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Evaluation of the Factors Associated With Prescribed and Non-Prescribed Medicine: A Population-Based Study Publisher Pubmed



Eskandari M1 ; Bahmani AHA1 ; Hoorang M1 ; Zare M1 ; Afifi S1 ; Karimzadeh I2 ; Azadi S2 ; Sabzghabaee AM3 ; Lankarani KB1 ; Ahmadizar F4 ; Peymani P5
Authors
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Authors Affiliations
  1. 1. Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran
  2. 2. Clinical Pharmacy Department, Faculty of Pharmacy, Shiraz University of Medical Sciences, Shiraz, Iran
  3. 3. Isfahan Clinical Toxicology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
  4. 4. Department of Epidemiology, Erasmus Medical Center, Rotterdam, Netherlands
  5. 5. College of Pharmacy, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada

Source: Current Drug Safety Published:2023


Abstract

Objectives: Several factors influence medication patterns. The purpose of this study was to look into the role of social determinants in the use of prescribed and non-prescribed medications in a population-based setting of people over 18 in a southern metropolis of Iran (Shiraz) for 2 years. Study Design: Prospective population-based cross-sectional. Methods: This descriptive and cross-sectional survey was done in 2018-2020. A total of 1016 participants were randomly selected based on their postal codes and recruited to the study. The demo-graphic characteristics (age, sex, and education), social profiles (insurance, supplementary insur-ance, health status, and daily exercise plan), and outpatient visits (family/general physician or spe-cialist/subspecialist) were recorded by gathering sheets. Descriptive analyses and multinomial lo-gistic analyses were carried out using SPSS software. Results: The medication use pattern was classified into three categories: non-prescribed type I, non-prescribed type II, and prescribed. The mean age of participants was 45.54 ± 15.82 years. The results indicated that most of them took their medication without a prescription (non-prescribed type II). However, people who had insurance and referred to a family physician commonly used the prescribed medications. This study also found that patients who visited a family doctor or a general practitioner used fewer prescribed drugs than those who visited a specialist. Conclusion: This study describes social determinants as additional effective factors in health services that influence the use of prescribed and non-prescribed medications in Shiraz. These evi-dence-based findings can help policymakers to plan the best programs. © 2023 Bentham Science Publishers.
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