Department of Applied Foreign Languages, Mingdao University, ChangHua 52345, Taiwan.
Department of Psychiatry, Taipei Medical University Hospital, Taipei 110, Taiwan.
Int J Environ Res Public Health. 2021 Apr 30;18(9):4839. doi: 10.3390/ijerph18094839.
This study examined the relationship between various economic indexes and incidences of antidepressant prescriptions during 2001-2011 using the National Health Insurance Research Database (NHIRD). As of 2007, approximately 98.4% of Taiwanese people were enrolled in the NHIRD. In total, 531,281 records identified as antidepressant prescriptions were collected. Furthermore, 2556 quarterly observations from the Taiwan Housing Index (THI) and Executive Yuan were retrieved. We examined the association between the housing index and antidepressant prescription incidence. During the 10-year follow-up period, a higher incidence of antidepressant prescriptions was associated with the local maximum housing index. The relative risk of being prescribed antidepressant increased by 13.3% (95% confidence interval (CI): 1.01~1.27) when the THI reached a peak. For the low-income subgroup, the relative risk of being prescribed antidepressants increased by 28% during the high season of the THI. We also stratified the study sample on the basis of their sex, age, and urbanization levels. Both sexes followed similar patterns. During 2001-2011, although rising economic indexes may have increased incomes and stimulated the housing market, the compromise of public mental health could be a cost people have to pay additional attention to.
本研究使用全民健康保险研究资料库(NHIRD),于 2001-2011 年期间检视各项经济指标与抗忧郁处方笺发生率之间的关系。截至 2007 年,台湾约有 98.4%的民众加入 NHIRD。本研究共收集了 531,281 笔抗忧郁处方笺纪录。此外,也取得 2556 笔来自台湾住宅指数(THI)和行政院的季度观察值。我们检验住宅指数与抗忧郁处方笺发生率之间的关系。在 10 年的追踪期间,抗忧郁处方笺的发生率与当地最高住宅指数呈正相关。当 THI 达到高峰时,开抗忧郁药物的相对风险增加 13.3%(95%置信区间(CI):1.01~1.27)。对于低收入族群,在 THI 的旺季,开抗忧郁药物的相对风险增加 28%。我们也根据性别、年龄和都市化程度来分层研究样本。两性呈现类似的模式。在 2001-2011 年间,虽然经济指标上升可能提高了收入并刺激了房市,但大众心理健康的受损可能是人们必须额外注意的代价。