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Pharmacy World & Science

, 31:656 | Cite as

Adolescents in Spain: use of medicines and adolescent lifestyles

  • María Morales-Suárez-VarelaEmail author
  • Agustín Llopis-González
  • Francisco Caamaño-Isorna
  • Natalia Gimeno-Clemente
  • Elías Ruiz-Rojo
  • Luís Rojo-Moreno
Research Article

Abstract

Objective This study aimed to determine the prevalence of the use of medicines, particularly over-the-counter medicines (OTC medicines), and to analyse its association with different personal and lifestyle aspects. Setting The study sample was an adolescent population in the Valencian Community (East Spain) aged 14–17 years. Method A total of 23,349 adolescents from 229 schools completed a questionnaire (response rate 89.54%). We analysed adolescents who were taking prescribed medicines at the time of the questionnaire, and who were users of OTC medicines that had not been prescribed by a doctor for a particular illness. We estimated this association with several personal and lifestyle factors using simple and multivariate analyses and logistic regression. Results A total of 15.18% of the participants reported that they were taking prescribed medicines when they answered the questionnaire, and 45.38% of the participants reported a frequent use of OTC medicines. Prescribed medicine use is more likely in older adolescents [Relative Prevalence Ratio adjusted by confounding factors (RPRa) 1.05, 95% CI: 1.01–1.10], in those who had tried to lose weight by dieting in the last year (RPRa 1.23, 95% CI: 1.11–1.37), in current smokers (RPRa 1.13, 95% CI: 1.02–1.27), in those who had a serious emotional problem (RPRa 1.85, 95% CI: 1.60–2.16) and in people who presented a chronic pathology (RPRa 8.24, 95% CI: 7.45–9.11). Respondents who reported a frequent use of OTC medicines were more likely to be older (RPRa 1.03, 95% CI: 1.00–1.06), have tried to lose weight by dieting in the last year (RPRa 1.15, 95% CI: 1.06–1.24), be a current smoker (RPRa 1.19, 95% CI: 1.10–1.28), have a serious emotional problem (RPRa 1.48, 95% CI: 1.31–1.67), and watch TV (RPRa 1.24, 95% CI: 1.16–1.32). Conclusions We noted an extensive use of medicines, especially OTC medicines, in adolescents, and an association with some personal and lifestyle factors. We conclude that prevention and early education of a responsible use of medicines should be a public health priority.

Keywords

Adolescents Lifestyle OTC medicines Prescribed medicines Spain Use of medicines 

Notes

Acknowledgements

The authors wish to thank the CIBER Research Group CB06/02/0045 CIBER actions—Epidemiology and Public Health. Finally, we thank Dr Timothy F. Chen who revised this article.

Funding

This study was funded by the General Directorate of Public Health of the Regional Ministry of Health (Generalitat Valenciana), in the Valencian Community, East Spain.

Conflicts of interest statement

None.

