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新冠后综合征患者中苯二氮䓬类药物和Z类催眠药的使用情况:性别差异及相关因素

Benzodiazepines and Z-hypnotics consumption in long-COVID-19 patients: Gender differences and associated factors.

作者信息

Carrasco-Garrido Pilar, Fernández-de-Las-Peñas Cesar, Hernández-Barrera Valentín, Palacios-Ceña Domingo, Jiménez-Trujillo Isabel, Gallardo-Pino Carmen

机构信息

Department of Medical Specialties and Public Health, Faculty of Health Sciences, Universidad Rey Juan Carlos, Madrid, Spain.

Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Faculty of Health Sciences, Universidad Rey Juan Carlos, Madrid, Spain.

出版信息

Front Med (Lausanne). 2022 Sep 8;9:975930. doi: 10.3389/fmed.2022.975930. eCollection 2022.

Abstract

BACKGROUND

Psychotropic drug consumption has increased during the COVID-19 pandemic. We describe here the prevalence and identifying factors associated with Benzodiazepine (BZD) and Z-hypnotics use among a sample of Spanish adults suffering from long-COVID-19 syndrome, from a gender perspective.

MATERIALS AND METHODS

Data were anonymously collected between 15th December 2021 and 15th March 2022. The collection form consisted of several questions gathering sociodemographic information, post-COVID symptom, health profile, and pharmacological drug intake. Using logistic multivariate regression models, we estimated the independent effect of each of these variables on self-medicated consumption. Three models were generated (female, male, and both gender).

RESULTS

Prevalence of BZD and Z-hypnotics use was 44.9% (46.5% for women; 37.8% for men). Zolpidem was the most consumed drug among male (20.7%), and lorazepam in female (31.1%). Patterns of drug consumption among female were related with number of post-COVID symptoms and smoking habit (AOR 2.76, 95%CI 1.16-6.52). Males under 40 years of age are more likely to consume BZD and Z-hypnotics (AOR 5.52, 95%CI 1.08-28.27).

CONCLUSION

The prevalence of consumption of BZD and Z-hypnotics in those subjects with long-COVID-19 in our study reaches values of 44.9%. Women with long-COVID-19 declare a higher prevalence of consumption than men. Predictors of BZD and Z-hypnotic in men were, age and number of medication use. Smoking habit and the number of post-COVID symptoms were predictive variables in women.

摘要

背景

在新冠疫情期间,精神药物的消费量有所增加。在此,我们从性别角度描述西班牙患有长期新冠综合征的成年样本中苯二氮䓬类药物(BZD)和Z类催眠药使用情况的患病率及相关识别因素。

材料与方法

数据于2021年12月15日至2022年3月15日进行匿名收集。收集表格包含几个问题,收集社会人口学信息、新冠后症状、健康状况和药物摄入情况。使用逻辑多元回归模型,我们估计了这些变量各自对自我用药消费的独立影响。生成了三个模型(女性、男性和两性)。

结果

BZD和Z类催眠药的使用率为44.9%(女性为46.5%;男性为37.8%)。唑吡坦是男性中消费最多的药物(20.7%),而劳拉西泮在女性中消费最多(31.1%)。女性的药物消费模式与新冠后症状数量和吸烟习惯有关(比值比2.76,95%置信区间1.16 - 6.52)。40岁以下男性更有可能消费BZD和Z类催眠药(比值比5.52,95%置信区间1.08 - 28.27)。

结论

在我们的研究中,患有长期新冠的受试者中BZD和Z类催眠药的消费率达到44.9%。患有长期新冠的女性宣称的消费率高于男性。男性中BZD和Z类催眠药的预测因素是年龄和用药数量。吸烟习惯和新冠后症状数量是女性的预测变量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04b1/9493021/d6a244dbdbb9/fmed-09-975930-g001.jpg

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