Consumption of Psychiatric Drugs in Primary Care during the COVID-19 Pandemic

被引:19
作者
del Carmen Gonzalez-Lopez, Maria [1 ]
Diaz-Calvo, Virginia [1 ]
Ruiz-Gonzalez, Carlos [1 ]
Jose Nievas-Soriano, Bruno [2 ]
Rebollo-Lavado, Belen [3 ]
Parron-Carreno, Tesifon [2 ]
机构
[1] Andalusian Hlth Serv, Primary Hlth Care Dist Almeria, Almeria 04006, Spain
[2] Univ Almeria, Dept Nursing Sci Physiotherapy & Med, Almeria 04006, Spain
[3] Badajoz Univ Hosp, Neurol Dept, Badajoz 06080, Spain
关键词
psychiatric drugs; primary health care; COVID-19; drug consumption; drug prescription; antidepressants; anxiolytics; hypnotic-sedatives;
D O I
10.3390/ijerph19084782
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
Background: The main objective of this research was to analyze whether there were changes in the use of antidepressants, anxiolytics, and hypnotic-sedative drugs, in the context of primary health care, during the COVID-19 pandemic compared to the pre-pandemic period. We further sought to study consumption in vulnerable population groups. Methods: A cross-sectional observational study was performed in a primary health district of Spain. The data were obtained from the Andalusian Public Health System database, for the pre-COVID-19 period, from March 2019 to February 2020, and for the COVID-19 period, from March 2020 to February 2021. Univariant and bivariant analyses were performed. The effect size was measured using the Rosenthal test. Results: While the total number of medical prescriptions decreased by 2.5% in the COVID-19 period, the prescriptions of psychiatric drugs increased by 6.1%. The increase in the dose consumption per 1000 inhabitants (DHD) was highest for anxiolytics (7.2%), followed by hypnotic-sedatives (5.6%) and antidepressants (3.7%). The consumption of antidepressants, anxiolytics, and sedative-hypnotic drugs was higher in women, older people, and rural areas and lower in areas with social transformation needs, with these differences being statistically significant. Conclusions: The consumption of psychiatric drugs has increased over the COVID-19 pandemic, especially in women, older people, and rural areas. Thus, we should reflect on the adequate use of these drugs.
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页数:12
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