Differences in psychotropic drug prescriptions among ethnic groups in the Netherlands.
Identifieur interne : 000087 ( Main/Exploration ); précédent : 000086; suivant : 000088Differences in psychotropic drug prescriptions among ethnic groups in the Netherlands.
Auteurs : Laura Christina Wittkampf [Pays-Bas] ; Hugo M. Smeets ; Mirjam J. Knol ; Mirjam I. Geerlings ; Arjan W. Braam ; Niek J. De WitSource :
- Social psychiatry and psychiatric epidemiology [ 1433-9285 ] ; 2010.
Descripteurs français
- KwdFr :
- Adolescent (MeSH), Adulte (MeSH), Adulte d'âge moyen (MeSH), Antidépresseurs (usage thérapeutique), Anxiolytiques (usage thérapeutique), Classe sociale (MeSH), Ethnies (statistiques et données numériques), Femelle (MeSH), Groupes de population (statistiques et données numériques), Humains (MeSH), Maroc (ethnologie), Minorités (statistiques et données numériques), Mâle (MeSH), Neuroleptiques (usage thérapeutique), Ordonnances médicamenteuses (statistiques et données numériques), Pays-Bas (ethnologie), Prévalence (MeSH), Psychoanaleptiques (usage thérapeutique), Troubles mentaux (ethnologie), Troubles mentaux (traitement médicamenteux), Troubles mentaux (épidémiologie), Turquie (ethnologie), Utilisation médicament (tendances), Émigrants et immigrants (MeSH).
- MESH :
- ethnologie : Maroc, Pays-Bas, Troubles mentaux, Turquie.
- statistiques et données numériques : Ethnies, Groupes de population, Minorités, Ordonnances médicamenteuses.
- tendances : Utilisation médicament.
- traitement médicamenteux : Troubles mentaux.
- usage thérapeutique : Antidépresseurs, Anxiolytiques, Neuroleptiques, Psychoanaleptiques.
- épidémiologie : Troubles mentaux.
- Adolescent, Adulte, Adulte d'âge moyen, Classe sociale, Femelle, Humains, Mâle, Prévalence, Émigrants et immigrants.
- Wicri :
English descriptors
- KwdEn :
- Adolescent (MeSH), Adult (MeSH), Anti-Anxiety Agents (therapeutic use), Antidepressive Agents (therapeutic use), Antipsychotic Agents (therapeutic use), Drug Prescriptions (statistics & numerical data), Drug Utilization (trends), Emigrants and Immigrants (MeSH), Ethnic Groups (statistics & numerical data), Female (MeSH), Humans (MeSH), Male (MeSH), Mental Disorders (drug therapy), Mental Disorders (epidemiology), Mental Disorders (ethnology), Middle Aged (MeSH), Minority Groups (statistics & numerical data), Morocco (ethnology), Netherlands (ethnology), Population Groups (statistics & numerical data), Prevalence (MeSH), Psychotropic Drugs (therapeutic use), Social Class (MeSH), Turkey (ethnology).
- MESH :
- chemical , therapeutic use : Anti-Anxiety Agents, Antidepressive Agents, Antipsychotic Agents, Psychotropic Drugs.
- geographic , ethnology : Morocco, Netherlands, Turkey.
- drug therapy : Mental Disorders.
- epidemiology : Mental Disorders.
- ethnology : Mental Disorders.
- statistics & numerical data : Drug Prescriptions, Ethnic Groups, Minority Groups, Population Groups.
- trends : Drug Utilization.
- Adolescent, Adult, Emigrants and Immigrants, Female, Humans, Male, Middle Aged, Prevalence, Social Class.
Abstract
BACKGROUND
Psychotropic drug use in Europe and the USA has increased in the past 20 years. The rise in mental health-care use instigated a debate about possible differences in prevalence rates between different ethnic groups in the Netherlands, although the exact differences were unknown. The aim of this study was to determine whether these minority groups were more or less likely than the native population to receive psychotropic drugs.
METHODS
A descriptive population study was conducted using the Agis Health Database, containing demographic and health-care consumption data of approximately 1.5 million inhabitants of the Netherlands. Rates of prescriptions of psychotropic drugs from 2001 to 2006 and adjusted odds ratios for psychotropic drug prescriptions among native Dutch, Turkish and Moroccan ethnic groups were calculated. These data were analysed using logistic regression, after being adjusted for age, gender and socioeconomic status.
