Table 2

Factors associated with off-label prescribing in univariate analysis

CharacteristicsOff-label prescription
Yes (n=911)
n (%)
No (n=4021)
n (%)
Total (n=4932)
n (%)
OR
(95% CI)
P
Drug
 Anteriority<0.01
   Renewed444 (48.7)2177 (54.1)2621 (53.2)Reference
   Initiated467 (51.3)1844 (45.9)2311 (46.8)1.27 (1.08 to 1.48)
 Main goal<0.01
   Specific326 (35.8)1791 (44.5)2117 (42.9)Reference
   Non-specific572 (62.8)2164 (53.8)2736 (55.5)1.48 (1.26 to 1.73)
   Unspecified13 (1.4)66 (1.6)79 (1.6)1.14 (0.58 to 2.07)
Patient/consultation
 Age (years)0.01
   0–14145 (15.9)477 (11.9)622 (12.6)1.44 (1.13 to 1.83)
   15–64381 (41.8)1726 (42.9)2107 (42.7)1.05 (0.88 to 1.24)
   65–100385 (42.3)1818 (45.2)2203 (44.7)Reference
 Gender0.95
   Female525 (57.6)2310 (57.4)2835 (57.5)Reference
   Male386 (42.4)1711 (42.6)2097 (42.5)1.01 (0.86 to 1.18)
 Seniority0.20
   New33 (3.6)194 (4.8)227 (4.6)Reference
   Known878 (96.4)3827 (95.2)4705 (95.4)1.30 (0.88 to 1.98)
 Fee exemption status for long-term condition0.09
   No623 (68.4)2611 (64.9)3234 (65.6)Reference
   Yes288 (31.6)1410 (35.1)1698 (34.4)0.86 (0.73 to 1.02)
 Fee exemption status for low income0.17
   No864 (94.8)3852 (95.8)4716 (95.6)Reference
   Yes47 (5.2)169 (4.2)216 (4.4)1.30 (0.89 to 1.86)
 Socioprofessional category<0.01
   Executive, intellectual profession13 (1.4)114 (2.8)127 (2.6)Reference
   Farmer/craftsman/shopkeeper/business owner/intermediate profession/employee193 (21.2)916 (22.8)1109 (22.5)1.73 (0.96 to 3.37)
    Worker46 (5.0)166 (4.1)212 (4.3)2.11 (1.07 to 4.38)
    Pensioner402 (44.1)1966 (48.9)2368 (48.0)1.64 (0.92 to 3.17)
    Inactive257 (28.2)859 (21.4)116 (22.6)2.38 (1.33 to 4.63)
 Duration≥10 min0.75
   Yes813 (89.2)3619 (90.0)4432 (89.9)Reference
   No98 (10.8)402 (10.0)500 (10.1)1.04 (0.80 to 1.35)
 Number of health problems managed (m [SD])2.9 (2.0)3.1 (2.1)3.0 (2.1)0.97 (0.93 to 1.01)0.09
 Number of drugs (m [SD])4.9 (3.1)4.8 (3.1)4.8 (3.1)1.02 (0.99 to 1.05)0.22
Physician
 Age (years)49.9 (7.7)49.7 (8.5)49.8 (8.3)1.00 (0.99 to 1.02)0.61
 Gender0.66
   Male596 (65.4)2685 (66.8)3281 (66.5)Reference
   Female315 (34.6)1336 (33.2)1651 (33.5)1.07 (0.79 to 1.44)
 Location of practice0.15
   Urban or semirural515 (56.5)2435 (60.6)2950 (59.8)Reference
   Rural396 (43.5)1586 (39.4)1982 (40.2)1.22 (0.93 to 1.61)
 Type of practice0.29
   Solo118 (13.0)619 (15.4)737 (14.9)Reference
   Collective793 (87.0)3402 (84.6)4195 (85.1)1.24 (0.83 to 1.87)
 Pharmaceutical representatives per week (m [SD])0.80 (1.2)0.78 (1.2)0.78 (1.2)1.03 (0.91 to 1.16)0.65
 PHIR visits per year (m [SD])2.3 (2.2)2.5 (2.1)2.5 (2.1)0.95 (0.90 to 1.01)0.12
  • m, mean; PHIR, public health insurance representatives.