Table 2.
Assisted Living (AL) and Matched Nursing Home (NH) Antipsychotic and Antianxiety Prescribing Rates, by Medication Category and State
Medication Category & State | A. Source AL Communities | B. Average of Nearest 5 NHs | C. Average of Farthest 5 NHs | D. All State NHs | p Values for Differences | ||
---|---|---|---|---|---|---|---|
| |||||||
% Mean (SD) | % Mean (SD) | % Mean (SD) | % Mean | A v. B | A v. C | A v. D* | |
| |||||||
Antipsychotic medications | |||||||
All states | 14.8 (11.3) | 14.2 (4.3) | 12.5 (3.2) | 14.6 | .36 | .33 | .056 |
Arkansas (n = 35) | 14.9 (12.2) | 14.4 (3.2) | 10.7 (3.9) | 14.3 | .59 | .038 | .49 |
Louisiana (n = 27) | 12.0 (7.6) | 16.4 (3.9) | 15.6 (3.3) | 16.5 | .019 | .002 | .008 |
New Jersey (n = 37) | 11.9 (7.3) | 9.1 (2.5) | 9.8 (0.8) | 10.2 | .056 | .93 | .69 |
New York (n = 38) | 15.1 (12.4) | 11.8 (2.5) | 10.7 (0.9) | 11.7 | .37 | .002 | .28 |
Oklahoma (n = 37) | 14.9 (11.3) | 16.0 (4.6) | 13.4 (3.2) | 18.9 | .23 | .58 | .005 |
Pennsylvania (n = 40) | 15.6 (12.2) | 16.0 (3.0) | 15.1 (1.3) | 15.6 | .15 | .86 | .29 |
Texas (n = 36) | 18.7 (12.9) | 16.4 (4.2) | 13.0 (1.9) | 15.7 | .62 | .99 | .41 |
Antianxiety medications | |||||||
All states | 21.2 (13.1) | 21.7 (6.7) | 21.9 (5.1) | 22.6 | .14 | .27 | .032 |
Arkansas (n = 35) | 19.6 (14.1) | 25.1 (9.0) | 20.8 (4.7) | 24.9 | .16 | .52 | .036 |
Louisiana (n = 27) | 16.0 (11.3) | 23.6 (7.1) | 19.6 (4.2) | 25.3 | .11 | .10 | .001 |
New Jersey (n = 37) | 19.8 (12.0) | 19.6 (5.0) | 23.2 (5.6) | 19.7 | .24 | .14 | .99 |
New York (n = 38) | 22.2 (11.4) | 14.8 (4.7) | 15.6 (2.4) | 14.3 | .14 | .005 | <.001 |
Oklahoma (n = 37) | 25.3 (13.7) | 26.0 (4.8) | 26.9 (4.0) | 28.2 | .97 | .43 | .16 |
Pennsylvania (n = 40) | 19.7 (11.9) | 19.9 (4.4) | 23.9 (1.6) | 21.7 | .31 | .050 | .28 |
Texas (n = 36) | 24.7 (15.1) | 24.1 (3.5) | 22.3 (3.9) | 25.5 | .031 | .48 | .63 |
Notes. AL source = resident charts; NH source = NH Compare. AL prescribing rates calculated with resident-level weights. p values compare prescribing percentage difference across sites using Wilcoxon signed-rank test (two-sided)
One-sample test. Communities matched by ellipsoidal distance based on Vincenty’s equations using coordinates from OpenCage Geocoder.