Recent patterns of medication use in the ambulatory adult population of the United States: the Slone survey - PubMed (original) (raw)
. 2002 Jan 16;287(3):337-44.
doi: 10.1001/jama.287.3.337.
Affiliations
- PMID: 11790213
- DOI: 10.1001/jama.287.3.337
Recent patterns of medication use in the ambulatory adult population of the United States: the Slone survey
David W Kaufman et al. JAMA. 2002.
Abstract
Context: Data on the range of prescription and over-the-counter drug use in the United States are not available.
Objective: To provide recent population-based information on use of all medications, including prescription and over-the-counter drugs, vitamins and minerals, and herbal preparations/natural supplements in the United States.
Design, setting, and participants: Ongoing telephone survey of a random sample of the noninstitutionalized US population in the 48 continental states and the District of Columbia; data analyzed here were collected from February 1998 through December 1999.
Main outcome measure: Use of medications, by type, during the preceding week, compared by demographic characteristics.
Results: Among 2590 participants aged at least 18 years, 81% used at least 1 medication in the preceding week; 50% took at least 1 prescription drug; and 7% took 5 or more. The highest overall prevalence of medication use was among women aged at least 65 years, of whom 12% took at least 10 medications and 23% took at least 5 prescription drugs. Herbals/supplements were taken by 14% of the population. Among prescription drug users, 16% also took an herbal/supplement; the rate of concurrent use was highest for fluoxetine users, at 22%. Reasons for drug use varied widely, with hypertension and headache mentioned most often (9% for each). Vitamins/minerals were frequently used for nonspecific reasons such as "health" (35%); herbals/supplements were also most commonly used for "health" (16%).
Conclusions: In any given week, most US adults take at least 1 medication, and many take multiple agents. The substantial overlap between use of prescription medications and herbals/supplements raises concern about unintended interactions. Documentation of usage patterns can provide a basis for improving the safety of medication use.
Comment in
- Trends in medication use in the United States.
Omonuwa S. Omonuwa S. JAMA. 2002 Apr 10;287(14):1804-5; author reply 1805. doi: 10.1001/jama.287.14.1804. JAMA. 2002. PMID: 11939862 No abstract available.
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