Age- and Sex-Specific Increases in Stimulant Prescribing Rates-California, 2008-2017

被引:8
|
作者
Tseregounis, Iraklis Erik [1 ]
Stewart, Susan L. [2 ]
Crawford, Andrew [3 ]
Marshall, Brandon D. L. [6 ]
Cerda, Magdalena [7 ]
Shev, Aaron B. [4 ]
Henry, Stephen G. [5 ]
机构
[1] Univ Calif Davis, Ctr Healthcare Policy & Res, 2103 Stockton Blvd, Sacramento, CA 95817 USA
[2] Univ Calif Davis, Dept Publ Hlth Sci, Biostat, Sacramento, CA 95817 USA
[3] Univ Calif Davis, Violence Prevent Res Program, Sacramento, CA 95817 USA
[4] Univ Calif Davis, Stat, Sacramento, CA 95817 USA
[5] Univ Calif Davis, Internal Med, Sacramento, CA 95817 USA
[6] Brown Univ, Sch Publ Hlth, Epidemiol, Providence, RI 02912 USA
[7] New York Univ Langone Hlth, Dept Populat Hlth, Ctr Opioid Epidemiol & Policy, New York, NY USA
关键词
prescription; stimulants; medication trends; adult ADHD treatment; ATTENTION-DEFICIT/HYPERACTIVITY DISORDER; OVERDOSE DEATHS; NONMEDICAL USE; UNITED-STATES; TRENDS; ADHD; ADULTS; PERSISTENCE; PATTERNS; GENDER;
D O I
10.1177/1087054719883008
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
Objective: To describe trends in prevalent and incident stimulant prescribing between 2008 and 2017 in California. Method: Statewide trends were estimated by age and sex category for prevalent (any) and incident (no prescriptions in the preceding 2 years) stimulant prescribing while adjusting for area-level covariates. Results: Prevalent prescribing rates increased by 126%, while incident prescribing increased 23%. Patients aged 25 to 44 years experienced over 200% increases in prevalent prescribing and 34% to 55% increases in incident prescribing. Among patients older than 25, women had consistently higher prescribing rates than men. ZIP code tabulation areas with the largest minority populations had the lowest baseline prescribing rates but experienced the greatest annual prescription rate increases. Conclusion: Adult stimulant prescribing increased substantially for early working aged adults. Prescription rates were greater for women than men.
引用
收藏
页码:205 / 214
页数:10
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