{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T01:59:36Z","timestamp":1792115976475,"version":"4.4.0"},"reference-count":40,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,1,29]],"date-time":"2024-01-29T00:00:00Z","timestamp":1706486400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["1K99CA277136\u201001"],"award-info":[{"award-number":["1K99CA277136\u201001"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["dom-pubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabetes Obesity Metabolism"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To characterize factors associated with the receipt of anti\u2010obesity medication (AOM) prescription and fill.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>\n                      This retrospective cohort study used electronic health records from 1 January 2015 to 30 June 2023, in a large health system in Ohio and Florida. Adults with a body mass index \u226530\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      who attended \u22651 weight\u2010management programme or had an initial AOM prescription between 1 July 2015 and 31 December 2022, were included. The main measures were a prescription for an AOM (naltrexone\u2010bupropion, orlistat, phentermine\u2010topiramate, liraglutide 3.0\u2009mg and semaglutide 2.4\u2009mg) and an AOM fill during the study follow\u2010up.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      We identified 50\u2009678 adults, with a mean body mass index of 38\u2009\u00b1\u20098\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      and follow\u2010up of 4.7\u2009\u00b1\u20092.4\u2009years. Only 8.0% of the cohort had AOM prescriptions and 4.4% had filled prescriptions. In the multivariable analyses, being a man, Black, Hispanic and other race\/ethnicity (vs. White), Medicaid, traditional Medicare, Medicare Advantage, self\u2010pay and other insurance types (vs. private insurance) and fourth quartile of the area deprivation index (vs. first quartile) were associated with lower odds of a new prescription. Hispanic ethnicity, being a man, Medicaid, traditional Medicare and Medicare Advantage insurance types, liraglutide and orlistat (vs. naltrexone\u2010buproprion) were associated with lower odds of AOM fill, while phentermine\u2010topiramate was associated with higher odds. Among privately insured individuals, the insurance carrier was associated with both the odds of AOM prescription and fill.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Significant disparities exist in access to AOM both at the prescribing stage and getting the prescription filled based on patient characteristics and insurance type.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dom.15473","type":"journal-article","created":{"date-parts":[[2024,1,29]],"date-time":"2024-01-29T23:16:38Z","timestamp":1706570198000},"page":"1687-1696","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":45,"title":["Association of patient characteristics and insurance type with\n                    <scp>anti\u2010obesity<\/scp>\n                    medications prescribing and fills"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1627-9777","authenticated-orcid":false,"given":"Hamlet","family":"Gasoyan","sequence":"first","affiliation":[{"name":"Center for Value\u2010Based Care Research, Department of Internal Medicine and Geriatrics Primary Care Institute, Cleveland Clinic  Cleveland Ohio USA"},{"name":"Department of Medicine Cleveland Clinic Lerner College of Medicine of Case Western Reserve University  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth R.","family":"Pfoh","sequence":"additional","affiliation":[{"name":"Center for Value\u2010Based Care Research, Department of Internal Medicine and Geriatrics Primary Care Institute, Cleveland Clinic  Cleveland Ohio USA"},{"name":"Department of Medicine Cleveland Clinic Lerner College of Medicine of Case Western Reserve University  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Schulte","sequence":"additional","affiliation":[{"name":"Department of Quantitative Health Sciences Lerner Research Institute, Cleveland Clinic  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin","family":"Sullivan","sequence":"additional","affiliation":[{"name":"Department of Medicine Cleveland Clinic Lerner College of Medicine of Case Western Reserve University  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phuc","family":"Le","sequence":"additional","affiliation":[{"name":"Center for Value\u2010Based Care Research, Department of Internal Medicine and Geriatrics Primary Care Institute, Cleveland Clinic  Cleveland Ohio USA"},{"name":"Department of Medicine Cleveland Clinic Lerner College of Medicine of Case Western Reserve University  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael B.","family":"Rothberg","sequence":"additional","affiliation":[{"name":"Center for Value\u2010Based Care Research, Department of Internal Medicine and Geriatrics Primary Care Institute, Cleveland Clinic  Cleveland Ohio USA"},{"name":"Department of Medicine Cleveland Clinic Lerner College of Medicine of Case Western Reserve University  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,1,29]]},"reference":[{"key":"e_1_2_9_2_1","article-title":"Prevalence of obesity and severe obesity among adults: United States, 2017\u20132018","volume":"360","author":"Hales CM","year":"2020","journal-title":"NCHS Data 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