Skip to main content
Top
Published in: Archives of Women's Mental Health 6/2014

01-12-2014 | Original Article

Time trends of antidepressant drug prescriptions in men versus women in a geographically defined US population

Authors: Wenjun Zhong, Hilal Maradit Kremers, Barbara P. Yawn, William V. Bobo, Jennifer L. St. Sauver, Jon O. Ebbert, Lila J. Finney Rutten, Debra J. Jacobson, Scott M. Brue, Walter A. Rocca

Published in: Archives of Women's Mental Health | Issue 6/2014

Login to get access

Abstract

The aim of this work was to study time trends of antidepressant drug (AD) prescriptions in a geographically defined US population between 2005 and 2011 for men and women separately. Using the Rochester Epidemiology Project medical records-linkage system, we identified all Olmsted County, MN residents who received AD outpatient prescriptions between 2005 and 2011 (7 years). We calculated the annual age- and sex-specific prevalence over 7 years and used generalized estimating equation models to test for time trends. The prevalence of subjects receiving at least one AD prescription was approximately two times higher in women than in men consistently across the 7 years of the study. The standardized annual prevalence increased from 10.8 % in 2005 to 14.4 % in 2011 overall, from 7.0 % in 2005 to 9.9 % in 2011 for men, and from 14.4 % in 2005 to 18.6 % in 2011 for women. The absolute percent increase was greater in women (4.2 vs. 2.9 %; standardized); however, the relative percent increase was greater in men (41.4 vs. 29.2 %; standardized). The relative percent increase was greater in the age group 65+ years for both men and women. AD prescriptions are increasing over time, especially in the elderly. Women receive more AD prescriptions than men. However, the relative increase in AD prescriptions over time is greater in men than women.
Literature
go back to reference Athanasopoulos C, Pitychoutis PM, Messari I, Lionis C, Papadopoulou-Daifoti Z (2013) Is drug utilization in Greece sex dependent? A population-based study. Basic Clin Pharmacol Toxicol 112:55–62PubMedCrossRef Athanasopoulos C, Pitychoutis PM, Messari I, Lionis C, Papadopoulou-Daifoti Z (2013) Is drug utilization in Greece sex dependent? A population-based study. Basic Clin Pharmacol Toxicol 112:55–62PubMedCrossRef
go back to reference Atlantis E, Sullivan T, Sartorius N, Almeida OP (2012) Changes in the prevalence of psychological distress and use of antidepressants or anti-anxiety medications associated with comorbid chronic diseases in the adult Australian population, 2001–2008. Aust N Z J Psychiatr 46:445–456CrossRef Atlantis E, Sullivan T, Sartorius N, Almeida OP (2012) Changes in the prevalence of psychological distress and use of antidepressants or anti-anxiety medications associated with comorbid chronic diseases in the adult Australian population, 2001–2008. Aust N Z J Psychiatr 46:445–456CrossRef
go back to reference Compton WM, Conway KP, Stinson FS, Grant BF (2006) Changes in the prevalence of major depression and comorbid substance use disorders in the United States between 1991–1992 and 2001–2002. Am J Psychiatry 163:2141–2147PubMedCrossRef Compton WM, Conway KP, Stinson FS, Grant BF (2006) Changes in the prevalence of major depression and comorbid substance use disorders in the United States between 1991–1992 and 2001–2002. Am J Psychiatry 163:2141–2147PubMedCrossRef
go back to reference Friedman RA, Leon AC (2007) Expanding the black box—depression, antidepressants, and the risk of suicide. N Engl J Med 356:2343–2346PubMedCrossRef Friedman RA, Leon AC (2007) Expanding the black box—depression, antidepressants, and the risk of suicide. N Engl J Med 356:2343–2346PubMedCrossRef
