{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T18:56:16Z","timestamp":1792090576815,"version":"4.4.0"},"reference-count":32,"publisher":"Wiley","issue":"S1","license":[{"start":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T00:00:00Z","timestamp":1769731200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T00:00:00Z","timestamp":1769731200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100003653","name":"Korea National Institute of Health","doi-asserted-by":"publisher","award":["P20GM144270"],"award-info":[{"award-number":["P20GM144270"]}],"id":[{"id":"10.13039\/501100003653","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003653","name":"Korea National Institute of Health","doi-asserted-by":"publisher","award":["UG1OD024958"],"award-info":[{"award-number":["UG1OD024958"]}],"id":[{"id":"10.13039\/501100003653","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003653","name":"Korea National Institute of Health","doi-asserted-by":"publisher","award":["UG1OD090915"],"award-info":[{"award-number":["UG1OD090915"]}],"id":[{"id":"10.13039\/501100003653","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006093","name":"Patient-Centered Outcomes Research Institute","doi-asserted-by":"publisher","award":["RI\u2010CHOP\u201001\u2010PS1"],"award-info":[{"award-number":["RI\u2010CHOP\u201001\u2010PS1"]}],"id":[{"id":"10.13039\/100006093","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Obesity"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to describe real\u2010world obesity medication (OM) prescribing and dispensing among adolescents and young adults (AYAs) and examine factors associated with dispensing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective cohort linked Nemours Children's Health electronic health record (EHR) to Surescripts dispensing (2020\u20132025). AYAs aged 12\u201320 with prescriptions for liraglutide, semaglutide, phentermine, phentermine\u2013topiramate, or tirzepatide were included; youth with diabetes were excluded. Primary outcome was ever dispensed. Multilevel logistic regression assessed the odds of dispensing by race and ethnicity, Child Opportunity Index (COI), health insurance, prescription (Rx) coverage, drug, and prescription year.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 1194 AYAs with \u2265\u20091 OM prescription, 56.7% received \u2265\u20091 fill. Versus semaglutide, dispensing odds were higher for liraglutide (OR 2.40), phentermine (OR 3.32), and phentermine\u2013topiramate (OR 2.16) and lower for tirzepatide (OR 0.45; all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009\u2264\u20090.003). Hispanic AYAs had lower odds than non\u2010Hispanic White peers (OR 0.61;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009\u2264\u20090.001). Public (OR 1.31) and mixed insurance (OR 1.63) and Rx coverage (OR 2.00; all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009\u2264\u20090.05) were associated with higher odds. Despite increased rates of prescribing each year, rates of dispensing declined.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Nearly half of AYA OM prescriptions were never dispensed. Barriers to initiation persist and inequities affect Hispanic youth. Addressing insurance\/Rx coverage constraints may improve equitable access.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/oby.70128","type":"journal-article","created":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T08:01:43Z","timestamp":1769760103000},"page":"102-111","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Disparities in Adolescent and Young Adult Obesity Medication Dispensing: A Retrospective Linked\n                    <scp>EHR<\/scp>\n                    \u2010Pharmacy Cohort, 2020\u20132025"],"prefix":"10.1002","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2789-2040","authenticated-orcid":false,"given":"Isa","family":"Granados","sequence":"first","affiliation":[{"name":"Center for Healthcare Delivery Science Nemours Children's Health  Jacksonville Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristen","family":"Wolfgang","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Residency Program Thomas Jefferson University  Philadelphia Pennsylvania USA"},{"name":"Pediatrics Residency Program Nemours Children's Health  Wilmington Delaware USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kamyar","family":"Arasteh","sequence":"additional","affiliation":[{"name":"Center for Healthcare Delivery Science Nemours Children's Health  Wilmington Delaware USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karthik","family":"Viswanathan","sequence":"additional","affiliation":[{"name":"Biomedical Research Informatics Core Nemours Children's Health  Wilmington Delaware USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madeleine","family":"Snyder","sequence":"additional","affiliation":[{"name":"Center for Healthcare Delivery Science Nemours Children's Health  Jacksonville Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H. Timothy","family":"Bunnell","sequence":"additional","affiliation":[{"name":"Biomedical Research Informatics Core Nemours Children's Health  Wilmington Delaware USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thao\u2010Ly T.","family":"Phan","sequence":"additional","affiliation":[{"name":"Center for Healthcare Delivery Science Nemours Children's Health  Wilmington Delaware USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,30]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2018\u20101916"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2022\u2010060640"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2017.6803"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2208601"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1916038"},{"key":"e_1_2_9_7_1","unstructured":"Food and Drug Administration \u201cDeclaratory Order: Resolution of Shortages of Semaglutide Injection Products (Ozempic and Wegovy) \u201daccessed October 3 2025 https:\/\/www.fda.gov\/drugs\/drug\u2010safety\u2010and\u2010availability\/fda\u2010clarifies\u2010policies\u2010compounders\u2010national\u2010glp\u20101\u2010supply\u2010begins\u2010stabilize."},{"key":"e_1_2_9_8_1","unstructured":"Food and Drug Administration \u201cFood and Drug Administration Resolution of Tirzepatide Injection Product Shortage and Supply Status \u201daccessed October 3 2025 https:\/\/www.fda.gov\/drugs\/drug\u2010safety\u2010and\u2010availability\/fda\u2010clarifies\u2010policies\u2010compounders\u2010national\u2010glp\u20101\u2010supply\u2010begins\u2010stabilize."},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.3389\/fendo.2020.00290"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm7420a1"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2024.7112"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606\u2010010\u20101253\u20109"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2011\u20103480"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.2196\/63740"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/dom.15473"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1001885"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2024.102782"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1136\/amiajnl\u20102014\u2010002743"},{"key":"e_1_2_9_19_1","unstructured":"Surescripts \u201cWhy It Matters: Prescribers Can Now Access Accurate Medication History Data for Virtually Every American \u201daccessed October 2 2025 https:\/\/surescripts.com\/news\u2010center\/intelligence\u2010in\u2010action\/interoperability\/why\u2010it\u2010matters\u2010prescribers\u2010can\u2010now\u2010access\u2010accurate\u2010medication\u2010history\u2010data\u2010for\u2010virtually\u2010every\u2010american\/."},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2020.00735"},{"key":"e_1_2_9_21_1","unstructured":"SAS Program for WHO Growth Charts accessed October 2 2025 https:\/\/www.cdc.gov\/growth\u2010chart\u2010training\/hcp\/computer\u2010programs\/sas\u2010who.html."},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijpo.12633"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.soard.2018.03.019"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1186\/1751\u20100473\u20103\u201017"},{"key":"e_1_2_9_25_1","volume-title":"Multilevel Analysis: An Introduction to Basic and Advanced Multilevel Modeling","author":"Stawski R. 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