{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T22:47:46Z","timestamp":1784155666275,"version":"3.55.0"},"reference-count":32,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2022,11,13]],"date-time":"2022-11-13T00:00:00Z","timestamp":1668297600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J intellect Disabil Res"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>People with intellectual disability (ID) are a vulnerable group in our society; many of them depend on other people for assistance in their everyday lives. Compared with the general population, people with ID have poorer general health and, therefore, need more healthcare services and use more medicines. The aim of this study is to define the population of all Finnish people with ID using administrative data and to compare their medicine use and expenditure on medicines to those of the age\u2010matched and sex\u2010matched controls.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>People with ID and their age\u2010matched and sex\u2010matched controls (1:1) were extracted from nationwide healthcare and social allowance registers. Administrative register data on all prescription medicine purchases in 2019 were used to determine the prevalence of medicine use in both groups on a general level and by medicine categories. The differences in the prevalence of medicine use between the two groups were analysed using the logistic regression model. In addition, we studied the total expenditure on reimbursable medicine purchases covered by the National Health Insurance between people with ID and control group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The subpopulation of people with ID consisted 37\u2009196 individuals, of whom 82.7% purchased prescription medicines in 2019. The corresponding share of individuals purchasing prescription medicines in the control group was 70.3%. The differences in the prevalence of medicine use between the two populations were highest in the younger age groups (0\u20136, 7\u201312 and 13\u201317). In the study population, 28.1% (OR\u00a0=\u00a012.28; 95% CI: 11.54\u201313.07) of the people used antipsychotics, making it the most used medicine category in people with ID. In the control group, 3.3% of people used antipsychotics. Compared with the control group, the use of antiepileptics, drugs for constipation, mineral supplements and anxiolytics was four to seven times higher among people with ID. Furthermore, the median expenditure on medicine use among people with ID was four times higher than in the control group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Compared with the control group, people with ID used more medicines, especially psychotropics, and their expenditure on medicine use was higher.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jir.12988","type":"journal-article","created":{"date-parts":[[2022,11,14]],"date-time":"2022-11-14T05:14:33Z","timestamp":1668402873000},"page":"1291-1305","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Medicine use in people with intellectual disabilities: a Finnish nationwide register study"],"prefix":"10.1111","volume":"67","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7226-0173","authenticated-orcid":false,"given":"F.","family":"Nurminen","sequence":"first","affiliation":[{"name":"Research Unit The Social Insurance Institution  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.","family":"R\u00e4tt\u00f6","sequence":"additional","affiliation":[{"name":"Research Unit The Social Insurance Institution  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2571-7118","authenticated-orcid":false,"given":"M.","family":"Arvio","sequence":"additional","affiliation":[{"name":"P\u00e4ij\u00e4t\u2010H\u00e4me Joint Municipal Authority, Neurology  Lahti Finland"},{"name":"PEDEGO Oulu University Hospital  Oulu Finland"},{"name":"Department of General Practice Turku University  Turku Finland"},{"name":"Turku University Central Hospital  Turku Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Teittinen","sequence":"additional","affiliation":[{"name":"Research Unit The Social Insurance Institution  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H. T.","family":"Vesala","sequence":"additional","affiliation":[{"name":"Finnish Association on Intellectual and Developmental Disabilities (FAIDD)  Espoo Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Saastamoinen","sequence":"additional","affiliation":[{"name":"Research Unit The Social Insurance Institution  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,11,13]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"Aaltonen K. Miettinen J. Maljanen T. Virta L. Martikainen J. E.(2018)L\u00e4\u00e4kkeiden m\u00e4\u00e4r\u00e4\u00e4minen avohoidon eri sektoreilla. 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