Carrie Anita G, Grymonpre Ruby E, Blandford Audrey A
Faculty of Pharmacy and Pharmaceutical Sciences, University of Alberta, Edmonton, Alberta, Canada.
Ann Pharmacother. 2006 Nov;40(11):1932-8. doi: 10.1345/aph.1H338. Epub 2006 Oct 10.
Higher levels of morbidity among older adults result in greater need for pharmaceutical products and pharmacy services compared with the need in the general population. Rural residents reportedly have reduced access to healthcare services secondary to transportation difficulties, a limited supply of healthcare workers and facilities, and financial constraints.
To examine differences in the prevalence and intensity of prescription pharmaceutical use among urban and rural older adults in Manitoba, Canada.
Participant data from the 1996/1997 Manitoba Study of Health and Aging were linked to pharmaceutical claims data recorded in Manitoba Health's Drug Program Information Network. The effect of residence on the prevalence and intensity of drug use was determined, in addition to the effects of other sociodemographic characteristics, measures of health, and health service utilization.
The prevalence of prescription pharmaceutical use did not differ between urban and rural residents (90.6% vs 89.5%, respectively; p = 0.60). Users of home-care services (OR 1.93; 95% CI 1.09 to 3.39), those who perceived their income as adequate (2.38; 95% CI 1.09 to 5.17), and those with a higher number of chronic health problems (1.42; 95% CI 1.26 to 1.62) were significantly more likely to access prescription medications. Rural and urban residents were equally likely to be high users of prescription drugs (21.3% vs 20.0%, respectively; p = 0.64).
Poor health status is associated with a higher prevalence and intensity of use of prescription drugs among older Manitobans. Rural residence is not a barrier to receipt of prescription pharmaceuticals.
与普通人群相比，老年人较高的发病率导致对药品和药房服务的需求更大。据报道，农村居民由于交通困难、医护人员和设施供应有限以及经济限制，获得医疗服务的机会减少。
研究加拿大曼尼托巴省城乡老年人处方药物使用的患病率和强度差异。
将1996/1997年曼尼托巴省健康与老龄化研究的参与者数据与曼尼托巴省卫生部药物项目信息网络记录的药品报销数据相链接。除了其他社会人口学特征、健康指标和医疗服务利用情况的影响外，还确定了居住地点对药物使用患病率和强度的影响。
城乡居民处方药物使用的患病率没有差异（分别为90.6%和89.5%；p = 0.60）。接受家庭护理服务的人（比值比1.93；95%可信区间1.09至3.39）、认为自己收入充足的人（2.38；95%可信区间1.09至5.17）以及患有慢性健康问题较多的人（1.42；95%可信区间1.26至1.62）更有可能获得处方药。城乡居民同样有可能是高剂量处方药使用者（分别为21.3%和20.0%；p = 0.64）。
健康状况不佳与曼尼托巴省老年人较高的处方药使用患病率和强度相关。农村居住并非获得处方药的障碍。
