Age and sex disparities in drug shortage impacts: a 10-year nationwide study in France.

Drug shortages are a growing public health issue, unevenly impacting therapeutic classes. Despite variations in drug consumption across populations, the consequences of these shortages on different patient groups remain insufficiently characterized. This study investigated age and sex profiles of pa...

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Publicado en:European Journal of Public Health Vol. 36; no. 2; pp. 1 - 8
Autores principales: Belgodère, Laëtitia, Leleu, Christopher, Bacon, Trystan, Daynes, Pascale, Decoene, Christophe, Feugier, Patrick, Mazet, Roseline, Vial, Thierry, Vignot, Stéphane, Benkebil, Mehdi
Formato: research tables/charts Journal Article
Publicado: Oxford University Press / USA Apr2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2026
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      pub: Oxford University Press / USA
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        atl: Age and sex disparities in drug shortage impacts: a 10-year nationwide study in France.
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          Belgodère, Laëtitia
          Leleu, Christopher
          Bacon, Trystan
          Daynes, Pascale
          Decoene, Christophe
          Feugier, Patrick
          Mazet, Roseline
          Vial, Thierry
          Vignot, Stéphane
          Benkebil, Mehdi
        affil: Agence Nationale de Sécurité du Médicament et des Produits de Santé (ANSM), Saint Denis, France
      sug:
        subj:
          Healthcare Disparities Evaluation
          Medication Shortage France
          Age Factors
          Sex Factors
          Human
          France
          Female
          Male
          Young Adult
          Adult
          Middle Age
          Aged
          Retrospective Design
          Secondary Analysis
          Reimbursement Mechanisms
          Antiinfective Agents
          Analgesics
          Anticonvulsants
          Vaccines
          Renin-Angiotensin System
          T-Tests
          Wilcoxon Signed Rank Test
          Post Hoc Analysis
          Data Analysis Software
          Descriptive Statistics
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Female
          Male
      ab: Drug shortages are a growing public health issue, unevenly impacting therapeutic classes. Despite variations in drug consumption across populations, the consequences of these shortages on different patient groups remain insufficiently characterized. This study investigated age and sex profiles of patients consuming the therapeutic classes most commonly affected by drug shortages in France. The age and sex risk of shortage exposure were estimated in a nationwide retrospective study of French patients between 2014 and 2023, using data from the French drug shortage notification system and the national health insurance for the entire French population. Over 10 years, 17 505 drug shortage reports were recorded, 60.8% involving cardiovascular, nervous system, and anti-infective agents. Significantly higher mean percentages of consumers for drugs concerned by shortage reports per 1000 were observed in ≥60-year-old patients for 12 of the 14 therapeutic classes, compared to 20–59-year-old patients (P  = .002). Younger population was more significantly concerned by anti-infective agents (11.2 vs 9.2, P  = .002), respiratory system (1.8 vs 1.5, P  = .002), and sensory organ (0.7 vs 0.6, P  = .002) classes. Significantly higher mean percentages of consumers for drugs concerned by shortage reports per 1000 were observed for all Anatomical Therapeutic Chemical 1st level classes in women (P  = .002), but agents acting on the renin–angiotensin system were higher for men (2.32 vs 2.02; P  = .002). Our exploratory results suggest that a population-level approach is essential to understand how shortages affect different groups and exacerbate health inequalities.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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