RESULTS
The mean year prevalence of psychotropic drug prescriptions from 2001 to 2006 was 14.0%. Except for a decrease in anxiolytic drugs, the prescriptions of psychotropic drugs increased from 2001 to 2006. These trends were the same for all of the ethnic groups considered. Among both the Moroccan and Turkish populations, there was a higher risk of antidepressant and antipsychotic drug prescriptions, and a pronounced lower risk of ADHD medication and lithium prescriptions compared to the native population. Among the Turkish population, the risk of anxiolytic drug prescriptions was greater than in the native population.
CONCLUSIONS
Compared to the native population in the Netherlands, first- and second-generation Turkish and Moroccan immigrants had an increased risk of antidepressant and antipsychotic drug prescriptions and a decreased risk of ADHD medication and Lithium prescriptions. Further research is needed to clarify whether patients of different ethnic backgrounds with the same symptoms receive similar diagnosis and adequate treatment.
DOI: 10.1007/s00127-009-0123-4
PubMed: 19701593
Affiliations:
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Le document en format XML
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Knol</name></author><author><name sortKey="Geerlings, Mirjam I" sort="Geerlings, Mirjam I" uniqKey="Geerlings M" first="Mirjam I" last="Geerlings">Mirjam I. Geerlings</name></author><author><name sortKey="Braam, Arjan W" sort="Braam, Arjan W" uniqKey="Braam A" first="Arjan W" last="Braam">Arjan W. Braam</name></author><author><name sortKey="De Wit, Niek J" sort="De Wit, Niek J" uniqKey="De Wit N" first="Niek J" last="De Wit">Niek J. 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Laura.Wittkampf@ggzdrenthe.nl</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>GGZ Drenthe, Mental Health Care, Assen</wicri:regionArea><wicri:noRegion>Assen</wicri:noRegion></affiliation></author><author><name sortKey="Smeets, Hugo M" sort="Smeets, Hugo M" uniqKey="Smeets H" first="Hugo M" last="Smeets">Hugo M. Smeets</name></author><author><name sortKey="Knol, Mirjam J" sort="Knol, Mirjam J" uniqKey="Knol M" first="Mirjam J" last="Knol">Mirjam J. Knol</name></author><author><name sortKey="Geerlings, Mirjam I" sort="Geerlings, Mirjam I" uniqKey="Geerlings M" first="Mirjam I" last="Geerlings">Mirjam I. Geerlings</name></author><author><name sortKey="Braam, Arjan W" sort="Braam, Arjan W" uniqKey="Braam A" first="Arjan W" last="Braam">Arjan W. Braam</name></author><author><name sortKey="De Wit, Niek J" sort="De Wit, Niek J" uniqKey="De Wit N" first="Niek J" last="De Wit">Niek J. De Wit</name></author></analytic><series><title level="j">Social psychiatry and psychiatric epidemiology</title><idno type="eISSN">1433-9285</idno><imprint><date when="2010" type="published">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term><term>Adult (MeSH)</term><term>Anti-Anxiety Agents (therapeutic use)</term><term>Antidepressive Agents (therapeutic use)</term><term>Antipsychotic Agents (therapeutic use)</term><term>Drug Prescriptions (statistics & numerical data)</term><term>Drug Utilization (trends)</term><term>Emigrants and Immigrants (MeSH)</term><term>Ethnic Groups (statistics & numerical data)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Mental Disorders (drug therapy)</term><term>Mental Disorders (epidemiology)</term><term>Mental Disorders (ethnology)</term><term>Middle Aged (MeSH)</term><term>Minority Groups (statistics & numerical data)</term><term>Morocco (ethnology)</term><term>Netherlands (ethnology)</term><term>Population Groups (statistics & numerical data)</term><term>Prevalence (MeSH)</term><term>Psychotropic Drugs (therapeutic use)</term><term>Social Class (MeSH)</term><term>Turkey (ethnology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent (MeSH)</term><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Antidépresseurs (usage thérapeutique)</term><term>Anxiolytiques (usage thérapeutique)</term><term>Classe sociale (MeSH)</term><term>Ethnies (statistiques et données numériques)</term><term>Femelle (MeSH)</term><term>Groupes de population (statistiques et données numériques)</term><term>Humains (MeSH)</term><term>Maroc (ethnologie)</term><term>Minorités (statistiques et données numériques)</term><term>Mâle (MeSH)</term><term>Neuroleptiques (usage thérapeutique)</term><term>Ordonnances médicamenteuses (statistiques et données numériques)</term><term>Pays-Bas (ethnologie)</term><term>Prévalence (MeSH)</term><term>Psychoanaleptiques (usage thérapeutique)</term><term>Troubles mentaux (ethnologie)</term><term>Troubles mentaux (traitement médicamenteux)</term><term>Troubles mentaux (épidémiologie)</term><term>Turquie (ethnologie)</term><term>Utilisation médicament (tendances)</term><term>Émigrants et immigrants (MeSH)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Anti-Anxiety Agents</term><term>Antidepressive Agents</term><term>Antipsychotic Agents</term><term>Psychotropic Drugs</term></keywords><keywords