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Clinical Daily News
BLACKS LESS LIKELY TO BE PRESCRIBED INSOMNIA MEDS, STUDY FINDS
Alicia Lasek
June 15, 2023
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Patients who belong to racial minority groups are much less likely to be
prescribed medications after being diagnosed with insomnia than white patients,
according to the results of a new study.
Investigators analyzed data from the Indiana Network for Patient Care.
Participants included about 10,000 people who were prescribed federally approved
medications for insomnia.
The results showed that Black patients were significantly less likely than white
patients to have been prescribed insomnia medications at any time after their
diagnoses. In addition, other non-white patients with insomnia also had much
lower odds of receiving a prescription for such drugs at 2, 3 and 4 years after
their diagnoses, although not in year one.
What’s more, white patients overall had a shorter period between diagnosis and
prescription than did other races — even though older patients and those with
comorbidities were less likely to be prescribed insomnia medications regardless
of their race, reported co-author Malaz Boustani, MD, MPH, of the Regenstrief
Institute and Indiana University, in Indianapolis.
Boustani and colleagues controlled for variables such as anxiety disorders and
depression, where the study participants lived and other factors that might
account for the disparity in prescriptions for insomnia medications. “We found
that race was the only variable that accounted for the differences in
treatment,” he said in a statement.
WIDESPREAD UNDERTREATMENT?
Not only does the study reveal racial disparities in insomnia medication
prescribing, but it suggests that providers may be undertreating insomnia, added
first author Emma Holler, MPH, of the Indiana University School of Public Health
– Bloomington.
The researchers recommended that a cautious interpretation of the results is
warranted, as the data came from secondary sources. Nevertheless, the study
showed that electronic health records can be an invaluable resource for
understanding clinical practice, they noted. The study is also one of the first
to investigate racial disparities in the pharmacologic treatment of insomnia,
they said.
Full findings were published in the journal Sleep Medicine.
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