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2004年至2008年注意力缺陷多动障碍药物处方

Prescriptions for ADHD medication, 2004-08.

作者信息

Lillemoen Paul Kjetel Soldal, Kjosavik Svein Reidar, Hunskår Steinar, Ruths Sabine

机构信息

Odda sjukehus, Helse Fonna, Norway.

出版信息

Tidsskr Nor Laegeforen. 2012 Sep 4;132(16):1856-60. doi: 10.4045/tidsskr.11.1270.

Abstract

BACKGROUND

The use of medication for ADHD has increased significantly since the 1990 s. The objective of this study was to establish the prescription rate for such drugs in Norway, and to examine which doctors prescribe them.

MATERIAL AND METHOD

Data relating to all ADHD medication collected in the period 2004-08 was obtained from the Norwegian Prescription Database and linked to the GP database.

RESULTS

The number of people who collected at least one prescription annually for ADHD medication increased over the period, while the number of new drug users remained stable. In 2008, 3.6 % of the boys and 1.2 % of the girls aged 11-15 collected their prescriptions. Of the people who collected their prescriptions for the first time in 2005, 53 % continued to collect prescriptions every year throughout the period 2006-08. In 2008, extended-release methylphenidate constituted 51 % of the prescription volume for adults and 83 % for children and young people. GPs prescribed 17 % of the total volume collected in 2004 and 48 % in 2008.

INTERPRETATION

During childhood and the teenage years there are substantial differences between the sexes when it comes to the prescription pick-up rate for ADHD medication. This may suggest that girls who suffer from ADHD go through large parts of their statutory education before they are diagnosed and receive treatment. GPs play an important role in the treatment of ADHD.

摘要

背景

自20世纪90年代以来,用于治疗注意力缺陷多动障碍(ADHD)的药物使用量显著增加。本研究的目的是确定挪威此类药物的处方率,并调查哪些医生开具这些药物。

材料与方法

从挪威处方数据库获取2004年至2008年期间收集的所有ADHD药物相关数据,并与全科医生数据库相链接。

结果

在此期间,每年至少领取一张ADHD药物处方的人数有所增加,而新药使用者的数量保持稳定。2008年,11至15岁的男孩中有3.6%、女孩中有1.2%领取了处方。在2005年首次领取处方的人群中,53%在2006年至2008年期间每年都继续领取处方。2008年,缓释哌甲酯在成人处方量中占51%,在儿童和青少年中占83%。全科医生在2004年开具的处方总量中占17%,在2008年占48%。

解读

在儿童期和青少年期,ADHD药物的处方领取率在性别上存在显著差异。这可能表明患有ADHD的女孩在被诊断和接受治疗之前,已经接受了大部分法定教育。全科医生在ADHD的治疗中发挥着重要作用。

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