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Sociodemographic patterns in pharmacy dispensing of medications for erectile dysfunction in Sweden
University of Skövde, School of Health and Education. University of Skövde, Health and Education. Unit for Social Epidemiology, Faculty of Medicine, CRC, Lund University, Malmö, Sweden. (Individ och samhälle, Individual and Society - VIDSOC)ORCID iD: 0000-0003-4616-9525
Unit for Social Epidemiology, Faculty of Medicine, CRC, Lund University, Malmö, Sweden / Department of Sociology, Faculty of Social Sciences, Lund University, Lund, Sweden.
Unit for Social Epidemiology, Faculty of Medicine, CRC, Lund University, Malmö, Sweden.
Unit for Social Epidemiology, Faculty of Medicine, CRC, Lund University, Malmö, Sweden.
2018 (English)In: European Journal of Clinical Pharmacology, ISSN 0031-6970, E-ISSN 1432-1041, Vol. 74, no 2, p. 209-218Article in journal (Refereed) Published
Abstract [en]

PURPOSE: The purpose of this study is to investigate the relationship between sociodemographic factors and pharmacy dispensing of medications for erectile dysfunction (ED) in the general population of middle-aged and elderly men. By considering a number of medical conditions that could promote or contraindicate use of ED medication, the analysis could help capture prescription patterns that might not be explained by medical needs.

METHODS: Individual-level pharmacy dispensing data from 2006 for a population-based cohort of 216,148 men aged 45-79 years in the county Scania, Sweden, were analysed. Multiple logistic regression was applied, and area under the receiver operating characteristic curve (AUC) was calculated to quantify the discriminatory accuracy (DA) of the associations. National trends in pharmacy dispensing of ED medication between 2006 and 2016 were also analysed.

RESULTS: Pharmacy dispensing of ED medication increased between 2006 and 2016, particularly among men aged 65-79 years (from 6.8 to 9.2%). Dispensing of ED medication was positively associated with higher socioeconomic position, and divorced and widowed men were more likely to fill a prescription with ED medication than married men. These associations remained after adjusting for medical conditions. The DA of the associations was, however, rather low (AUC = 0.69 among 45-64 year olds and AUC = 0.65 among 65-79 year olds).

CONCLUSIONS: Pharmacy dispensing of ED medication seem linked to the individuals socioeconomic position, age and marital status suggesting sociodemographic disparities in the pharmacy dispensing targeting sexual function. However, the low DA of the associations shows the limited capacity of these factors to predict ED medication use at the individual level.

Place, publisher, year, edition, pages
2018. Vol. 74, no 2, p. 209-218
Keywords [en]
Drug utilisation research, Erectile dysfunction, Masculinity, Pharmacoepidemiology, Phosphodiesterase type 5 inhibitors
National Category
Health Sciences
Research subject
Individual and Society VIDSOC
Identifiers
URN: urn:nbn:se:his:diva-14622DOI: 10.1007/s00228-017-2361-9ISI: 000419893700008PubMedID: 29101427Scopus ID: 2-s2.0-85032835006OAI: oai:DiVA.org:his-14622DiVA, id: diva2:1171060
Available from: 2018-01-05 Created: 2018-01-05 Last updated: 2018-01-25Bibliographically approved

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Bjerkeli, Pernilla J.

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