中国中老年人自我药疗发生率及影响因素研究：基于CHARLS 2011年, 2013年和2015年的面板数据

doi:10.5246/jcps.2019.06.042

摘要/Abstract

摘要：

自我药疗行为越来越普遍, 对中国中老年人健康有着重要影响。本研究分析了中国中老年人自我药疗的发生率, 并探讨了自我药疗行为的影响因素。自我药疗发生率的计算方式为自我药疗的人数除以整个人群的数量。使用面板数据随机效应模型分析自我药疗行为的影响因素。数据来自2011年、2013年和2015年中国健康与养老追踪调查数据库, 删除缺失值后, 2011年、2013年和2015年的样本量分别为16 962、17 876、19 572。计算得到三年自我药疗的平均发生率为45.52%。平均11.70%的受访者使用处方药进行了自我药疗。生活在城市(P = 0.009)和西部地区(P = 0.000)的调查对象自我药疗发生率较高。政府应对自我药疗发生率较高的中老年人群体, 如生活在中西部地区和城市的人, 加强合理使用自我药疗的指导。

关键词: 自我药疗, 发生率, 影响因素, 中国中老年人

Abstract:

Self-medication is an increasingly frequent phenomenon worldwide and has an important influence on health. In this study, we analyzed the self-medication prevalence rate in Chinese middle-aged and elderly people, and explored the influence factors. The data from China Health and Retirement Longitudinal Study (CHARLS) in 2011, 2013 and 2015 were used. Self-medication prevalence was calculated as the number of whole people divided by the number of people taking self-medication. The influence factors of self-medication were analyzed by panel data random effect model. We excluded observations with missing values in our analysis, leaving 16 962, 17 876 and 19 572 observations in 2011, 2013 and 2015, respectively. The average 3-year self-medication prevalence was 45.52%. Moreover, 11.70% of respondents practiced self-medication with prescription medicine in 2011, 2013 and 2015. Respondents living in non-rural areas (P = 0.009) and western region (P = 0.000) took more self-medication. Self-medicationwas a common phenomenon among middle-aged and elderly population in China. The government should strengthen the guidance for the middle-aged and elderly people who took more self-medication, such as those living in urban and western region.

Key words: Self-medication, Prevalence, Influence factors, Chinese middle-aged and elderly people

中图分类号:

R956

Supporting:

王壮飞, 管晓东, 周越, 韩晟, 姚鹏, 史录文. 中国中老年人自我药疗发生率及影响因素研究：基于CHARLS 2011年, 2013年和2015年的面板数据[J]. 中国药学(英文版), 2019, 28(6): 430-438.

Zhuangfei Wang, Xiaodong Guan, Yue Zhou, Sheng Han, Peng Yao, Luwen Shi. Prevalence and influence factors of self-medication in Chinese middle-aged and elderly people: evidence from 2011, 2013 and 2015 CHARLS panel data[J]. Journal of Chinese Pharmaceutical Sciences, 2019, 28(6): 430-438.

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