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不同社会经济群体中抗抑郁药的使用情况及新型抗抑郁药的引入:一项基于丹麦登记处的横断面研究。

The use of antidepressants and introduction of new types in different socio-economic groups: a Danish registry-based cross-sectional study.

作者信息

Roer Kent, Fonager Kirsten, Bingley Paul, Mortensen Jens T

机构信息

Department of Social Medicine, Aalborg Hospital, Aalborg, Denmark.

出版信息

Nord J Psychiatry. 2010 Aug;64(4):268-72. doi: 10.3109/08039480903532320.

Abstract

BACKGROUND

Danish registry-based studies have found socio-economic differences in drug use. The extent to which the use of antidepressants differs between socio-economic groups is unknown.

AIM

  1. to examine the association between socio-economic status (SES) and use of antidepressants 2) to evaluate the introduction of new types of antidepressants.

METHODS

A registry-based cross-sectional study linking information from administrative registries in North Jutland County, Denmark, 1995-99.

MAIN OUTCOME MEASURES

  1. the prevalence proportion for use of antidepressants in different SES groups and by sex, and the estimated prevalence proportion ratio; 2) the proportion using the new drugs in different socio-economic groups through the study period.

RESULTS

Women used antidepressants more than twice as often as men with an increasing tendency for both men and women. The use of antidepressants was highest in persons outside the labour market. Among employees, the proportion using new types of antidepressants increased from 1% to 18%. High SES seemed to correlate to higher use of new antidepressants. The new antidepressants were introduced faster among men compared with women.

CONCLUSION

The study showed differences in purchase of antidepressants in different SES groups. Furthermore, it showed faster introduction of new antidepressants among men and employees with high SES.

摘要

背景

丹麦基于登记处的研究发现了药物使用方面的社会经济差异。社会经济群体之间抗抑郁药的使用差异程度尚不清楚。

目的

1)研究社会经济地位(SES)与抗抑郁药使用之间的关联;2)评估新型抗抑郁药的引入情况。

方法

一项基于登记处的横断面研究,将丹麦北日德兰郡1995 - 1999年行政登记处的信息进行关联。

主要观察指标

1)不同SES组和不同性别人群中抗抑郁药的使用患病率比例以及估计的患病率比例比值;2)在研究期间不同社会经济群体中使用新药的比例。

结果

女性使用抗抑郁药的频率是男性的两倍多,且男性和女性都有上升趋势。劳动力市场以外的人群中抗抑郁药的使用最为普遍。在员工中,使用新型抗抑郁药的比例从1%增至18%。高SES似乎与新型抗抑郁药的更高使用量相关。与女性相比,新型抗抑郁药在男性中引入得更快。

结论

该研究显示不同SES组在抗抑郁药购买方面存在差异。此外,研究表明新型抗抑郁药在高SES的男性和员工中引入得更快。

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