Utilisation of antibiotics in young children: opposite relationships to adult educational levels in Danish and Swedish counties.
Melander, Eva ; Nissen, Aase ; Henricson, Karin LU ; Merlo, Juan LU
; Mölstad, Sigvard
; Kampmann, Jens P.
; Lithman, Thor
; Hansen, Ebba Holme
and Melander, Arne
LU
(2003)
In European Journal of Clinical Pharmacology
59(4).
p.331-335
- Abstract
- Background. Antibiotic utilisation varies profoundly among and within countries, and the extent of antibiotic utilisation correlates with the frequency of bacterial resistance, particularly among children. Hence, it is important to assess which factors may influence prescribing. In addition to variations in morbidity, health-care organisation, drug regulatory and supply systems, prescriber's attitudes, parents' behaviour, attitudes and socio-economic positions seem important. We compared socio-economic position (educational level of adults) and antibiotic utilisation in children in the municipalities within a Danish and a Swedish county which are geographically close, have similar social and economic development, and similar drug... (More)
- Background. Antibiotic utilisation varies profoundly among and within countries, and the extent of antibiotic utilisation correlates with the frequency of bacterial resistance, particularly among children. Hence, it is important to assess which factors may influence prescribing. In addition to variations in morbidity, health-care organisation, drug regulatory and supply systems, prescriber's attitudes, parents' behaviour, attitudes and socio-economic positions seem important. We compared socio-economic position (educational level of adults) and antibiotic utilisation in children in the municipalities within a Danish and a Swedish county which are geographically close, have similar social and economic development, and similar drug regulatory and supply systems. Methods. Data on antibiotic utilisation (1998), expressed in defined daily doses per 1000 inhabitants per day (DDD/TID), were obtained from the Copenhagen County Health Insurance register and from the National Corporation of Swedish Pharmacies. Data on municipal educational levels were obtained from Statistics Denmark and Statistics Sweden. Results. The utilisation of antibiotics in 0- to 6-year-old children was higher in the Swedish than in the Danish county but varied between the municipalities within both the Swedish (9.6-17.7 DDD/TID) and the Danish (8.0-12.9 DDD/TID) counties. Most notably, utilisation rates correlated negatively with the education levels in the Danish (r=-0.539, P=0.021) but positively in the Swedish (r=+0.390, P=0.025) municipalities. Conclusion. The observed variations in antibiotic prescribing may reflect different parental and/or prescriber attitudes towards use of antibiotics and they emphasise that antibiotic prescribing is influenced by factors other than the prevalence of bacterial infections. Relationships between socio-economic position (educational level) and drug utilisation should not be generalised from one area to another. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/116490
- author
- Melander, Eva
; Nissen, Aase
; Henricson, Karin
LU
; Merlo, Juan
LU
; Mölstad, Sigvard
; Kampmann, Jens P.
; Lithman, Thor
; Hansen, Ebba Holme
and Melander, Arne
LU
- organization
- publishing date
- 2003
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- children, utilisation, antibiotics
- in
- European Journal of Clinical Pharmacology
- volume
- 59
- issue
- 4
- pages
- 331 - 335
- publisher
- Springer
- external identifiers
-
- wos:000184777200010
- pmid:12856093
- scopus:0042913336
- pmid:12856093
- ISSN
- 1432-1041
- DOI
- 10.1007/s00228-003-0624-0
- language
- English
- LU publication?
- yes
- id
- 9792d755-1cf3-4680-9ea0-efa5f2668951 (old id 116490)
- alternative location
- http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=12856093&dopt=Abstract
- date added to LUP
- 2016-04-01 16:29:22
- date last changed
- 2022-01-28 20:06:47
@article{9792d755-1cf3-4680-9ea0-efa5f2668951,
abstract = {{Background. Antibiotic utilisation varies profoundly among and within countries, and the extent of antibiotic utilisation correlates with the frequency of bacterial resistance, particularly among children. Hence, it is important to assess which factors may influence prescribing. In addition to variations in morbidity, health-care organisation, drug regulatory and supply systems, prescriber's attitudes, parents' behaviour, attitudes and socio-economic positions seem important. We compared socio-economic position (educational level of adults) and antibiotic utilisation in children in the municipalities within a Danish and a Swedish county which are geographically close, have similar social and economic development, and similar drug regulatory and supply systems. Methods. Data on antibiotic utilisation (1998), expressed in defined daily doses per 1000 inhabitants per day (DDD/TID), were obtained from the Copenhagen County Health Insurance register and from the National Corporation of Swedish Pharmacies. Data on municipal educational levels were obtained from Statistics Denmark and Statistics Sweden. Results. The utilisation of antibiotics in 0- to 6-year-old children was higher in the Swedish than in the Danish county but varied between the municipalities within both the Swedish (9.6-17.7 DDD/TID) and the Danish (8.0-12.9 DDD/TID) counties. Most notably, utilisation rates correlated negatively with the education levels in the Danish (r=-0.539, P=0.021) but positively in the Swedish (r=+0.390, P=0.025) municipalities. Conclusion. The observed variations in antibiotic prescribing may reflect different parental and/or prescriber attitudes towards use of antibiotics and they emphasise that antibiotic prescribing is influenced by factors other than the prevalence of bacterial infections. Relationships between socio-economic position (educational level) and drug utilisation should not be generalised from one area to another.}},
author = {{Melander, Eva and Nissen, Aase and Henricson, Karin and Merlo, Juan and Mölstad, Sigvard and Kampmann, Jens P. and Lithman, Thor and Hansen, Ebba Holme and Melander, Arne}},
issn = {{1432-1041}},
keywords = {{children; utilisation; antibiotics}},
language = {{eng}},
number = {{4}},
pages = {{331--335}},
publisher = {{Springer}},
series = {{European Journal of Clinical Pharmacology}},
title = {{Utilisation of antibiotics in young children: opposite relationships to adult educational levels in Danish and Swedish counties.}},
url = {{http://dx.doi.org/10.1007/s00228-003-0624-0}},
doi = {{10.1007/s00228-003-0624-0}},
volume = {{59}},
year = {{2003}},
}