Evidence map›Paper›PMID 40374227›Full record

ArticleBMJ open2025

Disposal practices of unwanted household medications in China: a cross-sectional study.

Zhao Yang, Zhixin Liu, Qiyun Zhu, Weiqi Chen, Qingyuan Xue, Yaoguang Zhang, Xing Lin Feng, Bin Jiang

Abstract read
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Observational
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Zhao YangPeking University First Hospital, Beijing, China.
Zhixin LiuDepartment of Health Policy and Management, Peking University, Beijing, China.ORCID http://orcid.org/0009-0005-7758-4889
Qiyun ZhuUniversity of California at San Diego, San Diego, CA, USA.
Weiqi ChenPublic Policy Research Center, Peking University, Beijing, China.
Qingyuan XuePublic Policy Research Center, Peking University, Beijing, China.
Yaoguang ZhangNational Health Commission Information Center, Beijing, People's Republic of China.
Xing Lin FengDepartment of Health Policy and Management, Peking University, Beijing, China binjiang@bjmu.edu.cn fxl@bjmu.edu.cn.ORCID http://orcid.org/0000-0003-3588-1859
Bin JiangPublic Policy Research Center, Peking University, Beijing, China binjiang@bjmu.edu.cn fxl@bjmu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aimed to understand disposal practices of unwanted medications in Chinese households and examine associations between influencing factors and these disposal practices.

designA nationwide cross-sectional study conducted between 11 October and 26 October 2018.

settingMunicipalities directly under the central government and provincial capitals across 30 provinces and autonomous regions.

participantsA total of 6293 households participated in the study. PRIMARY AND SECONDARY OUTCOME MEASURES: A self-designed questionnaire was used to survey disposing methods of unwanted medications, which were categorised into three groups: household waste disposal, recycling and use or give unwanted medications to others.

results2771 (44%) households reported they have unwanted medications. The majority (89%) disposed of unwanted medications in the bin, sink or toilet. Having a family member of 65 years old and above (OR: 5.45; 95% CI: 3.20 to 9.26), having a family member of medical professions (OR: 1.45; 95% CI: 1.15 to 1.83), receiving information on proper disposal (OR: 6.03; 95% CI: 4.54 to 8.00) and having a high level of perception of risk to the environment (OR: 1.56; 95% CI: 1.05 to 2.30) were associated with recycling. Additionally, a household having more than 10 medications stored (OR: 1.73; 95% CI: 1.29 to 2.34) was more likely to dispose of unwanted medications in the bin or sink/toilet. Women were less likely to use unwanted medications or give them to others (OR: 0.59; 95% CI: 0.38 to 0.90). A higher perception of health risks was associated with increased recycling, particularly among middle-aged and older adults (OR: 1.60; 95% CI: 1.04 to 2.47) and decreased likelihood of using unwanted medications or giving them to others (OR: 0.36; 95% CI: 0.20 to 0.67).

conclusionsThere is an urgent need to establish a standardised management system for rational disposal of unwanted medications in China. This system should aim to promote and educate the public on rational stocking and use of medications, as well as appropriate disposal practices.

Indexed as

Refuse DisposalAdultAgedChinaCross-Sectional StudiesFamily CharacteristicsFemaleHumansMaleMiddle AgedRecyclingSurveys and QuestionnairesChinaMedicineRisk Factors

Identifiers

PMID40374227
PMCPMC12083272

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LicenceCC BY-NC
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.