美国COPD成年人中与成本相关的药物不服药 2013-2020年
Xin Wen1, Hongbin Qiu1, Bo Yu2,3
1Department of Epidemiology and Biostatistics, School of Public Health, Jiamusi University, 258 Xuefu Road, Xiangyang District, Jiamusi, 154007, China.
BMC public health
|March 21, 2024
概括
大约18.6%的患有慢性阻塞性肺病 (COPD) 的美国成年人报告了与成本相关的药物不服药 (CRN). 低收入和缺乏保险等因素有助于解决这个问题,需要针对性干预来更好地管理COPD.
科学领域:
- 肺部医学 肺部医学
- 医疗保健服务研究 医疗服务研究
- 药物经济学 药物经济学
背景情况:
- 与成本相关的药物不服药 (CRN) 对慢性阻塞性肺病 (COPD) 患者的预后产生负面影响.
- 慢性肺炎需要长期服用药物来进行二次预防,因此坚持治疗至关重要.
- 了解COPD患者的CRN患病率和特征对于有效治疗至关重要.
研究的目的:
- 为了确定美国成年COPD患者中CRN的患病率.
- 在这个人群中确定与CRN相关的社会人口统计因素.
主要方法:
- 利用了来自国家健康访谈调查 (2013-2020) 的数据.
- 包括18岁及以上的美国成年人具有自我报告的COPD的全国代表性样本.
- 采用了横截面研究设计.
主要成果:
- 对CRN的加权患病率为18.56% (2.39万个人).
- 具体的CRN行为包括错过剂量 (12.50%),服用较低剂量 (13.30%),以及延迟处方补充 (15.74%).
- 相关因素包括年龄较小 (<65岁),女性性别,低家庭收入,缺乏医疗保险和多病症.
结论:
- 在美国,有六分之一的COPD成年人患有CRN.
- 慢性肺炎的CRN受多种因素的影响,需要进一步调查.
- 建议针对特定风险因素的有针对性的干预措施,以改善COPD患者的药物坚持.
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