美国成年人中多药药的患病率和趋势,1999-2018年
Xiaowen Wang1,2, Keyang Liu3, Kokoro Shirai3
1Center for Public Health and Epidemic Preparedness and Response, Peking University, Beijing, 100191, China.
Global health research and policy
|July 11, 2023
概括
多药性,即使用五种或更多药物,在过去二十年中在美国成年人中显著增加. 这一趋势在老年人和患有慢性疾病,如心脏病和糖尿病的人群中尤为明显.
科学领域:
- 公共卫生 公共卫生
- 老年学是一门学科.
- 临床药房 临床药房
背景情况:
- 多药制品对公共卫生构成重大挑战,影响疾病负担和医疗保健支出.
- 了解多药的流行和趋势对于有效的健康管理至关重要.
研究的目的:
- 在20年的时间里,提供对美国成年人多药制药的流行率和趋势的最新综合分析.
- 确定与多药学相关的人口和临床因素.
主要方法:
- 来自国家健康和营养检查调查 (1999-2018) 的55081名20岁及以上的美国成年人的数据分析.
- 多药性定义为同时使用五种或更多种药物.
- 评估不同的人口社会经济地位和先前存在的条件的全国流行和趋势.
主要成果:
- 美国成年人中综合药的总体患病率从8.2% (1999-2000) 增加到17.1% (2017-2018),年平均增长2.9%.
- 在老年人 (23.5%至44.1%) 和心脏病患者 (40.6%至61.7%) 或糖尿病患者 (36.3%至57.7%) 中观察到更高的患病率.
- 在男性,墨西哥裔美国人和非西班牙裔黑人人口中发现了加速增长.
结论:
- 在美国成年人中,多药制药的患病率继续上升,在过去二十年中观察到的显著增加.
- 特定人群,包括老年人和患有慢性疾病的人群,表现出特别高的多药率.
- 医疗保健提供者和政策制定者必须应对多药制的日益增长的挑战,特别是在弱势群体中.
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