Kose Tekin
School of Business and Law, University of Brighton, Brighton, The United Kingdom.
Department of Economics, TED University, Ankara, Turkey.
PLoS One. 2025 Apr 9;20(4):e0321590. doi: 10.1371/journal.pone.0321590. eCollection 2025.
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.
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。