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Did psychotropic drug consumption increase during the 2008 financial crisis? A cross-sectional population-based study in Spain

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dc.contributor.author Arroyo, Elena
dc.contributor.author Cabrera-León, Andrés
dc.contributor.author Renart, Gemma
dc.contributor.author Saurina, Carme
dc.contributor.author Serra Saurina, Laura
dc.contributor.author Daponte, Antonio
dc.contributor.author Saez, Marc
dc.date.accessioned 2019-03-18T08:37:13Z
dc.date.available 2019-03-18T08:37:13Z
dc.date.issued 2019
dc.identifier.citation Arroyo E, Cabrera-León A, Renart G, Saurina C, Serra Saurina L, Daponte A. et al. Did psychotropic drug consumption increase during the 2008 financial crisis? A cross-sectional population-based study in Spain. BMJ Open. 2019 Jan 22;9(1):e021440. DOI: 10.1136/bmjopen-2017-021440
dc.identifier.issn 2044-6055
dc.identifier.uri http://hdl.handle.net/10230/36849
dc.description.abstract OBJECTIVES AND SETTING: Although psychotropic drugs are used to treat mental health disorders, little evidence analyses the effects the 2008 economic downturn had on psychotropic drug consumption in the case of Spain. We analyse these effects, considering both gender and employment situation. PARTICIPANTS: We used the microdata from the face-to-face cross-sectional population-based Spanish National Health Survey for two periods: 2006-2007 (n=28 954) and 2011-2012 (n=20 509). Our samples included adults (>15 years old). METHODS: The response variables are consumption (or not) of antidepressants or sedatives and the explanatory variables are the year of the survey, gender and employment status. Covariates are mental health problems, mental health index General Health Questionnaire (GHQ-12) and self-reported health outcome variables such as self-rated health, chronic diseases, smoking behaviour, sleeping hours, body mass index, physical activity in the workplace, medical visits during the past year, age, region of residence (autonomous communities), educational level, marital status and social class of the reference person. Finally, we include interactions between time period, gender and employment status. We specify random effects logistic regressions and use Bayesian methods for the inference. RESULTS: The economic crisis did not significantly change the probability of taking antidepressant drugs (OR=0.56, 95% CI 0.18 to 2.56) nor sedatives (OR=1.21, 95% CI 0.26 to 5.49). In general, the probability of consuming antidepressants among men and women decreases, but there are differences depending on employment status. The probability of consuming sedatives also depends on the employment status. CONCLUSIONS: While the year of the financial crisis is not associated with the consumption of antidepressants nor sedatives, it has widened the gap in consumption differences between men and women. Although antidepressant use dropped, the difference in consumption levels between men and women grew significantly among the retired, and in the case of sedatives, risk of women taking sedatives increased in all groups except students.
dc.format.mimetype application/pdf
dc.language.iso eng
dc.publisher BMJ Publishing Group
dc.rights This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http:// creativecommons. org/ licenses/ by- nc/4.0/.
dc.rights.uri http:// creativecommons. org/ licenses/ by- nc/4.0/
dc.subject.other Salut mental
dc.subject.other Drogoaddicció -- Espanya
dc.title Did psychotropic drug consumption increase during the 2008 financial crisis? A cross-sectional population-based study in Spain
dc.type info:eu-repo/semantics/article
dc.identifier.doi http://dx.doi.org/10.1136/bmjopen-2017-021440
dc.subject.keyword Cross-sectional studies
dc.subject.keyword Drug utilisation
dc.subject.keyword Economic downturn
dc.subject.keyword Health surveys
dc.subject.keyword Mental health
dc.subject.keyword Psychotropic drugs
dc.rights.accessRights info:eu-repo/semantics/openAccess
dc.type.version info:eu-repo/semantics/publishedVersion

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