Social determinants of prescribed and non-prescribed medicine use

International Journal for Equity in Health

Research

Joan R Villalbí¹  Ferran Daban²  Corinne Zara³  M Isabel Pasarín⁴  Maica Rodríguez-Sanz⁵  Anna García-Altés⁵  Carme Borrell⁶ 

[1] Adjunt a Gerència, Agència de Salut Pública de Barcelona, (Pl. Lesseps 1), Barcelona (08023), Spain;CIBER Epidemiología y Salud Pública (CIBERESP), Spain. (C/Doctor Aiguader, 88 1a Planta), Barcelona (08003), Spain;Departament de Ciències Experimentals i de la Salut, Universitat Pompeu Fabra, (C/Doctor Aiguader, 88), Barcelona (08003), Spain;CIBER Epidemiología y Salud Pública (CIBERESP), Spain. (C/Doctor Aiguader, 88 1a Planta), Barcelona (08003), Spain;Servei de Salut Comunitària, Agència de Salut Pública de Barcelona, (Pl. Lesseps 1), Barcelona (08023), Spain;Direcció de Farmàcia, Regió Sanitària de Barcelona, (Esteve Terradas 30, Edifici Mestral), Barcelona (08023), Spain;Servei de Salut Comunitària, Agència de Salut Pública de Barcelona, (Pl. Lesseps 1), Barcelona (08023), Spain;CIBER Epidemiología y Salud Pública (CIBERESP), Spain. (C/Doctor Aiguader, 88 1a Planta), Barcelona (08003), Spain;Departament de Ciències Experimentals i de la Salut, Universitat Pompeu Fabra, (C/Doctor Aiguader, 88), Barcelona (08003), Spain;Servei de Sistemes d'Informació Sanitària, Agència de Salut Pública de Barcelona, (Pl. Lesseps 1), Barcelona (08023), Spain;CIBER Epidemiología y Salud Pública (CIBERESP), Spain. (C/Doctor Aiguader, 88 1a Planta), Barcelona (08003), Spain;Servei de Sistemes d'Informació Sanitària, Agència de Salut Pública de Barcelona, (Pl. Lesseps 1), Barcelona (08023), Spain;CIBER Epidemiología y Salud Pública (CIBERESP), Spain. (C/Doctor Aiguader, 88 1a Planta), Barcelona (08003), Spain;Departament de Ciències Experimentals i de la Salut, Universitat Pompeu Fabra, (C/Doctor Aiguader, 88), Barcelona (08003), Spain;

关键词: Poor Health;    Social Class;    National Health Service;    Prescribe Medicine;    Primary Health Care Centre;   

DOI  :  10.1186/1475-9276-9-12

 received in 2009-12-08, accepted in 2010-05-04,  发布年份 2010

来源: Springer

【 摘 要 】

BackgroundThe aim of the present study was to describe the use of prescribed and non prescribed medicines in a non-institutionalised population older than 15 years of an urban area during the year 2000, in terms of age and gender, social class, employment status and type of Primary Health Care.MethodsCross-sectional study. Information came from the 2000 Barcelona Health Interview Survey. The indicators used were the prevalence of use of prescribed and non-prescribed medicines in the two weeks prior to the interview. Descriptive analyses, bivariate and multivariate logistic regression analyses were carried out.ResultsMore women than men took medicines (75.8% vs. 60% respectively). The prevalence of use of prescribed medicines increased with age while the prevalence of non-prescribed use decreased. These age differences are smaller among those with poor perceived health. In terms of social class, a higher percentage of men with good health in the more advantaged classes took non-prescribed medicines compared with disadvantaged classes (38.7% vs 31.8%). In contrast, among the group with poor health, more people from the more advantaged classes took prescribed medicines, compared with disadvantaged classes (51.4% vs 33.3%). A higher proportion of people who were either retired, unemployed or students, with good health, used prescribed medicines.ConclusionThis study shows that beside health needs, there are social determinants affecting medicine consumption in the city of Barcelona.

【 授权许可】

Unknown   
© Daban et al; licensee BioMed Central Ltd. 2010. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.