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首页> 外文期刊>The Australian and New Zealand journal of psychiatry >Antidepressant dispensing trends in New Zealand between 2004 and 2007.
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Antidepressant dispensing trends in New Zealand between 2004 and 2007.

机译:2004年至2007年间新西兰抗抑郁药的分配趋势。

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OBJECTIVE: The aim of the present study was to explore antidepressant dispensing trends in New Zealand over a 3 year period (2004-2007) with a focus on trends by age, gender, ethnicity, District Health Board and type of antidepressant. METHOD: Prevalence of antidepressant agents dispensed in the years ending June 2004-2005, 2005-2006 and 2006-2007 was calculated separately for the population aged 15-24, 24-44, 45-64 and 65-100 years, (> =65) by gender. The f rst occurrence of antidepressant dispensing for each individual in each year was extracted to calculate age-specific antidepressant dispensing rates standardized to the 2006 Census population for the New Zealand European/Other (NZEO) ethnic group. RESULTS: The 12 month prevalence of antidepressant dispensing among the total population aged 15-100 years increased from 7.36% in 2004-2005 to 8.21% in 2005-2006 and to 9.39% in 2006-2007 Selective serotonin re-uptake inhibitor (SSRI) and tricyclic antidepressants (TCA) accounted for >90% of all antidepressants dispensed each year. SSRIs were more frequently prescribed to young adults (15-24 years) than TCAs, although this relation changed with increasing age. In women aged > =65, TCAs were more commonly dispensed than SSRIs, while among men in the same age group, dispensing patterns were similar for both agents. Age-specific dispensing rates were higher among female than male subjects, and the NZEO combined populations were dispensed significantly more antidepressant agents than Maori or Pacific peoples. Considerable regional variations in antidepressant dispensing were found by ethnicity and gender. CONCLUSION: There are considerable variations in antidepressant dispensing in NZ, and the rate of dispensing has increased over the 3 years of the present study. Further work is required to investigate the different rates of antidepressant dispensing found between ethnic groups. Depression is strongly associated with suicide and the trend of increased dispensing of antidepressants found in the present study should continue to have a positive effect on suicide rates in NZ.
机译:目的:本研究的目的是探讨新西兰3年间(2004-2007年)的抗抑郁药分配趋势,重点关注年龄,性别,种族,地区卫生委员会和抗抑郁药类型的趋势。方法:分别针对15-24岁,24-44岁,45-64岁和65-100岁的人群分别计算了截至2004-2005年6月,2005-2006年和2006-2007年的抗抑郁药患病率,(> = 65)。提取每年每个人第一次服用抗抑郁药的次数,以计算针对特定年龄的抗抑郁药的服用率,该比例已按照2006年人口普查中的新西兰欧洲/其他(NZEO)族裔标准化。结果:15至100岁总人口中抗抑郁药分配的12个月患病率从2004-2005年的7.36%增加到2005-2006年的8.21%和2006-2007年的9.39%,这是选择性5-羟色胺再摄取抑制剂(SSRI)三环类抗抑郁药(TCA)占每年分配的所有抗抑郁药的90%以上。 SSRC比TCA更常向年轻人(15-24岁)开处方,尽管这种关系随着年龄的增长而改变。在> = 65岁的女性中,TCA比SSRI更为常见,而在同一年龄组的男性中,两种药物的分配方式相似。在女性中,特定年龄段的配药率高于男性,并且与毛利人或太平洋人相比,NZEO组合人群的抗抑郁药分配量明显更多。根据种族和性别,发现抗抑郁药的分配存在相当大的区域差异。结论:在新西兰,抗抑郁药的分配存在很大差异,并且在本研究的3年中,分配速度有所提高。需要进一步的工作来调查不同种族之间发现的抗抑郁药分配率的不同。抑郁与自杀密切相关,本研究中发现的抗抑郁药分配增加的趋势应继续对新西兰的自杀率产生积极影响。

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