go back to reference Frome EL, Checkoway H (1985) Epidemiologic programs for computers and calculators. Use of Poisson regression models in estimating incidence rates and ratios. Am J Epidemiol 121:309–323PubMed Frome EL, Checkoway H (1985) Epidemiologic programs for computers and calculators. Use of Poisson regression models in estimating incidence rates and ratios. Am J Epidemiol 121:309–323PubMed
go back to reference Gardner W, Mulvey EP, Shaw EC (1995) Regression analyses of counts and rates: Poisson, overdispersed Poisson, and negative binomial models. Psychol Bull 118:392–404PubMedCrossRef Gardner W, Mulvey EP, Shaw EC (1995) Regression analyses of counts and rates: Poisson, overdispersed Poisson, and negative binomial models. Psychol Bull 118:392–404PubMedCrossRef
go back to reference Harman JS, Edlund MJ, Fortney JC (2009) Trends in antidepressant utilization from 2001 to 2004. Psychiatr Serv 60:611–616PubMedCrossRef Harman JS, Edlund MJ, Fortney JC (2009) Trends in antidepressant utilization from 2001 to 2004. Psychiatr Serv 60:611–616PubMedCrossRef
go back to reference Kuo CC, Chien IC, Lin CH, Lee WG, Chou YJ, Lee CH, Chou P (2011) Prevalence, correlates, and disease patterns of antidepressant use in Taiwan. Compr Psychiatry 52:662–669PubMedCrossRef Kuo CC, Chien IC, Lin CH, Lee WG, Chou YJ, Lee CH, Chou P (2011) Prevalence, correlates, and disease patterns of antidepressant use in Taiwan. Compr Psychiatry 52:662–669PubMedCrossRef
go back to reference Lavretsky H, Kumar A (2002) Clinically significant non-major depression: old concepts, new insights. Am J Geriatr Psychiatr 10:239–255CrossRef Lavretsky H, Kumar A (2002) Clinically significant non-major depression: old concepts, new insights. Am J Geriatr Psychiatr 10:239–255CrossRef
go back to reference Lineberry TW, Bostwick JM, Beebe TJ, Decker PA (2007) Impact of the FDA black box warning on physician antidepressant prescribing and practice patterns: opening Pandora’s suicide box. Mayo Clin Proc 82:518–520PubMedCrossRef Lineberry TW, Bostwick JM, Beebe TJ, Decker PA (2007) Impact of the FDA black box warning on physician antidepressant prescribing and practice patterns: opening Pandora’s suicide box. Mayo Clin Proc 82:518–520PubMedCrossRef
go back to reference Lockhart P, Guthrie B (2011) Trends in primary care antidepressant prescribing 1995–2007: a longitudinal population database analysis. Br J Gen Pract 61:e565–e572PubMedCentralPubMedCrossRef Lockhart P, Guthrie B (2011) Trends in primary care antidepressant prescribing 1995–2007: a longitudinal population database analysis. Br J Gen Pract 61:e565–e572PubMedCentralPubMedCrossRef
go back to reference McCullagh P, Nelder J (1983) Generalized linear models. Vol., Chapman and Hall London McCullagh P, Nelder J (1983) Generalized linear models. Vol., Chapman and Hall London
go back to reference Meng X, D’Arcy C, Tempier R (2013) Trends in psychotropic use in Saskatchewan from 1983 to 2007. Can J Psychiatry 58:426–431PubMed Meng X, D’Arcy C, Tempier R (2013) Trends in psychotropic use in Saskatchewan from 1983 to 2007. Can J Psychiatry 58:426–431PubMed
go back to reference Mojtabai R (2008) Increase in antidepressant medication in the US adult population between 1990 and 2003. Psychother Psychosoc 77:83–92CrossRef Mojtabai R (2008) Increase in antidepressant medication in the US adult population between 1990 and 2003. Psychother Psychosoc 77:83–92CrossRef
go back to reference Mojtabai R, Olfson M (2014) National trends in long-term use of antidepressant medications; results from the US National Health and Nutrition Examination Survey. J Clin Psychiatry 75:169–177PubMedCrossRef Mojtabai R, Olfson M (2014) National trends in long-term use of antidepressant medications; results from the US National Health and Nutrition Examination Survey. J Clin Psychiatry 75:169–177PubMedCrossRef
