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青少年的用药情况及相应的主观健康问题:一项跨国调查。

The medicine use and corresponding subjective health complaints among adolescents, a cross-national survey.

机构信息

Department of Public Health and Epidemiology, Riga Stradins University, Latvia.

出版信息

Pharmacoepidemiol Drug Saf. 2011 Apr;20(4):424-31. doi: 10.1002/pds.2102. Epub 2011 Jan 18.

Abstract

BACKGROUND

Medicine use among children and young people is under-researched. Studies that investigated cross-national patterns in adolescents' medicine use practice are rare. This study aims to investigate adolescents' medicine use for corresponding health complaints in Europe and USA.

METHODS

Nationally representative samples of adolescents from 19 countries and regions in Europe and USA completed an anonymous, standardised questionnaire as part of the Health Behaviour in School-aged Children 2005/2006 survey. The prevalence of health complaints and medicine use were determined. The influence of the frequency of medicine use, age, gender and country of residence, on the likelihood of medicine use was assessed using multilevel multivariate logistic regression, with separate analyses for boys and girls.

RESULTS

Both health complaints and medicine use were common among adolescents. Medicine use was strongly associated with the frequency of health complaints. The prevalence of both medicine use and health complaints was higher among girls than boys. Boys and girls with weekly health complaints were both similarly likely to report elevated rates of medicine use.

CONCLUSIONS

The findings indicated that adolescents who report more frequent recurrent health complaints are also more likely to report more frequent medicine use for their health complaints. Adolescent boys with weekly health complaints have the same risk of medicine use as girls with weekly health complaints. The importance of educating school-aged children to interpret their bodily feelings and complaints and to use medicines appropriately is of high priority.

摘要

背景

儿童和青少年用药的研究相对较少。研究青少年用药实践的跨国模式的研究更是罕见。本研究旨在调查欧洲和美国青少年针对相应健康问题的用药情况。

方法

来自欧洲和美国 19 个国家和地区的具有代表性的青少年群体作为研究对象,参与了“2005/2006 年学校儿童健康行为”的匿名标准化问卷调查。确定了健康问题和用药的流行情况。使用多级多变量逻辑回归评估了用药频率、年龄、性别和居住国家对用药可能性的影响,分别对男孩和女孩进行了分析。

结果

健康问题和用药在青少年中都很常见。用药与健康问题的频率密切相关。女孩的用药和健康问题发生率均高于男孩。每周有健康问题的男孩和女孩都有类似的高报告用药率。

结论

研究结果表明,经常出现反复健康问题的青少年更有可能因健康问题而频繁使用药物。每周有健康问题的青少年男孩与每周有健康问题的女孩用药的风险相同。教育学龄儿童正确解读身体感觉和不适以及正确使用药物非常重要。

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