References

  1. 1.
    Williams JF, Kokotailo PK. Abuse of proprietary (OTC) drugs. Adolesc Med Clin. 2006;17:733–50.PubMedGoogle Scholar
  2. 2.
    Dengler R, Roberts H. Adolescents’ use of prescribed drugs and over-the-counter preparations. J Public Health Med. 2006;18:437–42.Google Scholar
  3. 3.
    Andersen A, Bjorn E, Holme E. Is medicine use in adolescence risk behavior? Cross-sectional survey of school-aged children from 11 to 15. J Adolesc Health. 2006;39:362–6.CrossRefPubMedGoogle Scholar
  4. 4.
    Holstein BE, Due P, Almarsdóttir AB. Self-reported medicine use among 11- to 15-year-old girls and boys in Denmark 1988–1998. Scand J Public Health. 2003;31:334–41.CrossRefPubMedGoogle Scholar
  5. 5.
    Baker SD, Borys DJ. A possible trend suggesting increased abuse from Coricin exposures reported to the Texas Poison Network: comparing 1998 to 1999. Vet Hum Toxicol. 2002;44:169–71.PubMedGoogle Scholar
  6. 6.
    Holstein BE, Holme E, Due P. Social class variation in medicine use among adolescents. Eur J Public Health. 2004;14:49–52.CrossRefPubMedGoogle Scholar
  7. 7.
    Hansen EH, Holstein BE, Due P, Currie CE. International survey of self-reported medicine use among adolescents. Ann Pharmacother. 2003;37:361–6.CrossRefPubMedGoogle Scholar
  8. 8.
    Townsend E, Hawton K, Harris L, Bale E, Bond A. Substances used in deliberate self-poisoning 1985–1997 trends and associations with age, gender, repetition and suicide intent. Soc Psychiatry Psychiatr Epidemiol. 2001;36:228–34.CrossRefPubMedGoogle Scholar
  9. 9.
    Borna P, Ekedahl A, Alsen M, Träskman-Bendz L. Self-poisonings with drugs by adolescents in the Lund catchment area. Nord J Psychiatry. 2001;55:325–8.CrossRefPubMedGoogle Scholar
  10. 10.
    Hawton K, Hall S, Simkin S, Bale L, Bond A, Cood S, et al. Deliberate self-harm in adolescents: a study of characteristics and trends in Oxford, 1990–2000. J Child Psychol Psychiatry. 2003;44:1191–8.CrossRefPubMedGoogle Scholar
  11. 11.
    Cabrita J, Ferreira HS, Iglesias P, Baptista TM, Rocha E, da Silva LA, et al. Study of drug utilization among students at Lisbon University in Portugal. Pharmacoepidemiol Drug Saf. 2002;11:333–4.CrossRefPubMedGoogle Scholar
  12. 12.
    Levine DA. “Pharming”. The abuse of prescription and OTC drugs in teens. Curr Opin Pediatr. 2007;19:270–4.CrossRefPubMedGoogle Scholar
  13. 13.
    Reynolds JEFF, editor. The extra pharmacopoeia. 31st ed. London: Royal Pharmaceutical Society; 1996.Google Scholar
  14. 14.
    Ledoux S, Choquet M, Manfredi R. Self-reported use of drugs for sleep or distress among French adolescents. J Adolesc Health. 1994;15:495–502.CrossRefPubMedGoogle Scholar
  15. 15.
    Pedersen W, Lavik NJ. Adolescents and benzodiazepines: prescribed use, self-medication and intoxication. Acta Psychiatr Scand. 1991;84:94–8.CrossRefPubMedGoogle Scholar
  16. 16.
    Ley 29/2006, de 26 de Julio, de garantías y uso racional de los medicamentos y productos sanitarios. http://sescam.jccm.es/web1/ciudadanos/elSescam/legislacion/Ley29_2006_Farmacia.pdf. Accessed 22 Jun 2009.
  17. 17.
    Johnson KA, Jennison KM. The drinking-smoking syndrome and social context. Int J Addict. 1992;27:749–92.PubMedGoogle Scholar
  18. 18.
    Carrasco-Garrido P, Jiménez-García R, Barrera VH, Gil de Miguel A. Predictive factors of self-medicated drug use among the Spanish adult population. Pharmacoepidemiol Drug Saf. 2008;17:193–9.CrossRefPubMedGoogle Scholar
  19. 19.
    Aaro LE, Laberg JC, Wold B. Health behaviours among adolescents towards a hipótesis of two dimensions. Health Educ Res. 1995;10:83–93.CrossRefGoogle Scholar
  20. 20.
    Raitakari OT, Leino M, Rakkonen K, Porkka KV, Taimela S, Räsänen L, et al. Clustering of risk habits in young adults. The cardiovascular risk in young Finns study. Am J Epidemiol. 1995;142:36–44.PubMedGoogle Scholar
  21. 21.
    Jaquier F, Buclin T, Diezi J. Self medication by the adolescent. Schweiz Med Wochenschr. 1998;128:203–7.PubMedGoogle Scholar
  22. 22.
    Westerlund M, Brånstad JO, Westerlund T. Medicine-taking behaviour and drug-related problems in adolescents of a Swedish high school. Pharm World Sci. 2008;30:243–50.CrossRefPubMedGoogle Scholar
  23. 23.
    Chambers CT, Reid GJ, McGrath PJ, Finley GA. Self-administration of OTC medication for pain among adolescents. Arch Pediatr Adolesc Med. 1997;151:449–55.PubMedGoogle Scholar
  24. 24.
    De Bolle L, Mehuys E, Adriaens E, Remon JP, Van Bortel L, Christiaens T. Home medication cabinets and self-medication: a source of potential health threats? Ann Pharmacother. 2008;42:572–9.CrossRefPubMedGoogle Scholar
  25. 25.
    Wazaify M, Al-Bsoul-Younes A, Abu-Gharbieh E, Tahaineh L. Societal perspectives on the role of community pharmacists and over-the-counter drugs in Jordan. Pharm World Sci. 2008;30:884–91.CrossRefPubMedGoogle Scholar
  26. 26.
    Agencia Española de Medicamentos y Productos Farmacéuticos. Ministerio de Sanidad y Consumo. https://sinaem4.agemed.es/consaem/fichasTecnicas.do?metodo=detalleForm. Accessed 6 Feb 2009.
  27. 27.
    Agencia Española de Medicamentos y Productos Farmacéuticos. Ministerio de Sanidad y Consumo. http://www.msc.es/campannas/campanas06/antibioticos3.htm. Accessed 6 Feb 2009.
  28. 28.
    Ausejo M, Apecechea C, Rodríguez MJ, Salgado L, Puerta MC, Izquierdo MC, et al. A study on anti-infective agent self-medication in 2 pharmacy offices. Aten Primaria. 1993;11:41–3.PubMedGoogle Scholar
  29. 29.
    Rothman KJ, Greenland S. Types of epidemiology study. In: Rothman KJ, Greenland S, editors. Modern epidemiology. 2nd ed. Philadelphia: Lippincott-Raven; 1998. p. 67–78.Google Scholar

Copyright information

© Springer Science+Business Media B.V. 2009

Authors and Affiliations

  • María Morales-Suárez-Varela
    • 1
    • 2
    • 3
    Email author
  • Agustín Llopis-González
    • 1
    • 2
  • Francisco Caamaño-Isorna
    • 1
    • 4
  • Natalia Gimeno-Clemente
    • 1
    • 2
  • Elías Ruiz-Rojo
    • 1
    • 5
  • Luís Rojo-Moreno
    • 1
    • 6
  1. 1.CIBER Epidemioloigía y Salud Pública (CIBERESP)BarcelonaSpain
  2. 2.Unit of Public Health and Environmental Care, Department of Preventive MedicineUniversity of ValenciaBurjassotSpain
  3. 3.Investigation FoundationDr. Peset University HospitalValenciaSpain
  4. 4.Unit of Public HealthUniversity of Santiago de CompostelaSantiago de CompostelaSpain
  5. 5.General Direction of Public Health Generalitat ValencianaValenciaSpain
  6. 6.Unit of Alimentary Conduct DisordersLa Fe University HospitalValenciaSpain

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