go back to reference Mottram P, Wilson K, Strobl J (2006) Antidepressants for depressed elderly. Cochrane Database Syst Rev (1):CD003491 Mottram P, Wilson K, Strobl J (2006) Antidepressants for depressed elderly. Cochrane Database Syst Rev (1):CD003491
go back to reference National Center for Health Statistics (2012) Health, United States, 2011: with special feature on socioeconomic status and health. Library of Congress, Hyattsville, Statistics NCfH publication no. 76–641496 National Center for Health Statistics (2012) Health, United States, 2011: with special feature on socioeconomic status and health. Library of Congress, Hyattsville, Statistics NCfH publication no. 76–641496
go back to reference Olfson M, Marcus SC (2009) National patterns in antidepressant medication treatment. Arch Gen Psychiatry 66:848–856PubMedCrossRef Olfson M, Marcus SC (2009) National patterns in antidepressant medication treatment. Arch Gen Psychiatry 66:848–856PubMedCrossRef
go back to reference Parabiaghi A, Franchi C, Tettamanti M, Barbato A, D’Avanzo B, Fortino I, Bortolotti A, Merlino L, Nobili A (2011) Antidepressants utilization among elderly in Lombardy from 2000 to 2007: dispensing trends and appropriateness. Eur J Clin Pharmacol 67:1077–1083PubMedCrossRef Parabiaghi A, Franchi C, Tettamanti M, Barbato A, D’Avanzo B, Fortino I, Bortolotti A, Merlino L, Nobili A (2011) Antidepressants utilization among elderly in Lombardy from 2000 to 2007: dispensing trends and appropriateness. Eur J Clin Pharmacol 67:1077–1083PubMedCrossRef
go back to reference Pathak J, Murphy SP, Willaert BN, Kremers HM, Yawn BP, Rocca WA, Chute CG (2011) Using RxNorm and NDF-RT to classify medication data extracted from electronic health records: experiences from the Rochester Epidemiology Project. AMIA Annu Symp Proc 1089–1098 Pathak J, Murphy SP, Willaert BN, Kremers HM, Yawn BP, Rocca WA, Chute CG (2011) Using RxNorm and NDF-RT to classify medication data extracted from electronic health records: experiences from the Rochester Epidemiology Project. AMIA Annu Symp Proc 1089–1098
go back to reference Rocca WA, Grossardt BR, Geda YE, Gostout BS, Bower JH, Maraganore DM, de Andrade M, Melton LJ 3rd (2008) Long-term risk of depressive and anxiety symptoms after early bilateral oophorectomy. Menopause 15:1050–1059PubMedCrossRef Rocca WA, Grossardt BR, Geda YE, Gostout BS, Bower JH, Maraganore DM, de Andrade M, Melton LJ 3rd (2008) Long-term risk of depressive and anxiety symptoms after early bilateral oophorectomy. Menopause 15:1050–1059PubMedCrossRef
go back to reference Rocca WA, Yawn BP, St Sauver JL, Grossardt BR, Melton LJ 3rd (2012) History of the Rochester Epidemiology Project: half a century of medical records linkage in a US population. Mayo Clin Proc 87:1202–1213PubMedCentralPubMedCrossRef Rocca WA, Yawn BP, St Sauver JL, Grossardt BR, Melton LJ 3rd (2012) History of the Rochester Epidemiology Project: half a century of medical records linkage in a US population. Mayo Clin Proc 87:1202–1213PubMedCentralPubMedCrossRef
go back to reference Shuster LT, Rhodes DJ, Gostout BS, Grossardt BR, Rocca WA (2010) Premature menopause or early menopause: long-term health consequences. Maturitas 65:161–166PubMedCentralPubMedCrossRef Shuster LT, Rhodes DJ, Gostout BS, Grossardt BR, Rocca WA (2010) Premature menopause or early menopause: long-term health consequences. Maturitas 65:161–166PubMedCentralPubMedCrossRef
