Black people are receiving medications for dementia less often than white people, according to a preliminary study.
Previous research has shown that due to racial disparities, people with dementia do not always receive the same access to medications that may be beneficial in nursing homes and hospitals,” said Alice Hawkins, MD, of Mount Sinai in New York, New York, and a member of the American Academy of Neurology. “However, there is limited data for the use of dementia medications that people take at home. Our study found disparities in this area as well.
Researchers looked at how often participants received one or more of five medication classes typically prescribed for dementia. Cholinesterase inhibitors prevent the breakdown of a chemical messenger in the brain called acetylcholine, which is important for memory and thought. People with dementia may also use N-methyl-D-aspartate antagonists, which can help cognitive function. Both drug classes help facilitate communication between nerve cells.
For cholinesterase inhibitors, 20% of Black people received a prescription compared to 30% of white people. For NMDA antagonists, the numbers were 10% for Black people and 17% for white people. For SSRIs, the numbers were 24% and 40%. For antipsychotics, the numbers were 18% and 22%. For benzodiazepines, the numbers were 18% and 37%.
“Black people who saw a neurologist were receiving cholinesterase inhibitors and NMDA antagonists at rates more comparable to white people,” said Hawkins. “Therefore, referrals to specialists such as neurologists may decrease the disparities for these prescriptions.”
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