Equity in the receipt of oseltamivir in the United States during the H1N1 pandemic

J.M. Franklin, N.K. Choudhry, L. Uscher-Pines, G. Brill, O.S. Matlin, M.A. Fischer, S. Schneeweiss, J. Avorn, T.A. Brennan and W.H. Shrank

American Journal of Public Health, 2014, vol. 104, issue 6, 1052-1058

Abstract: Objectives. We assessed the relationship between individual characteristics and receipt of oseltamivir (Tamiflu) in the United States during the H1N1 pandemic and other flu seasons. Methods. In a cohort of individuals enrolled in pharmacy benefit plans, we used a multivariate logistic regression model to measure associations between subscriber characteristics and filling a prescription for oseltamivir during 3 flu seasons (October 2006-May 2007, October 2007-May 2008, and October 2008- May 2010). In 19 states with county-level influenza rates reported, we controlled for disease burden. Results. Approximately 56 million subscribers throughout the United States were included in 1 ormore study periods. During pandemic flu, beneficiaries in the highest income category had 97% greater odds of receiving oseltamivir than those in the lowest category (P

Keywords: antivirus agent; oseltamivir, adolescent; adult; age; aged; article; child; female; health care disparity; human; infant; influenza; Influenza virus A H1N1; male; middle aged; newborn; pandemic; preschool child; sex difference; statistical model; statistics; United States; young adult, Adolescent; Adult; Age Factors; Aged; Antiviral Agents; Child; Child, Preschool; Female; Healthcare Disparities; Humans; Infant; Infant, Newborn; Influenza A Virus, H1N1 Subtype; Influenza, Human; Logistic Models; Male; Middle Aged; Oseltamivir; Pandemics; Sex Factors; United States; Young Adult (search for similar items in EconPapers)
Date: 2014
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2013.301762_4

DOI: 10.2105/AJPH.2013.301762

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