Cristin-resultat-ID: 1865268
Sist endret: 18. februar 2021, 16:07
NVI-rapporteringsår: 2021
Resultat
Vitenskapelig artikkel
2021

General practitioners’ drug treatment for depression by patients’ educational level: registry-based study

Bidragsytere:
  • Anneli Borge Hansen
  • Valborg Baste
  • Øystein Hetlevik
  • Inger Haukenes
  • Tone Smith-Sivertsen og
  • Sabine Ruths

Tidsskrift

British Journal of General Practice Open
ISSN 2398-3795
e-ISSN 2398-3795
NVI-nivå 1

Om resultatet

Vitenskapelig artikkel
Publiseringsår: 2021
Publisert online: 2021
Open Access

Importkilder

Scopus-ID: 2-s2.0-85109829608

Klassifisering

Vitenskapsdisipliner

Allmennmedisin

Emneord

Depresjon • Antidepressive midler • Helsetjenesteforskning • Fastlege

HRCS

  • Helsekategori: 10 - Mental helse
    Aktivitet: 8 - Helse- og sosialtjenesteforskning

Beskrivelse Beskrivelse

Tittel

General practitioners’ drug treatment for depression by patients’ educational level: registry-based study

Sammendrag

Background: Antidepressant drugs are often prescribed in general practice. Evidence is conflicting on how patient education influences antidepressant treatment. Aim: To investigate the association between educational attainment and drug treatment in adult patients with a new depression diagnosis, and to what extent gender and age influence the association. Design and setting: Nationwide registry-based cohort study, Norway, 2014-2016. Method: The study comprised all residents of Norway born before 1996 and alive in 2015. We obtained information on all new depression diagnoses in general practice in 2015 (Primary Care Database) and data on all dispensed depression medication (Norwegian Prescription Database) 12-months after the date of diagnosis. Independent variables were education, gender, and age. Associations with drug treatment were estimated using a Cox proportional hazard model, for genders separately. Results: Out of 49,967 patients with new depression (61.6% women), 15,678 were dispensed drugs (30.4% women, 33.0% men). Highly educated women were less likely to receive medication (Hazard Ratio (HR) =0.93, 95% CI (0.88 – 0.98)) than women with low education. No such differences appeared among men. Women aged 20-29 were more likely to be treated with drugs than those aged 30-59, and women aged 70+ were more likely to receive drugs (HR=1.65, (1.54 – 1.77)) than those aged 20-29. The pattern was similar but less pronounced for men. Conclusion: Educational differences in antidepressant therapy among women may reflect different treatment approaches that clinicians should be aware of to avoid unintended variation. Reasons for this variation and consequences for quality of treatment should be explored.

Bidragsytere

Anneli Borge Hansen

  • Tilknyttet:
    Forfatter
    ved Institutt for global helse og samfunnsmedisin ved Universitetet i Bergen
  • Tilknyttet:
    Forfatter
    ved NORCE Helse - Allmennmedisin ved NORCE Norwegian Research Centre AS

Valborg Baste

  • Tilknyttet:
    Forfatter
    ved NORCE Helse - Allmennmedisin ved NORCE Norwegian Research Centre AS

Øystein Hetlevik

  • Tilknyttet:
    Forfatter
    ved Institutt for global helse og samfunnsmedisin ved Universitetet i Bergen
  • Tilknyttet:
    Forfatter
    ved NORCE Helse - Allmennmedisin ved NORCE Norwegian Research Centre AS

Inger Haukenes

  • Tilknyttet:
    Forfatter
    ved NORCE Helse - Allmennmedisin ved NORCE Norwegian Research Centre AS
  • Tilknyttet:
    Forfatter
    ved Institutt for global helse og samfunnsmedisin ved Universitetet i Bergen

Tone Smith-Sivertsen

  • Tilknyttet:
    Forfatter
    ved Helse Bergen HF - Haukeland universitetssykehus
  • Tilknyttet:
    Forfatter
    ved NORCE Helse - Allmennmedisin ved NORCE Norwegian Research Centre AS
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