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. 2012 Jan 5;175(4):348–358. doi: 10.1093/aje/kwr292

Table 3.

Prevalence of Analgesic Use According to Detection of Urinary Acetaminophen and Ibuprofen Metabolites and According to Self-Reports Among Female Participants, by Country and Age Group, International Study of Macro-/Micro-Nutrients and Blood Pressure, 1996–1999

Source of Data on Analgesic Use Country and Age Group, years
Japan (n = 568)
China (n = 416)
United Kingdom (n = 231)
United States (n = 1,079)
Total (All Ages) (n = 2,294)
40–49 (n = 291)
50–59 (n = 277)
40–49 (n = 212)
50–59 (n = 204)
40–49 (n = 128)
50–59 (n = 103)
40–49 (n = 541)
50–59 (n = 538)
No. % No. % No. % No. % No. % No. % No. % No. % No. %
Acetaminophen signals in 1H NMR urine spectra
    First urine specimen 7 2.4 8 2.9 5 2.4 7 3.4 19 14.8 18 17.5 62 11.5 73 13.6 199 8.7
    Second urine specimen 8 2.7 4 1.4 6 2.8 3 1.5 17 13.3 22 21.4 54 10.0 78 14.5 192 8.4
    First or second urine specimen 13 4.5 11 4.0 10 4.7 10 4.9 32 25.0 30 29.1 90 16.6 118 21.9 314 13.7
    First and second urine specimens 2 0.7 1 0.4 1 0.5 0 0 4 3.1 10 9.7 26 4.8 33 6.1 77 3.4
Ibuprofen signals in 1H NMR urine spectra
    First urine specimen 0 0 0 0 0 0 3 1.5 3 2.3 4 3.9 43 7.9 54 10.0 107 4.7
    Second urine specimen 1 0.3 0 0 2 0.9 1 0.5 3 2.3 4 3.9 55 10.2 57 10.6 123 5.4
    First or second urine specimen 1 0.3 0 0 2 0.9 3 1.5 5 3.9 6 5.8 75 13.9 83 15.4 175 7.6
    First and second urine specimens 0 0 0 0 0 0 1 0.5 1 0.8 2 1.9 23 4.3 28 5.2 55 2.4
Acetaminophen and/or ibuprofen signals in 1H NMR urine spectra
    First urine specimen 7 2.4 8 2.9 5 2.4 10 4.9 22 17.2 21 20.4 100 18.5 123 22.9 296 12.9
    Second urine specimen 9 3.1 4 1.4 8 3.8 4 2.0 20 15.6 25 24.3 107 19.8 127 23.6 304 13.3
    First or second urine specimen 14 4.8 11 4.0 12 5.7 13 6.4 36 28.1 35 34.0 153 28.3 186 34.6 460 20.1
    First and second urine specimens 2 0.7 1 0.4 1 0.5 1 0.5 6 4.7 11 10.7 54 10.0 64 11.9 140 6.1
Self-reported analgesic use
    First clinic visit 5 1.7 4 1.4 5 2.4 6 2.9 6 4.7 8 7.8 50 9.2 87 16.2 171 7.5
    Third clinic visit 2 0.7 2 0.7 6 2.8 14 6.9 7 5.5 11 10.7 51 9.4 79 14.7 172 7.5
    First or third clinic visit 5 1.7 5 1.8 10 4.7 18 8.8 10 7.8 15 14.6 71 13.1 106 19.7 240 10.5
    First and third clinic visits 2 0.7 1 0.4 1 0.5 2 1.0 3 2.3 4 3.9 30 5.5 60 11.2 103 4.5

Abbreviation: 1H NMR, hydrogen-1 nuclear magnetic resonance.