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‘At-risk’ individuals’ responses to direct to consumer advertising of prescription drugs: a nationally representative cross-sectional study

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Summary:

This study analysed a subset of pharmaceuticalrelated and health-related questions from a large online survey covering a range of attitudes, behaviour, consumption and lifestyle questions. All respondents (2057 community-living NZ adults) were deemed to be demographically representative of the general population as regard to age, sex, education, ethnicity and income. The study researchers explored the factors determining individuals’ self-reported behavioural responses to direct to consumer advertising of prescription drugs (asking a physician for a prescription, asking a physician for more information about an illness, searching the internet for more information regarding an illness and asking a pharmacist for more information about a drug). In particular, the study examined whether ‘at-risk’ individuals (i.e. with poorer self-reported health status, older, less educated, lower income and ethnic minorities), may be more vulnerable to drug advertising and may make uninformed decisions accordingly. In multivariate logistic regression analyses, identifying as Indian and to a less extent Chinese, Māori and ‘other’ ethnicities were the strongest predictors of one or more self-reported responses (ORs 1.76–5.00; all p<0.05). Poorer self-reported health status (ORs 0.90–0.94; all p<0.05), favourable attitude towards drug advertising (ORs 1.34–1.61; all p<0.001) and searching for medical information online (ORs 1.32–2.35; all p<0.01) predicted all self-reported behavioural outcomes. Older age (ORs 1.01–1.02; all p<0.01), less education (OR 0.89; p<0.01), lower income (ORs 0.89–0.91; all p<0.05) and higher materialism (ORs 1.02–1.03; all p<0.01) also predicted one or more self-reported responses.

Comment:
I’ve included this article here as I believe it provides unique and interesting results; and it was thought-provoking. Would we see a similar demographic profile for people who respond to blogs, or Facebook groups, or non-medical doctors providing ‘health advice’? And what of the standards for these direct-to-consumer salespeople?
Reference: BMJ Open. 2017;7(12):e017865
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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