Knopf H, Grams D
Abteilung für Epidemiologie und Gesundheitsmonitoring, Robert Koch-Institut, General-Pape-Str, 62-66, 12101 Berlin, Deutschland.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2013 May;56(5-6):868-77. doi: 10.1007/s00103-013-1667-8.
The first wave of the German Health Interview and Examination Survey for Adults, 2008-2011 (DEGS1), assesses current medicine use among participating adults aged 18-79 years in the 7 days prior to the medical examination as part of a standardised interview. About three quarters (74.4 %) of all men and women state that they used at least one preparation. Prevalence is highest among 70-79 year olds (men 94.9 %; women 96.3 %). Overall women have a significantly higher prevalence rate (85.4 %) than men (63.8 %). Preparations for the treatment of cardiovascular diseases are the most frequently used medicines (men 27.2 %; women 29.5 %). Polypharmacy (the use of 5 or more preparations) increases continuously with age and is observed significantly more often in women than in men in all age groups with the exception of the age group 70-79. Of the 20,084 recorded preparations, 71.8 % are prescribed by a doctor and 27.7 % are self-medicated. While there are no differences in overall medication linked to social status, a social gradient is observed in prescribed preparations and self-medication. The results presented here describe key indicators of medication use representative of the German adult population. Based on the extensive data of DEGS1, further analyses into aspects such as co- and multimedication will be addressed in the future. An English full-text version of this article is available at SpringerLink as supplemental.
2008 - 2011年德国成人健康访谈与检查调查(DEGS1)的第一波调查,作为标准化访谈的一部分,评估了参与体检的18 - 79岁成年人在体检前7天内的当前用药情况。所有男性和女性中约四分之三(74.4%)表示他们至少使用了一种制剂。患病率在70 - 79岁人群中最高(男性为94.9%;女性为96.3%)。总体而言,女性的患病率(85.4%)显著高于男性(63.8%)。用于治疗心血管疾病的制剂是使用最频繁的药物(男性为27.2%;女性为29.5%)。多重用药(使用5种或更多制剂)随年龄持续增加,除70 - 79岁年龄组外,在所有年龄组中女性的多重用药情况均显著多于男性。在记录的20,084种制剂中,71.8%是由医生开的处方,27.7%是自我用药。虽然总体用药情况与社会地位无关,但在处方制剂和自我用药方面存在社会梯度。此处呈现的结果描述了代表德国成年人口用药情况的关键指标。基于DEGS1的大量数据,未来将进一步分析联合用药和多重用药等方面。本文的英文全文版本可在SpringerLink上作为补充材料获取。