کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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3444579 | 1595292 | 2011 | 7 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Neighborhood Deprivation and Psychiatric Medication Prescription: A Swedish National Multilevel Study Neighborhood Deprivation and Psychiatric Medication Prescription: A Swedish National Multilevel Study](/preview/png/3444579.png)
PurposePrevious studies of neighborhood deprivation and mental disorders have yielded mixed results, possibly because they were based on different substrata of the population. We conducted a national multilevel study to determine whether neighborhood deprivation is independently associated with psychiatric medication prescription in a national population.MethodsNationwide outpatient and inpatient psychiatric medication data were analyzed for all Swedish adults (N = 6,998,075) after 2.5 years of follow-up. Multilevel logistic regression was used to estimate the association between neighborhood deprivation (index of education, income, unemployment, and welfare assistance) and prescription of psychiatric medications (antipsychotics, antidepressants, anxiolytics, or hypnotics/sedatives), after adjusting for broadly measured individual-level sociodemographic characteristics.ResultsFor each psychiatric medication class, a monotonic trend of increasing prescription was observed by increasing level of neighborhood deprivation. The strongest associations were found for antipsychotics and anxiolytics, with adjusted odds ratios of 1.40 (95% confidence interval [CI], 1.36–1.44) and 1.24 (95% CI, 1.22–1.27), respectively, comparing the highest- to the lowest-deprivation neighborhood quintiles.ConclusionsThese findings suggest that neighborhood deprivation is associated with psychiatric medication prescription independent of individual-level sociodemographic characteristics. Further research is needed to elucidate the mechanisms by which neighborhood deprivation may affect mental health and to identify the most susceptible groups in the population.
Journal: Annals of Epidemiology - Volume 21, Issue 4, April 2011, Pages 231–237