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研究快报:2013 年至 2022 年期间澳大利亚精神类药物的配给情况。

Research Letter: Dispensing of psychotropic medications in Australia between 2013 and 2022.

机构信息

Medical School, The University of Western Australia, Perth, WA, Australia.

Institute for Health Research, The University of Notre Dame Australia, Fremantle, WA, Australia.

出版信息

Aust N Z J Psychiatry. 2024 Oct;58(10):914-917. doi: 10.1177/00048674241270918. Epub 2024 Aug 11.

Abstract

OBJECTIVE

The objective of this study was to determine the proportion of Australians dispensed psychotropic medications between 2013 and 2022 according to their age.

METHODS

Services Australia provided a de-identified 10% random Pharmaceutical Benefits Scheme sample that allowed us to determine, for each year, the proportion of Australians dispensed at least one script for antipsychotics, antidepressants, anxiolytics, or hypnotics. The classification of medications followed Anatomical Therapeutic Chemical coding. Participants were stratified into 10-year age groups from 0-9 to ⩾90 years, and sex was coded as male/female. We retrieved population numbers from the Australian Bureau of Statistics.

RESULTS

The number of records per year ranged from 1,540,520 to 1,746,402, and 54.10% were for females. A greater proportion of older adults, particularly those aged ⩾70 years, were dispensed antipsychotics, antidepressants, anxiolytics and hypnotics than any other age group. The proportion of people who dispensed antipsychotics, anxiolytics and hypnotics declined between 2013 and 2022 but increased for antidepressants, most markedly for adolescents and young adults. Females were more frequently dispensed antidepressants, anxiolytics and hypnotics than males, but males were more frequently dispensed antipsychotics than females, albeit not in later life.

CONCLUSION

Older age groups and females are the most frequent recipients of psychotropic medications dispensed in Australia.

摘要

目的

本研究旨在根据年龄确定 2013 年至 2022 年期间澳大利亚人配药的精神药物比例。

方法

澳大利亚服务部门提供了 10%的匿名药品福利计划样本,使我们能够确定每年至少有多少澳大利亚人开了抗精神病药、抗抑郁药、抗焦虑药或催眠药。药物分类遵循解剖治疗化学编码。参与者按 10 年为一个年龄组,从 0-9 岁到 ⩾90 岁,性别编码为男性/女性。我们从澳大利亚统计局检索了人口数量。

结果

每年的记录数量从 1540520 到 1746402 不等,其中 54.10%为女性。年龄较大的成年人,特别是 ⩾70 岁的成年人,比其他任何年龄组更有可能配到抗精神病药、抗抑郁药、抗焦虑药和催眠药。2013 年至 2022 年间,配用抗精神病药、抗焦虑药和催眠药的比例下降,但抗抑郁药的比例上升,青少年和年轻人尤为明显。女性比男性更常配到抗抑郁药、抗焦虑药和催眠药,但男性比女性更常配到抗精神病药,尽管不是在晚年。

结论

年龄较大的群体和女性是澳大利亚配药的精神药物最常使用者。

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