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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
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
  • 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
2018-05-27 04:39:07
@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},
  keyword      = {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          = {http://dx.doi.org/10.1016/j.psychres.2017.01.046},
  volume       = {249},
  year         = {2017},
}