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Socio-demographic factors and long-term use of benzodiazepines in patients with depression, anxiety or insomnia

Sjöstedt, Cecilia LU ; Ohlsson, Henrik LU ; Li, Xinjun LU and Sundquist, Kristina LU (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
; ; and
organization
publishing date
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
  • scopus:85010383280
  • pmid:28126576
  • wos:000397377600034
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
2024-10-05 11:20:00
@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}},
}