國家衛生研究院 NHRI:Item 3990099045/3148
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    Please use this identifier to cite or link to this item: http://ir.nhri.org.tw/handle/3990099045/3148


    Title: Characteristics associated with benzodiazepine usage in elderly outpatients in Taiwan
    Authors: Cheng, JS;Huang, WF;Lin, KM;Shih, YT
    Contributors: Division of Mental Health and Substance Abuse Research;Division of Health Policy Research and Development
    Abstract: Objective To investigate benzodiazepine usage and the characteristics associated with usage among elderly outpatients in Taiwan. Methods This was an observational study of subjects who were enrolled in the National Health Insurance program and aged at least 65 in 2002. They were grouped according to treatment period and mean dosage. An ordered logit regression model was used to evaluate associations of characteristics with benzodiazepine usage. Results Of the 4,267 elderly people included, 1,826 had received at least one prescription for benzodiazepines. The 1-year prevalence of benzodiazepine usage by elderly outpatients was approximately 43%. Characteristics associated with receiving benzodiazepine therapy included female gender, displaying comorbid insomnia, anxiety, depression, other mental diseases, cardiovascular disease, cancer, chronic obstructive pulmonary disease, arthritis, and previous use of benzodiazepines. Individuals older than 75 years, with comorbid insomnia, anxiety, depression, other mental diseases, cardiovascular disease, cancer, being in previous receipt of benzodiazepines, or high prescription-overlap ratio were more likely to receive longer treatment. Individuals with insomnia, anxiety, depression, and previous use of higher cumulative dosage of benzodiazepine were more likely to receive higher-dosage therapy. Conclusions Mental disorders and previous exposure to higher cumulative dosages of benzodiazepines are associated with an increased likelihood of receiving benzodiazepine therapy, longer treatment, and a higher mean dosage. Older individuals, less likely to receive higher dosage benzodiazepine therapy, are more likely to receive more prolonged therapy. Women are more likely to receive benzodiazepine therapy, but both men and women have comparable benzodiazepine usage patterns.
    Keywords: Geriatrics & Gerontology;Gerontology;Psychiatry
    Date: 2008-06
    Relation: International Journal of Geriatric Psychiatry. 2008 Jun;23(6):618-624.
    Link to: http://dx.doi.org/10.1002/gps.1950
    JIF/Ranking 2023: http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=NHRI&SrcApp=NHRI_IR&KeyISSN=0885-6230&DestApp=IC2JCR
    Cited Times(WOS): https://www.webofscience.com/wos/woscc/full-record/WOS:000256859100010
    Cited Times(Scopus): http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=46749125041
    Appears in Collections:[Keh-Ming Lin(2004-2009)] Periodical Articles
    [Yaw-Tang Shih(1999-2006)] Periodical Articles

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