence of prescription medication use by rural older adults varied between 62% and 96%, with 2-6 prescriptions per person. Multivariate analyses results were equally inconsistent. Controlling for insurance, most US studies suggest there is no rural-urban difference in access to prescribed medications. However, this finding may not be generalizable across all regions in the United States or other countries. Conclusions: Geographic location may not be as important a variable for medication usage as for other health services utilization.
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      – SubjectFull: Health Services
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      – SubjectFull: Incidence
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      – TitleFull: Rural Residence and Prescription Medication Use by Community-Dwelling Older Adults: A Review of the Literature
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