title: Generic medications for you, but brand-name medications for me.
abstract: BACKGROUND
  Because generic medications are less expensive than brand-name medications, government and private insurers have encouraged and/or mandated the use of generics.
  
  
  OBJECTIVE
  This study aimed at evaluating perceptions about generic medications among English-speaking women of childbearing age currently enrolled in U.S. TennCare (Medicaid).
  
  
  METHODS
  We recruited a convenience sample of patients from the waiting room of a primary care/gynecology health clinic, with 80% recruitment rate among those approached. We orally administered a 25-item questionnaire to gather sociodemographic information and to assess beliefs regarding the efficacy, safety, cost, and preferences for personal use of generic medications.
  
  
  RESULTS
  The average age of the women (n=172) was 28.8 ± 6.4 years, and most were white (82.0%) and currently married (58.1%). Nearly one-fifth (19.2%) had not completed high school. Most women believed that generic medications were less expensive (97.6%) and better value (60.5%) than brand-name medications, but only 45.3% preferred to take generics themselves. About a quarter (23.3%) believed that brand-name medications were more effective than generics, whereas 13.4% believed that generics caused more side effects. Few women reported that their doctor (29.7%) and/or pharmacist (35.5%) had ever talked to them about taking generics.
  
  
  CONCLUSIONS
  Awareness of the benefits of generics did not equal preferences for personal use of generics among this sample of women enrolled in U.S. TennCare. Furthermore, women reported that providers-both physicians and pharmacists-infrequently discussed generic substitution with them.
authors.affiliation: Department of Family Medicine, University of Tennessee Graduate School of Medicine, Knoxville, 37920, USA. akeenum@mc.utmck.edu
authors.forename: Amy J
authors.initials: AJ
authors.lastname: Keenum
authors.forename: Jennifer E
authors.initials: JE
authors.lastname: Devoe
authors.forename: Deena J
authors.initials: DJ
authors.lastname: Chisolm
authors.forename: Lorraine S
authors.initials: LS
authors.lastname: Wallace
mesh_terms: D000328:Adult; D001364:Awareness; D016009:Chi-Square Distribution; D003142:Communication; D017046:Cost Savings; D016527:Drug Costs; D057915:Drug Substitution / Q000191:economics / Q000523:psychology*; D016568:Drugs, Generic / Q000009:adverse effects / Q000191:economics / Q000627:therapeutic use*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008484:Medicaid; D010353:Patient Education as Topic; D057240:Patient Preference; D061214:Patient Safety; D010361:Patients / Q000523:psychology*; D011320:Primary Health Care; D011369:Professional-Patient Relations; D018570:Risk Assessment; D011795:Surveys and Questionnaires; D014481:United States; D055815:Young Adult
chemical_list: D016568:Drugs, Generic