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Licit prescription drug use in a Swedish population according to age, gender and socioeconomic status after adjusting for level of multi-morbidity
Blekinge Centre Competence, Sweden .
Lund University, Sweden .
Blekinge Centre Competence, Sweden .
Linköping University, Department of Medical and Health Sciences, General Practice. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Local Health Care Services in the West of Östergötland, Unit of Research and Development in Local Health Care, County of Östergötland.
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2012 (English)In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 12, no 575Article in journal (Refereed) Published
Abstract [en]

Background: There is a great variability in licit prescription drug use in the population and among patients. Factors other than purely medical ones have proven to be of importance for the prescribing of licit drugs. For example, individuals with a high age, female gender and low socioeconomic status are more likely to use licit prescription drugs. However, these results have not been adjusted for multi-morbidity level. In this study we investigate the odds of using licit prescription drugs among individuals in the population and the rate of licit prescription drug use among patients depending on gender, age and socioeconomic status after adjustment for multi-morbidity level. less thanbrgreater than less thanbrgreater thanMethods: The study was carried out on the total population aged 20 years or older in Ostergotland county with about 400 000 inhabitants in year 2006. The Johns Hopkins ACG Case-mix was used as a proxy for the individual level of multi-morbidity in the population to which we have related the odds ratio for individuals and incidence rate ratio (IRR) for patients of using licit prescription drugs, defined daily doses (DDDs) and total costs of licit prescription drugs after adjusting for age, gender and socioeconomic factors (educational and income level). less thanbrgreater than less thanbrgreater thanResults: After adjustment for multi-morbidity level male individuals had less than half the odds of using licit prescription drugs (OR 0.41 (95% CI 0.40-0.42)) compared to female individuals. Among the patients, males had higher total costs (IRR 1.14 (95% CI 1.13-1.15)). Individuals above 80 years had nine times the odds of using licit prescription drugs (OR 9.09 (95% CI 8.33-10.00)) despite adjustment for multi-morbidity. Patients in the highest education and income level had the lowest DDDs (IRR 0.78 (95% CI 0.76-0.80), IRR 0.73 (95% CI 0.71-0.74)) after adjustment for multi-morbidity level. less thanbrgreater than less thanbrgreater thanConclusions: This paper shows that there is a great variability in licit prescription drug use associated with gender, age and socioeconomic status, which is not dependent on level of multi-morbidity.

Place, publisher, year, edition, pages
BioMed Central , 2012. Vol. 12, no 575
Keyword [en]
Age, Gender, Multi-morbidity, Licit prescription drug use, Case-mix, Multi-morbidity, Primary health care, Sweden
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Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-84750DOI: 10.1186/1471-2458-12-575ISI: 000308926400001OAI: oai:DiVA.org:liu-84750DiVA: diva2:561485
Available from: 2012-10-19 Created: 2012-10-19 Last updated: 2017-12-07

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Borgquist, Lars

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