A1 Refereed original research article in a scientific journal
Self-reported health problems due to prescription drug use and non-medical use of prescription drugs - a population-based study
Authors: Karjalainen Karoliina, Niemelä Solja, Rönka Sanna, Lintonen Tomi
Publisher: TAYLOR & FRANCIS INC
Publication year: 2022
Journal: Journal of Substance Use
Journal name in source: JOURNAL OF SUBSTANCE USE
Journal acronym: J SUBST USE
Volume: 27
Issue: 6
First page : 616
Last page: 622
Number of pages: 7
ISSN: 1465-9891
eISSN: 1475-9942
DOI: https://doi.org/10.1080/14659891.2021.1968969
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.
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.
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