ArticleEuropean journal of clinical pharmacology2016
An ecological study of the extent and factors associated with the use of prescription and over-the-counter codeine in Australia.
Article in European journal of clinical pharmacology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
10 citing papers in PubMed, 40 citations in OpenAlex.
- A wastewater-based evaluation of the effectiveness of codeine control measures in Australia.Addiction (Abingdon, England) · 2023Article
- Understanding the Dynamics of More Restrictive Medicines Policy: A Case Study of Codeine Up-Scheduling in Australia.International journal of health policy and management · 2023Article
- The association between cannabis and codeine use: a nationally representative cross-sectional study in Canada.Journal of cannabis research · 2022Article
- Sales of Over-the-Counter Products Containing Codeine in 31 Countries, 2013-2019: A Retrospective Observational Study.Drug safety · 2022Observational
- What Do Young Adults Think about the Safety of Over-the-Counter Analgesics? Findings from a Cross-Sectional Survey.Pharmacy (Basel, Switzerland) · 2021Article
- Comparing rates and characteristics of ambulance attendances related to extramedical use of pharmaceutical opioids in Victoria, Australia from 2013 to 2018.Addiction (Abingdon, England) · 2020Observational
- Impact of Removing Nonprescription Codeine in Australia: Protocol for a Prospective Cohort Study.JMIR research protocols · 2020Article
- Trends in methamphetamine and opioid use among clients of needle-syringe programs in Queensland, Australia: 2007-2015.Drug and alcohol review · 2019Article
- Changes for codeine.Australian prescriber · 2018Article
- Do Pharmacists Have a Role in Recommending Codeine for Pain Management? Australian Perspectives.The Canadian journal of hospital pharmacyArticle
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe extent and factors associated with codeine use in the community remain poorly understood despite the widespread global use of codeine. The aim of this study was to examine the use of prescription and over-the-counter (OTC) codeine in Australia and identify the geographic and socio-demographic characteristics associated with prescription and OTC codeine use.
methodsNational sales data for prescription and OTC codeine (supplied by IMS Health) were used to estimate codeine utilisation (in pack sales and milligrammes) in Australia during 2013, mapped to Australian Bureau of Statistics (ABS) Statistical Local Areas (SLAs) and Remoteness Areas. Socio-demographic characteristics and total population estimates of SLAs were obtained from the ABS. SLA-level data on sex, age distribution, income, occupations involving physical labour and number of pharmacies were included in linear regression analyses to examine their association with total, prescription and OTC codeine use.
resultsIn total, 27,780,234 packs of codeine were sold in Australia during 2013, equating to 12,376 kg. OTC codeine preparations accounted for 15,490,207 packs (55.8 %) or 4967.30 kg (40.1 %). Nationally, an estimated 1.24 packs (or 554.10 mg) of codeine were sold per person; utilisation was higher in more remote areas. SLAs with a higher percentage of low-income earning households had the highest rates of prescription codeine use (β 0.16, p < 0.001), whereas SLAs with a higher percentage of males had the highest rates of OTC codeine use (β 0.22, p < 0.001).
conclusionsCodeine use is common in Australia, with clear distinctions in the geographic and socio-demographic characteristics associated with prescription and OTC codeine use.
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