Prevalence and determinants of polypharmacy in Switzerland: data from the CoLaus study.

Détails

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Etat: Public
Version: Final published version
Licence: CC BY 4.0
ID Serval
serval:BIB_FBD997F2C9F9
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Prevalence and determinants of polypharmacy in Switzerland: data from the CoLaus study.
Périodique
BMC health services research
Auteur⸱e⸱s
Castioni J., Marques-Vidal P., Abolhassani N., Vollenweider P., Waeber G.
ISSN
1472-6963 (Electronic)
ISSN-L
1472-6963
Statut éditorial
Publié
Date de publication
21/12/2017
Peer-reviewed
Oui
Volume
17
Numéro
1
Pages
840
Langue
anglais
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: epublish
Résumé
Polypharmacy is a frequent condition, but its prevalence and determinants in the Swiss mid-aged population are unknown. We aimed to evaluate the prevalence and determinants of polypharmacy in a large Swiss mid-aged population-based sample.
Data from 4938 participants of the CoLaus study (53% women, age range 40-81 years) were collected between 2009 and 2012. Polypharmacy was defined by the regular use of five or more drugs.
Polypharmacy was reported by 580 participants [11.8%, 95% confidence interval (10.9; 12.6)]. Participants on polypharmacy were significantly older (mean ± standard deviation: 66.0 ± 9.1 vs. 56.6 ± 10.1 years), more frequently obese (35.9% vs. 14.7%), of lower education (66.6% vs. 50.7%) and former smokers (46.7% vs. 36.4%) than participants not on polypharmacy. These findings were confirmed by multivariate analysis: odds ratio and (95% confidence interval) for age groups 50-64 and 65-81 relative to 40-49 years: 2.90 (2.04; 4.12) and 10.3 (7.26; 14.5), respectively, p for trend < 0.001; for low relative to high education: 1.56 (1.17; 2.07); for overweight and obese relative to normal weight participants: 2.09 (1.65; 2.66) and 4.38 (3.39; 5.66), respectively, p for trend < 0.001; for former and current relative to never smokers: 1.42 (1.14, 1.75) and 1.63 (1.25, 2.12), respectively, p for trend < 0.001.
One out of nine participants of our sample is on polypharmacy. Increasing age, body mass index, smoking and lower education independently increase the likelihood of being on polypharmacy.
Mots-clé
Adult, Age Factors, Aged, Aged, 80 and over, Body Mass Index, Educational Status, Female, Humans, Male, Middle Aged, Multivariate Analysis, Overweight, Polypharmacy, Prevalence, Smoking, Epidemiology, Socio-economic
Pubmed
Web of science
Open Access
Oui
Création de la notice
03/01/2018 11:29
Dernière modification de la notice
20/08/2019 16:27
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