Socio-demographic factors and long-term use of benzodiazepines in patients with depression, anxiety or insomnia
(2017) In Psychiatry Research 249. p.221-225- Abstract
Former studies that have attempted to characterize individual socio-demographic factors associated with long-term benzodiazepine use were based on relatively small sample sizes and/or self-reported data. Our aim was to clarify this using large-scale primary health care data from Sweden. The present study covered 71 primary health care centres containing individual-level data from a total of 919, 941 individuals who visited a primary health care centre (PHCC) during the period 2001–2007. From this database we selected individuals 25 years or older with depression, anxiety and/or insomnia and who were prescribed a benzodiazepine within 0–90 as well as 91–270 days after their first clinical diagnosis of depression, anxiety and/or insomnia.... (More)
Former studies that have attempted to characterize individual socio-demographic factors associated with long-term benzodiazepine use were based on relatively small sample sizes and/or self-reported data. Our aim was to clarify this using large-scale primary health care data from Sweden. The present study covered 71 primary health care centres containing individual-level data from a total of 919, 941 individuals who visited a primary health care centre (PHCC) during the period 2001–2007. From this database we selected individuals 25 years or older with depression, anxiety and/or insomnia and who were prescribed a benzodiazepine within 0–90 as well as 91–270 days after their first clinical diagnosis of depression, anxiety and/or insomnia. Older age (OR, 2.92, 95% CI, 2.28–3.84), middle SES (OR, 1.22, 95% CI, 1.08–1.38), being on social welfare (OR, 1.40, 95% CI, 1.23–1.62) and not being married were associated with higher long-term benzodiazepine use. The PHCCs only explained a small part of the individual variation in long-term benzodiazepine use. Awareness of the impact on long-term benzodiazepine use of certain individual-level socio-demographic factors is important for health care workers and decision-makers who should aim at targeting general interventions at all primary health care centres.
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- author
- Sjöstedt, Cecilia LU ; Ohlsson, Henrik LU ; Li, Xinjun LU and Sundquist, Kristina LU
- organization
- publishing date
- 2017-03-01
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Anxiety, Benzodiazepines, Depression, Primary care
- in
- Psychiatry Research
- volume
- 249
- pages
- 5 pages
- publisher
- Elsevier
- external identifiers
-
- pmid:28126576
- wos:000397377600034
- scopus:85010383280
- ISSN
- 0165-1781
- DOI
- 10.1016/j.psychres.2017.01.046
- language
- English
- LU publication?
- yes
- id
- 5197bcab-392c-42b6-bb8e-0b44e8e7f13c
- date added to LUP
- 2017-02-03 08:09:20
- date last changed
- 2024-09-21 08:31:09
@article{5197bcab-392c-42b6-bb8e-0b44e8e7f13c,
abstract = {{<p>Former studies that have attempted to characterize individual socio-demographic factors associated with long-term benzodiazepine use were based on relatively small sample sizes and/or self-reported data. Our aim was to clarify this using large-scale primary health care data from Sweden. The present study covered 71 primary health care centres containing individual-level data from a total of 919, 941 individuals who visited a primary health care centre (PHCC) during the period 2001–2007. From this database we selected individuals 25 years or older with depression, anxiety and/or insomnia and who were prescribed a benzodiazepine within 0–90 as well as 91–270 days after their first clinical diagnosis of depression, anxiety and/or insomnia. Older age (OR, 2.92, 95% CI, 2.28–3.84), middle SES (OR, 1.22, 95% CI, 1.08–1.38), being on social welfare (OR, 1.40, 95% CI, 1.23–1.62) and not being married were associated with higher long-term benzodiazepine use. The PHCCs only explained a small part of the individual variation in long-term benzodiazepine use. Awareness of the impact on long-term benzodiazepine use of certain individual-level socio-demographic factors is important for health care workers and decision-makers who should aim at targeting general interventions at all primary health care centres.</p>}},
author = {{Sjöstedt, Cecilia and Ohlsson, Henrik and Li, Xinjun and Sundquist, Kristina}},
issn = {{0165-1781}},
keywords = {{Anxiety; Benzodiazepines; Depression; Primary care}},
language = {{eng}},
month = {{03}},
pages = {{221--225}},
publisher = {{Elsevier}},
series = {{Psychiatry Research}},
title = {{Socio-demographic factors and long-term use of benzodiazepines in patients with depression, anxiety or insomnia}},
url = {{https://lup.lub.lu.se/search/files/28805751/20911633.pdf}},
doi = {{10.1016/j.psychres.2017.01.046}},
volume = {{249}},
year = {{2017}},
}