Social differences associated with the use of psychotropic drugs among men and women aged 65 to 74 years living in the community: the international mobility in aging study (IMIAS)

BMC Geriatrics

Research Article

Jack Guralnik¹  Boukaré Doulougou²  Maria Victoria Zunzunegui²  Gustave Noufou Nana²  Alban Ylli³  Fernando Gomez⁴ 

[1] Department of Epidemiology and Public Health, Division of Gerontology, School of Medicine, University of Maryland, Baltimore, MD, USA;Department of Social and Preventive Medicine, School of Public Health, University of Montreal, Montreal, QC, Canada;National Institute of Public Health, Tirana, Albania;Research group on gerontology and geriatrics, University of Caldas, Manizales, Colombia;

关键词: Psychotropic drugs;    Aging;    Social differences;    Latin America;    Canada;    Albania;   

DOI  :  10.1186/s12877-015-0083-3

 received in 2015-02-10, accepted in 2015-07-06,  发布年份 2015

来源: Springer

【 摘 要 】

BackgroundElderly persons make greater use of psychotropic drugs, but there are few international studies on social differences in the use of these medications. The aim of this study is to examine social differences in the use of psychotropic drugs among persons aged 65–74 years in the International Mobility in Aging Study (IMIAS).MethodsThe sample consisted of 1,995 participants in the IMIAS 2012 baseline study in Saint-Hyacinthe (Canada), Kingston (Canada), Tirana (Albania), Manizales (Colombia), and Natal (Brazil). During home visits, all medication taken by the participants in the previous 15 days was recorded. We then used the Anatomical Therapeutic Chemical classification system to code psychotropic drugs as anxiolytics, sedatives, hypnotics (ASH); antidepressants (ADP); or analgesics, antiepileptics, or antiparkinsonians (AEP). Prevalence ratios for psychotropic drug use according to sex, education, income, and occupation were estimated by fitting a Poisson regression and controlling for demographic and health covariates.ResultsPsychotropic drug use was higher among Canadian participants than among those living outside Canada. Prevalence of AEP drug use was higher for women than men in the Canadian and Latin American sites. In Tirana, antidepressant drugs were rarely used. Socioeconomic differences varied among sites. In the Canadian cities, low socioeconomic standing was associated with higher frequency of psychotropic drug use. In the Latin American cities, elderly people with high education and income levels showed a higher level of antidepressant drug use, while people with manual occupations had a higher use of AEP drugs. In Tirana, ASH drug use was higher among those with low income.ConclusionAn inverse association was observed between socioeconomic standing and psychotropic drug use in Canada, while the opposite was true in Latin America. Albania was notable for an absence of antidepressant use and greater use of ASH drugs among low-income groups.

【 授权许可】

Unknown   
© Nana et al. 2015. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.