[Application of medicines and nutritional supplements in childhood and adolescence in Germany : Results from KiGGS Wave 2]

Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2019 Oct;62(10):1215-1224. doi: 10.1007/s00103-019-03008-7.
[Article in German]

Abstract

In KiGGS Wave 2, data from 3‑ to 17-year-olds were collected from a total of 3462 persons using a standardized interview on the current use of AM/NEM in the last seven days. For trends analysis, data from 14,679 study participants in the same age group from the KiGGS baseline study were used.In KiGGS Wave 2, 36.4% (95% CI 34.1-38.8) of the 3‑ to 17-year-olds had used at least one AM/NEM in the last seven days. The prevalence was highest at 46.5% in 14- to 17-year-olds and significantly different between girls and boys (56.4% vs. 37.3%). Only among girls were there significant differences by migrant background with a higher prevalence of use among girls without a migrant background.Most frequently, the preparations used were for treatment of the respiratory tract (girls: 14.2%, boys: 14.9%), followed by "Varia" (girls: 8.7%, boys: 9.3%) and preparations for the treatment of the musculoskeletal system (girls: 8.9%, boys: 5.8%). There was a significant decrease in the overall prevalence of medicine use compared to the KiGGS baseline study (46.4% vs. 36.4%). This decrease was mainly due to lower prevalences of use in the ATC main groups "N Nervous System" (7.5% vs. 5.4%), "J Systemic Anti-infectives" (2.5% vs. 1.4%) and "H Systemic Hormones, excl. Sexual Hormones and Insulins" (2.0% vs. 1.1%).The results describe key points in the use of AM/NEM, including self-medication for children and adolescents in Germany. They illustrate the use behaviour and represent a valuable supplement to prescription data.

Keywords: Anatomical Therapeutic Chemical (ATC) Classification System; Drug use; KiGGS (German Health Interview and Examination Survey for Children and Adolescents); Self-medication; Trend.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Adolescent Health
  • Child
  • Child Health
  • Cross-Sectional Studies
  • Dietary Supplements / statistics & numerical data*
  • Female
  • Germany / epidemiology
  • Health Surveys
  • Humans
  • Male
  • Prevalence
  • Self Medication / statistics & numerical data*