ABSTRACT

Objective

We examined the association between the non-medical use of prescription drugs (NMUPD) and self-reported health problems due to the use of prescription drugs (hypnotics, sedatives, or strong painkillers), and whether it differed by social background among the general Finnish population.

Methods

Population-based (aged 15–69) Drug Surveys conducted in Finland in 2014 and 2018 were used. NMUPD was measured by the past-year use and social background by the educational level and employment status. Self-reported health problems due to prescription drug use was used as an outcome. A multinomial logistic regression was used.

Results

NMUPD was associated with self-reported health problems due to prescription drug use. The effect was modified by the social background and hazardous alcohol use: NMUPD was associated with health problems among those who had a high education, were employed or outside the workforce, and who used alcohol hazardously.

Conclusions

Although the findings may partly be explained by the differences in health literacy, they indicate health problems with NMUPD despite the social background. Therefore, when prescribing psychoactive prescription drugs, it is important to monitor the non-medical use of these drugs and inform patients of their possible association with health problems, irrespective of the patient’s social background.

中文翻译：

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因使用处方药和非医疗使用处方药而导致的自我报告的健康问题——一项基于人群的研究

摘要

客观的

我们检查了处方药的非医疗使用 (NMUPD) 与由于使用处方药（催眠药、镇静剂或强效止痛药）而导致的自我报告的健康问题之间的关联，以及它是否因普通芬兰人的社会背景而异人口。

方法

使用了 2014 年和 2018 年在芬兰进行的基于人群（15-69 岁）的药物调查。NMUPD 的衡量标准是过去一年的使用情况，以及教育水平和就业状况的社会背景。使用处方药引起的自我报告的健康问题被用作结果。使用多项逻辑回归。

结果

NMUPD 与使用处方药引起的自我报告的健康问题有关。这种影响因社会背景和有害饮酒而有所改变：NMUPD 与那些受过高等教育、受雇或不在劳动力市场以及有害饮酒的人的健康问题有关。

结论

尽管这些发现可能部分解释为健康素养的差异，但它们表明尽管有社会背景，但 NMUPD 存在健康问题。因此，在开具精神活性处方药时，重要的是要监测这些药物的非医疗使用情况，并告知患者它们可能与健康问题有关，无论患者的社会背景如何。