A retrospective cohort study of prescription drug use among youth with intellectual/developmental disabilities in British Columbia

被引:0
作者
Marquis, S. [1 ]
Marquis, N. E. [2 ]
Lunsky, Y. [2 ]
Mcgrail, K. M. [3 ]
Baumbusch, J. [1 ]
机构
[1] Univ British Columbia, Fac Appl Sci, Sch Nursing, T201-2211 Wesbrook Mall, Vancouver, BC V6T 2B5, Canada
[2] CAMH, Campbell Family Mental Hlth Res Inst, Azrieli Adult Neurodev Ctr, Toronto, ON, Canada
[3] Univ British Columbia, Ctr Hlth Serv & Policy Res, Vancouver, BC, Canada
关键词
Challenging behaviour; Intellectual disability; Psychiatric disorders; Treatment and services; INTELLECTUAL DISABILITY; DEVELOPMENTAL-DISABILITIES; PSYCHOTROPIC MEDICATION; RECORD LINKAGE; OLDER-ADULTS; INDIVIDUALS; PREVALENCE; PEOPLE; HEALTH; ADOLESCENTS;
D O I
10.1111/jir.13147
中图分类号
G76 [特殊教育];
学科分类号
040109 ;
摘要
BackgroundPeople with intellectual/developmental disabilities (IDD) are known to have high rates of prescription drug use, particularly for psychotropic medications. This is of concern due to the many side effects associated with these medications and because of the risks of polypharmacy. In this paper we compare the most commonly dispensed drugs and all psychotropic medications for youth with IDD compared with youth without IDD.MethodsUsing population-level administrative health data over a 10-year period, this study examined medications dispensed to youth with an IDD aged 15-24 years compared with youth without an IDD. The most common medications dispensed and the number of youth they were dispensed to were determined. As well a wide variety of psychotropic medications were examined.ResultsThere were a total of 20 591 youth with IDD and 1 293 791 youth without IDD identified. Youth with IDD had higher odds of being dispensed pain medications, amoxicillin, salbutamol, levothyroxine and all the psychotropic medications (antidepressants, antipsychotics, anxiolytics, anti-adrenergic agents, mood stabilisers and stimulants). For youth with IDD, 6558 (31.85%) were dispensed two or more different psychotropic medications within a year, compared with 75 963 (5.87%) of youth without IDD.DiscussionCompared to youth without IDD, youth with IDD had significantly higher odds of being dispensed most of the prescription medications studied, including all of the psychotropic medications. They were also twice as likely to be dispensed two or more medications from different classes of psychotropic drugs within the same year. These findings have important implications for the health of people with IDD and for their health care providers.
引用
收藏
页码:1156 / 1166
页数:11
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