go back to reference St Sauver JL, Grossardt BR, Yawn BP, Melton LJ 3rd, Rocca WA (2011) Use of a medical records linkage system to enumerate a dynamic population over time: the Rochester Epidemiology Project. Am J Epidemiol 173:1059–1068PubMedCentralPubMedCrossRef St Sauver JL, Grossardt BR, Yawn BP, Melton LJ 3rd, Rocca WA (2011) Use of a medical records linkage system to enumerate a dynamic population over time: the Rochester Epidemiology Project. Am J Epidemiol 173:1059–1068PubMedCentralPubMedCrossRef
go back to reference St Sauver JL, Grossardt BR, Leibson CL, Yawn BP, Melton LJ 3rd, Rocca WA (2012a) Generalizability of epidemiological findings and public health decisions: an illustration from the Rochester Epidemiology Project. Mayo Clin Proc 87:151–160PubMedCentralPubMedCrossRef St Sauver JL, Grossardt BR, Leibson CL, Yawn BP, Melton LJ 3rd, Rocca WA (2012a) Generalizability of epidemiological findings and public health decisions: an illustration from the Rochester Epidemiology Project. Mayo Clin Proc 87:151–160PubMedCentralPubMedCrossRef
go back to reference St Sauver JL, Grossardt BR, Yawn BP, Melton LJ 3rd, Pankratz JJ, Brue SM, Rocca WA (2012b) Data resource profile: the Rochester Epidemiology Project (REP) medical records-linkage system. Int J Epidemiol 41:1614–1624PubMedCentralPubMedCrossRef St Sauver JL, Grossardt BR, Yawn BP, Melton LJ 3rd, Pankratz JJ, Brue SM, Rocca WA (2012b) Data resource profile: the Rochester Epidemiology Project (REP) medical records-linkage system. Int J Epidemiol 41:1614–1624PubMedCentralPubMedCrossRef
go back to reference Sundell KA, Gissler M, Petzold M, Waern M (2011) Antidepressant utilization patterns and mortality in Swedish men and women aged 20–34 years. Eur J Clin Pharmacol 67:169–178PubMedCrossRef Sundell KA, Gissler M, Petzold M, Waern M (2011) Antidepressant utilization patterns and mortality in Swedish men and women aged 20–34 years. Eur J Clin Pharmacol 67:169–178PubMedCrossRef
go back to reference Whitlock EP, O’Connor EA, Gaynes BN (2010) Efficacy of antidepressants and USPSTF guidelines for depression screening. Ann Intern Med 152:753–754CrossRef Whitlock EP, O’Connor EA, Gaynes BN (2010) Efficacy of antidepressants and USPSTF guidelines for depression screening. Ann Intern Med 152:753–754CrossRef
go back to reference Wu CS, Shau WY, Chan HY, Lee YC, Lai YJ, Lai MS (2012) Utilization of antidepressants in Taiwan: a nationwide population-based survey from 2000 to 2009. Pharmacoepidemiol Drug Saf 21:980–988PubMedCrossRef Wu CS, Shau WY, Chan HY, Lee YC, Lai YJ, Lai MS (2012) Utilization of antidepressants in Taiwan: a nationwide population-based survey from 2000 to 2009. Pharmacoepidemiol Drug Saf 21:980–988PubMedCrossRef
go back to reference Zhong W, Maradi-Kremers H, St. Sauver JL, Yawn BP, Ebbert JO, Roger VL, Jacobson DJ, McGree ME, Brue SM, Rocca WA (2013) Age and sex patterns of drug prescribing in a defined American population. Mayo Clin Proc 88:697–707PubMedCentralPubMedCrossRef Zhong W, Maradi-Kremers H, St. Sauver JL, Yawn BP, Ebbert JO, Roger VL, Jacobson DJ, McGree ME, Brue SM, Rocca WA (2013) Age and sex patterns of drug prescribing in a defined American population. Mayo Clin Proc 88:697–707PubMedCentralPubMedCrossRef
Metadata
Title
Time trends of antidepressant drug prescriptions in men versus women in a geographically defined US population
Authors
Wenjun Zhong
Hilal Maradit Kremers
Barbara P. Yawn
William V. Bobo
Jennifer L. St. Sauver
Jon O. Ebbert
Lila J. Finney Rutten
Debra J. Jacobson
Scott M. Brue
Walter A. Rocca
Publication date
01-12-2014
Publisher
Springer Vienna
Published in
Archives of Women's Mental Health / Issue 6/2014
Print ISSN: 1434-1816
Electronic ISSN: 1435-1102
DOI
https://doi.org/10.1007/s00737-014-0450-7

Other articles of this Issue 6/2014

Archives of Women's Mental Health 6/2014 Go to the issue