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土耳其的性别与药物使用情况:基于一项普通人群调查的证据

Gender and medication use in Turkey: Evidence from a general population survey.

作者信息

Kose Tekin

机构信息

School of Business and Law, University of Brighton, Brighton, The United Kingdom.

Department of Economics, TED University, Ankara, Turkey.

出版信息

PLoS One. 2025 Apr 9;20(4):e0321590. doi: 10.1371/journal.pone.0321590. eCollection 2025.

Abstract

Gender differences in health behaviors and outcomes were commonly documented by researchers. The focus of this study was the analysis of gender differences in medication use for a general population in Turkey. It also explored a range of factors associated with medication use at the individual level. A nationally representative cross-sectional data set was obtained from the 2019 wave of the Turkish Health Survey. The sample of this study included 17,083 adults residing in different regions of Turkey. Conditional mixed-process regression models were estimated for the whole sample and subsamples by gender. The rates of prescribed and non-prescribed medication use were 40.7% and 30.2%, respectively, in the adult population of Turkey. There were significant gender differences in medication use in the Turkish case. Females were 19.4% more likely to use prescribed medication, and they were 30.8% more likely to use non-prescribed medication compared to males in Turkey. There were negative associations between prescribed and non-prescribed medication use. On average, females were 9.2% less likely to report higher levels of health status, and they were 18.4% more likely to use healthcare services. Individuals with higher levels of self-rated health status were less likely to use prescribed medication. Both prescribed and non-prescribed medication use were positively related to healthcare service use. Complementing the earlier literature, the results of the present study demonstrated that gender-specific designs should be considered by health policies on the use of medications.

摘要

研究人员普遍记录了健康行为和结果中的性别差异。本研究的重点是分析土耳其普通人群在药物使用方面的性别差异。它还探讨了个体层面上与药物使用相关的一系列因素。从2019年土耳其健康调查中获得了一个具有全国代表性的横断面数据集。本研究的样本包括居住在土耳其不同地区的17083名成年人。对整个样本和按性别划分的子样本估计了条件混合过程回归模型。在土耳其成年人口中,处方药和非处方药的使用率分别为40.7%和30.2%。在土耳其的案例中,药物使用存在显著的性别差异。与男性相比,女性使用处方药的可能性高19.4%,使用非处方药的可能性高30.8%。处方药和非处方药的使用之间存在负相关。平均而言,女性报告较高健康水平的可能性低9.2%,使用医疗服务的可能性高18.4%。自我健康状况评分较高的个体使用处方药的可能性较小。处方药和非处方药的使用均与医疗服务的使用呈正相关。作为对早期文献的补充,本研究结果表明,健康政策在药物使用方面应考虑针对性别的设计。

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