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Racial and Ethnic Disparities in Emergency Department Analgesic Prescription

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  • Tamayo-Sarver, J.H.
  • Hinze, S.W.
  • Cydulka, R.K.
  • Baker, D.W.

Abstract

Objectives. We examined racial and ethnic disparities in analgesic prescription among a national sample of emergency department patients. Methods. We analyzed Black, Latino, and White patients in the 1997-1999 National Hospital Ambulatory Medical Care Surveys to compare prescription of any analgesics and opioid analgesics by race/ethnicity. Results. For any analgesic, no association was found between race and prescription; opioids, however, were less likely to be prescribed to Blacks than to Whites with migraines and back pain, though race was not significant for patients with long bone fracture. Differences in opioid use between Latinos and Whites with the same conditions were less and nonsignificant. Conclusions. Physicians were less likely to prescribe opioids to Blacks; this disparity appears greatest for conditions with fewer objective findings (e.g., migraine).

Suggested Citation

  • Tamayo-Sarver, J.H. & Hinze, S.W. & Cydulka, R.K. & Baker, D.W., 2003. "Racial and Ethnic Disparities in Emergency Department Analgesic Prescription," American Journal of Public Health, American Public Health Association, vol. 93(12), pages 2067-2073.
    • Handle: RePEc:aph:ajpbhl:2003:93:12:2067-2073_7
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    Cited by:

    1. Burgess, Diana Jill & Crowley-Matoka, Megan & Phelan, Sean & Dovidio, John F. & Kerns, Robert & Roth, Craig & Saha, Somnath & van Ryn, Michelle, 2008. "Patient race and physicians' decisions to prescribe opioids for chronic low back pain," Social Science & Medicine, Elsevier, vol. 67(11), pages 1852-1860, December.
    2. Jessica Y. Ho, 2020. "Cycles of Gender Convergence and Divergence in Drug Overdose Mortality," Population and Development Review, The Population Council, Inc., vol. 46(3), pages 443-470, September.
    3. Mohsen Bazargan & James L. Smith & Sharon Cobb & Lisa Barkley & Cheryl Wisseh & Emma Ngula & Ricky J. Thomas & Shervin Assari, 2019. "Emergency Department Utilization among Underserved African American Older Adults in South Los Angeles," IJERPH, MDPI, vol. 16(7), pages 1-16, April.
    4. Stefan Stremersch & Vardit Landsman & Sriram Venkataraman, 2013. "The Relationship Between DTCA, Drug Requests, and Prescriptions: Uncovering Variation in Specialty and Space," Marketing Science, INFORMS, vol. 32(1), pages 89-110, June.

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