Prices of over-the-counter drugs used by 15-year-old adolescents in Germany and their association with socioeconomic background

被引：3

作者：

Italia, Salvatore ^{[1
,2
]}

Wolfenstetter, Silke B. ^{[2
]}

Brueske, Irene ^{[3
]}

Heinrich, Joachim ^{[3
]}

Berdel, Dietrich ^{[4
]}

von Berg, Andrea ^{[4
]}

Lehmann, Irina ^{[5
]}

Standl, Marie ^{[3
]}

Teuner, Christina M. ^{[2
]}

机构：

[1] Maastricht Univ, Sch CAPHRI, Dept Int Hlth, Care & Publ Hlth Res Inst, POB 616, NL-6200 MD Maastricht, Netherlands

[2] Helmholtz Zentrum Munchen, German Res Ctr Environm Hlth, Inst Hlth Econ & Hlth Care Management, Ingolstadter Landstr 1, D-85764 Neuherberg, Germany

[3] Helmholtz Zentrum Munchen, German Res Ctr Environm Hlth, Inst Epidemiol 1, Ingolstadter Landstr 1, D-85764 Neuherberg, Germany

[4] Marien Hosp Wesel, Res Inst, Dept Pediat, Pastor Janssen Str 8-38, D-46483 Wesel, Germany

[5] UFZ Helmholtz Ctr Environm Res Leipzig, Dept Environm Immunol, Permoserstr 15, D-04318 Leipzig, Germany

来源：

BMC PUBLIC HEALTH | 2017年 / 17卷

基金：

欧盟第七框架计划;

关键词：

Adolescent; Drug utilization; Drug prices; Socioeconomic factors; Over-the-counter drugs; SELF-MEDICATION; BIRTH COHORT; GINIPLUS; CHILDREN; LISAPLUS;

D O I：

10.1186/s12889-017-4923-2

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Background: In Germany, over-the-counter (OTC) drugs are normally reimbursed up to the age of 12 years only. The aim of this study was to analyse prices of over-the-counter drugs used by adolescents in Germany and their association with socioeconomic factors. Methods: Based on the German GINIplus and LISAplus birth cohorts, data on drug utilization among 15-year-old adolescents (n = 4677) were collected using a self-administered questionnaire. The reported drugs were subdivided into prescription drugs and OTC drugs. The drugs' prices were tracked by the pharmaceutical identification numbers. Results: Overall, 1499 OTC drugs with clearly identifiable prices were eligible for analysis. Their mean price was (sic)9.75 (95% confidence interval: (sic)9.27-10.22). About 75% of the OTC drugs cost less than (sic)10. Higher mean prices were associated with residing in Munich ((sic)10.74; 95% confidence interval: (sic)9.97-11.52) and with higher paternal education (e.g. highest education level: (sic)10.17; 95% confidence interval: (sic)10.86). Adolescents residing in Munich (in comparison with the less wealthy region of Wesel) and adolescents with higher educated fathers were also significantly more likely to use OTC drugs costing >= (sic)10 or >= (sic)25, respectively. Conclusions: The price of (sic)10 for non-reimbursable OTC drugs may represent a (psychological) threshold. Higher prices could discourage especially adolescents from a lower socioeconomic background from taking medically advisable but non-reimbursable OTC drugs.

引用

页数：9

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