National Background is Associated with Disparities in Initiation and Persistence to Statin Treatment in Subjects with Diabetes in Denmark

Maria Helena Dominguez Vall-Lamora, Tina Ken Schramm, Gunnar Hilmar Gislason, Mette Lykke Norgaard, Jakob Raunsø, Steen Zabell Abildstrøm, Lars Kober, Henrik Enghusen Poulsen, Christian Tobias Torp-Pedersen

    3 Citations (Scopus)

    Abstract

    Background: To investigate the effects of statin use over the last 10 years among diabetic patients who initiated glucose-lowering medications (GLMs) in Denmark. Methods: we identified all Danish citizens 30 years and older who claimed their first GLM between 1997 and 2006, with follow-up until 2007. Use of medications, national background, income, and hospitalizations were obtained by cross-linkage of national registries in Denmark. We analyzed factors related to initiation and interruption of statin treatment. The analyses included country of birth, citizenship and, as proxy for ethnic origin, we constructed variables based on both the subjects and on their parent's country of birth. Countries were grouped as Denmark, Western countries, Eastern countries, and Africa. Results: the cohort included 143,625 subjects. Compared with persons of Danish origin, the initiation of a statin medication during follow-up was significantly lower among patients of non-Danish origin: Odds ratio for subjects of Eastern origin 0.61 [CI 0.49-0.76] and 0.37 for subjects of African origin, [CI 0.24-0.59], both p¿
    Original languageEnglish
    JournalFrontiers in Pharmacology
    Volume1
    Pages (from-to)142
    ISSN1663-9812
    DOIs
    Publication statusPublished - Dec 2010

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