童年家庭收入和青少年药物使用
Heta Moustgaard1,2, Elina Moore2,3, Satu Malmberg2,3
1The Social Insurance Institution of Finland, Helsinki, Finland heta.moustgaard@helsinki.fi.
Journal of epidemiology and community health
|January 10, 2025
概括
来自低收入家庭的年轻人可能不充分使用常见药物,如抗生素和止痛药. 兄弟姐妹之间的比较表明,童年收入差异并不直接导致药物使用的多样化,指向其他共同的家庭因素.
科学领域:
- 儿科健康 儿科健康
- 健康的社会决定因素
- 药学流行病学 药学流行病学
背景情况:
- 家庭的低社会经济地位与年轻人的健康状况不佳有关.
- 青少年药物使用的社会模式没有得到充分的研究,证据不尽相同.
- 之前的研究还没有充分解决混因素.
研究的目的:
- 根据童年家庭收入分析青少年药物使用的差异.
- 调查童年收入与特定药物类型之间的关联.
- 在收入和药物使用的分析中控制家庭混因素.
主要方法:
- 使用了芬兰出生队列 (1979-2003) 的行政登记数据.
- 使用生存分析来评估16-20岁之间的药物使用风险.
- 进行了兄弟姐妹的比较,以评估未观察到的家族混.
主要成果:
- 儿童收入增加10%与使用抗生素,止痛药和过敏/喘药物的使用增加0.6%-1.7%.
- 10%的收入增长与心理药物使用量下降2.5%有关.
- 兄弟姐妹分析显示,童年收入和药物使用之间没有显著的关联.
结论:
- 调查结果表明,低收入年轻人对常见处方药的潜在药物使用不足,不包括精神药物.
- 兄弟姐妹之间的比较表明,童年收入差异可能不会直接导致药物使用变化.
- 在药物使用中观察到的与收入相关的差异可能反映了未观察到的共同家庭因素,特别是在公平收入环境中.
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