Trends in B-Vitamin Prescriptions From Military Treatment Facilities: 2007 to 2011

Krieger, Joshua; Arnold, Rebecca M.; Attipoe, Selasi; Jones, Donnamaria; Stephens, Mark B.; Deuster, Patricia A.

doi:10.7205/milmed-d-14-00497

Cited by 2 publications

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“…The US Department of Defense PDTS captures all medications dispensed at military treatment facilities and retail pharmacies. A few previous studies used PDTS data to examine trends in some DS prescriptions to all personnel (military and dependents) eligible for care in military medical treatment facilities from 2007 to 2011 [ 15 – 17 ] and we have described the overall temporal trends in DS prescriptions filled by SMs from 2005 to 2013 [ 18 ]. In this paper, we describe temporal trends in DS prescriptions in relation to specific demographic characteristics including military service, sex, and age.…”

Section: Introductionmentioning

confidence: 99%

Demographic factors associated with dietary supplement prescriptions filled by United States Military Service Members 2005–2013

Knapik

Jean

Austin

et al. 2017

BMC Complement Altern Med

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BackgroundDietary supplements (DSs) can be purchased over-the-counter but may also be prescribed by medical personnel for specific therapeutic reasons. Few studies have examined this latter source of DSs despite the fact that 79% of physicians and 82% of nurses have recommended DSs to their patients. This investigation examined demographic factors associated with temporal trends in oral DS prescriptions filled by all United States (US) service members (SMs) from 2005 to 2013 (n = 1,427,080 ± 22,139, mean ± standard deviation per year).MethodsThe Food and Drug Administration National Drug Code database and the formularies of the US Defense Health Agency’s Pharmacoeconomic Center were queried to identify DSs available to SMs. The number of these DS prescriptions filled by all SMs from 2005 through 2013 was then obtained from the US Department of Defense Pharmacy Data Transaction System. Data were grouped by American Hospital Formulary System (AHFS) pharmacologic-therapeutic classifications and examined over time. Denominators (number of SMs each year) were obtained from the Defense Health Agency.ResultsMajor findings included 1) generally greater prevalence of prescriptions filled by women and older SMs for most AHFS categories; 2) a temporal decline in total prescriptions filled by Marine Corps personnel accounted for by a decline in the prevalence of zinc preparations filled by younger male Marines; 3) a temporal decline in the prevalence of iron preparations filled by women; 4) a temporal increase in the prevalence of prescriptions for replacement preparations filled by women accounted for largely by more prescriptions for calcium compounds; and 5) a temporal decline in the prevalence of prescriptions filled for cathartics/laxatives in older SMs accounted for largely by a decline in prescriptions for sodium/potassium compounds.ConclusionsThese temporal trends may be associated with the greater health care utilization of women and older SMs as well as the perceptions of prescribers and/or patients on appropriate roles of these substances in medicine and public health.

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Section: Introductionmentioning

confidence: 99%

Demographic factors associated with dietary supplement prescriptions filled by United States Military Service Members 2005–2013

Knapik

Jean

Austin

et al. 2017

BMC Complement Altern Med

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Temporal trends in dietary supplement prescriptions of United States military service members suggest a decrease in pyridoxine and increase in vitamin D supplements from 2005 to 2013

et al. 2016

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Dietary supplements (DSs) can be obtained over-the-counter but can also be prescribed by health-care providers for therapeutic reasons. Few studies have documented this later source despite the fact that 79% of physicians and 82% of nurses have recommended DSs to patients. This investigation assessed prevalence and temporal trends in oral DS prescriptions filled by all United States service members (SMs) from 2005 to 2013 (n = 1 427 080 ± 22 139, mean ± standard deviation (SD)/y). We hypothesize that there would be temporal variations in specific types of DSs. Data obtained from Department of Defense Pharmacy Data Transaction System were grouped by American Hospital Formulary System pharmacologic-therapeutic classifications and prevalence examined over time. About 11% of SMs filled one or more DS prescriptions of 235 180 ± 4926 (mean ± SD) prescriptions/y over the 9-year period. Curve-fitting techniques indicated significant linear declines over time for multivitamins (P = .004), iron preparations (P < .001), antacids (P < .001), and vitamin B and B complex vitamins (P < .001). There were significant quadratic trends indicating a rise in early years followed by a leveling off in later years for replacement preparations (P < .001) and vitamin C (P < .001). There were significant quadratic trends (P < .001) for vitamin E indicating a decline in early years and leveling off in later years, and vitamin D indicating little change in early years followed by a large rise subsequently (P < .001). This study identified temporal trends in specific DS categories that may be associated with changing perceptions of prescribers and/or patients of the appropriate roles of DSs in medicine and public health.

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Trends in B-Vitamin Prescriptions From Military Treatment Facilities: 2007 to 2011

Abstract: No single pattern in B-vitamin prescriptions was observed. The driving forces behind increases in prescribed and non-prescribed dietary supplement use remain speculative.

Cited by 2 publications

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Demographic factors associated with dietary supplement prescriptions filled by United States Military Service Members 2005–2013

Demographic factors associated with dietary supplement prescriptions filled by United States Military Service Members 2005–2013

Temporal trends in dietary supplement prescriptions of United States military service members suggest a decrease in pyridoxine and increase in vitamin D supplements from 2005 to 2013

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