To evaluate psychotropic drug use in undocumented migrants and natives in the same conditions of poverty. We studied drug dispensation by a nongovernmental organization during the year 2014. Drugs were identified according to the Anatomical Chemical Therapeutic classification and their quantity was measured in defined daily doses (DDD). We determined the percentage of patients taking at least one medicine with psychotropic activity in relation to the total number of patients receiving medicines of any class. We also calculated the individual DDD for psychoactive drugs. The percentage of natives receiving this type of medicine is significantly higher than that of undocumented migrants. Individual DDDs for each class of psychotropic drug are comparable in Italians and undocumented migrants and, among the latter, no difference was found in relation to ethnicity. Our findings describe for the first time the use of psychotropic medicines by undocumented migrants. On this basis, we hypothesize that poverty is more important than migration and ethnicity in generating the need for this type of pharmacological treatment. Both natives and undocumented migrants show poor adherence to treatment. This situation should be considered when programming health interventions in this field for the very poor and undocumented migrants.

中文翻译：

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在意大利无证移民和土著居民中使用精神药物处方。

评估在相同贫困条件下无证移民和当地人的精神药物使用情况。我们在2014年研究了一个非政府组织的药物分配情况。根据解剖化学疗法分类对药物进行了识别，并按规定的每日剂量（DDD）测量了其数量。我们确定了服用至少一种具有精神活性的药物的患者相对于接受任何类别药物的患者总数的百分比。我们还计算了精神药物的个人DDD。接受这种药物的当地人比例明显高于无证移民。在意大利人和无证移民中，每类精神药物的单独DDD相当。在种族方面没有发现差异。我们的发现首次描述了无证移民使用精神药物的情况。在此基础上，我们假设在产生对这种药物治疗的需求中，贫穷比移民和种族重要。本地人和无证移民均显示出对治疗的依从性差。在为非常贫困和无证件移民制定该领域的卫生干预措施时，应考虑这种情况。