scheme="MESH" type="geographic" qualifier="ethnology" xml:lang="en"><term>Morocco</term><term>Netherlands</term><term>Turkey</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Mental Disorders</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Mental Disorders</term></keywords><keywords scheme="MESH" qualifier="ethnologie" xml:lang="fr"><term>Maroc</term><term>Pays-Bas</term><term>Troubles mentaux</term><term>Turquie</term></keywords><keywords scheme="MESH" qualifier="ethnology" xml:lang="en"><term>Mental Disorders</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Drug Prescriptions</term><term>Ethnic Groups</term><term>Minority Groups</term><term>Population Groups</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Ethnies</term><term>Groupes de population</term><term>Minorités</term><term>Ordonnances médicamenteuses</term></keywords><keywords scheme="MESH" qualifier="tendances" xml:lang="fr"><term>Utilisation médicament</term></keywords><keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr"><term>Troubles mentaux</term></keywords><keywords scheme="MESH" qualifier="trends" xml:lang="en"><term>Drug Utilization</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Antidépresseurs</term><term>Anxiolytiques</term><term>Neuroleptiques</term><term>Psychoanaleptiques</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Troubles mentaux</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Emigrants and Immigrants</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Prevalence</term><term>Social Class</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Classe sociale</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Prévalence</term><term>Émigrants et immigrants</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Maroc</term><term>Pays-Bas</term><term>Turquie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Psychotropic drug use in Europe and the USA has increased in the past 20 years. The rise in mental health-care use instigated a debate about possible differences in prevalence rates between different ethnic groups in the Netherlands, although the exact differences were unknown. The aim of this study was to determine whether these minority groups were more or less likely than the native population to receive psychotropic drugs.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>A descriptive population study was conducted using the Agis Health Database, containing demographic and health-care consumption data of approximately 1.5 million inhabitants of the Netherlands. Rates of prescriptions of psychotropic drugs from 2001 to 2006 and adjusted odds ratios for psychotropic drug prescriptions among native Dutch, Turkish and Moroccan ethnic groups were calculated. These data were analysed using logistic regression, after being adjusted for age, gender and socioeconomic status.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>The mean year prevalence of psychotropic drug prescriptions from 2001 to 2006 was 14.0%. Except for a decrease in anxiolytic drugs, the prescriptions of psychotropic drugs increased from 2001 to 2006. These trends were the same for all of the ethnic groups considered. Among both the Moroccan and Turkish populations, there was a higher risk of antidepressant and antipsychotic drug prescriptions, and a pronounced lower risk of ADHD medication and lithium prescriptions compared to the native population. Among the Turkish population, the risk of anxiolytic drug prescriptions was greater than in the native population.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Compared to the native population in the Netherlands, first- and second-generation Turkish and Moroccan immigrants had an increased risk of antidepressant and antipsychotic drug prescriptions and a decreased risk of ADHD medication and Lithium prescriptions. Further research is needed to clarify whether patients of different ethnic backgrounds with the same symptoms receive similar diagnosis and adequate treatment.</p></div></front></TEI><affiliations><list><country><li>Pays-Bas</li></country></list><tree><noCountry><name sortKey="Braam, Arjan W" sort="Braam, Arjan W" uniqKey="Braam A" first="Arjan W" last="Braam">Arjan W. Braam</name><name sortKey="De Wit, Niek J" sort="De Wit, Niek J" uniqKey="De Wit N" first="Niek J" last="De Wit">Niek J. De Wit</name><name sortKey="Geerlings, Mirjam I" sort="Geerlings, Mirjam I" uniqKey="Geerlings M" first="Mirjam I" last="Geerlings">Mirjam I. Geerlings</name><name sortKey="Knol, Mirjam J" sort="Knol, Mirjam J" uniqKey="Knol M" first="Mirjam J" last="Knol">Mirjam J. Knol</name><name sortKey="Smeets, Hugo M" sort="Smeets, Hugo M" uniqKey="Smeets H" first="Hugo M" last="Smeets">Hugo M. Smeets</name></noCountry><country name="Pays-Bas"><noRegion><name sortKey="Wittkampf, Laura Christina" sort="Wittkampf, Laura Christina" uniqKey="Wittkampf L" first="Laura Christina" last="Wittkampf">Laura Christina Wittkampf</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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