Mixed Messages, Mixed Outcomes: Exposure to Direct-to-Consumer Advertising for Statin Drugs is Associated with More Frequent Visits to Fast Food Restaurants and Exercise
Mixed Messages, Mixed Outcomes: Exposure to Direct-to-Consumer Advertising for Statin Drugs is Associated with More Frequent Visits to Fast Food Restaurants and Exercise
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DOI：
10.1080/10410236.2016.1177903
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发表时间：
2017-07-01
影响因子：
3.9
通讯作者：
Mathios, Alan
中科院分区：
文献类型：
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作者：
Niederdeppe, Jeff;Avery, Rosemary J.;Mathios, Alan
本研究旨在探讨他汀类药物的直接面向消费者的广告（DTCA）是否与预防心血管疾病的非药物行为相关。我们关注他汀类药物DTCA暴露与（a）快餐店访问频率和（B）运动频率之间的关系。我们结合联合收割机数据的电视广播可用性的他汀类药物的DTCA在大型媒体市场在美国与18波的西蒙斯全国消费者调查（NCS; n=120，229）从2001年至2009年。我们发现，他汀类药物DTCA暴露与剂量反应模式相关，运动频率适度增加，快餐店访问频率大幅增加。他汀类药物DTCA暴露和快餐店访问之间的关系在很大程度上是一致的方向，但在那些以前没有诊断为高胆固醇和那些用他汀类药物治疗高胆固醇之间的幅度不同。最后，我们讨论了这些结果对未来研究药物DTCA和人口健康的影响。
This study examines whether exposure to direct-to-consumer advertising (DTCAs) for statin drugs is associated with non-pharmaceutical behaviors to prevent cardiovascular disease. We focus on the relationship between statin drug DTCA exposure and the frequency of (a) visits to fast-food restaurants and (b) exercise. We combine data on the televised broadcast availability of statin drug DTCAs in large media markets in the United States with 18 waves of the Simmons National Consumer Survey (NCS; n=120, 229) from 2001 to 2009. We find that statin drug DTCA exposure is associated, in a dose-response pattern, with modest increases in the frequency of exercise and large increases in the frequency of fast-food-restaurant visits. The relationship between statin DTCA exposure and fast-food-restaurant visits were largely consistent in direction but differed in magnitude between those without a previous diagnosis of high cholesterol and those treating high cholesterol with a statin. We conclude with a discussion of the implications of these results for future research on pharmaceutical DTCA and population health.