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Abstract
Among 57,320 patients, significant racial disparities were observed in the prescribing of high-efficacy glucose-lowering medications for Type 2 diabetes.
- Adjusted odds ratios for tirzepatide prescriptions were lower for non-White patients compared to White patients, with values of 0.6 for American Indian/Alaska Native, 0.3 for Asian, 0.7 for Black, 0.4 for Hispanic, and 0.4 for Native Hawaiian/Pacific Islander.
- For semaglutide, the adjusted odds ratios also indicated lower prescribing rates among non-White patients, with figures of 0.8 for American Indian/Alaska Native, 0.5 for Asian, 0.8 for Black, 0.6 for Hispanic, and 0.6 for Native Hawaiian/Pacific Islander.
- Dulaglutide showed mixed prescribing rates, with an adjusted odds ratio of 1.2 for American Indian/Alaska Native, but lower rates of 0.5 for Asian, 1.0 for Black, 0.9 for Hispanic, and 0.5 for Native Hawaiian/Pacific Islander.
- These findings may indicate systemic inequities in diabetes medication prescribing across different racial and ethnic groups.
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