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Title (Primary) Prices of over-the-counter drugs used by 15-year-old adolescents in Germany and their association with socioeconomic background
Author Italia, S.; Wolfenstetter, S.B.; Brueske, I.; Heinrich, J.; Berdel, D.; von Berg, A.; Lehmann, I.; Standl, M.; Teuner, C.M.;
Journal BMC Public Health
Year 2017
Department IMMU;
Volume 17
Language englisch;
POF III (all) F11;
Keywords Adolescent; Drug utilization; Drug prices; Socioeconomic factors; Over-the-counter drugs
Abstract Background: In Germany, over-the-counter (OTC) drugs are normally reimbursed up to the age of 12 years only. The aim of this study was to analyse prices of over-the-counter drugs used by adolescents in Germany and their association with socioeconomic factors.

Methods: Based on the German GINIplus and LISAplus birth cohorts, data on drug utilization among 15-year-old adolescents (n = 4677) were collected using a self-administered questionnaire. The reported drugs were subdivided into prescription drugs and OTC drugs. The drugs' prices were tracked by the pharmaceutical identification numbers.

Results: Overall, 1499 OTC drugs with clearly identifiable prices were eligible for analysis. Their mean price was (sic)9.75 (95% confidence interval: (sic)9.27-10.22). About 75% of the OTC drugs cost less than (sic)10. Higher mean prices were associated with residing in Munich ((sic)10.74; 95% confidence interval: (sic)9.97-11.52) and with higher paternal education (e.g. highest education level: (sic)10.17; 95% confidence interval: (sic)10.86). Adolescents residing in Munich (in comparison with the less wealthy region of Wesel) and adolescents with higher educated fathers were also significantly more likely to use OTC drugs costing >= (sic)10 or >= (sic)25, respectively.

Conclusions: The price of (sic)10 for non-reimbursable OTC drugs may represent a (psychological) threshold. Higher prices could discourage especially adolescents from a lower socioeconomic background from taking medically advisable but non-reimbursable OTC drugs.
ID 20465
Persistent UFZ Identifier https://www.ufz.de/index.php?en=20939&ufzPublicationIdentifier=20465
Italia, S., Wolfenstetter, S.B., Brueske, I., Heinrich, J., Berdel, D., von Berg, A., Lehmann, I., Standl, M., Teuner, C.M. (2017):
Prices of over-the-counter drugs used by 15-year-old adolescents in Germany and their association with socioeconomic background
BMC Public Health 17 , art. 904