scholarly journals Social and economic factors associated with antidepressant use: results of a national survey in primary care

Author(s):  
Natália Patrícia Batista Torres ◽  
Juliana Alvares-Teodoro ◽  
Augusto Afonso Guerra Júnior ◽  
Prefeitura de Belo Horizonte ◽  
Francisco de Assis Acurcio
1994 ◽  
Vol 18 (6) ◽  
pp. 756-766 ◽  
Author(s):  
Jennifer A. Parsons ◽  
Richard B. Warnecke ◽  
Ronald F. Czaja ◽  
Janet Barnsley ◽  
Arnold Kaluzny

2020 ◽  
Vol 54 (4) ◽  
pp. 367-381
Author(s):  
Sandra K Davidson ◽  
Helena Romaniuk ◽  
Patty Chondros ◽  
Christopher Dowrick ◽  
Jane Pirkis ◽  
...  

Background: In light of emerging evidence questioning the safety of antidepressants, it is timely to investigate the appropriateness of antidepressant prescribing. This study estimated the prevalence of possible over- and under-treatment with antidepressants among primary care attendees and investigated the factors associated with potentially inappropriate antidepressant use. Methods: In all, 789 adult primary care patients with depressive symptoms were recruited from 30 general practices in Victoria, Australia, in 2005 and followed up every 3 months in 2006 and annually from 2007 to 2011. For this study, we first assessed appropriateness of antidepressant use in 2007 at the 2-year follow-up to enable history of depression to be taken into account, providing 574 (73%) patients with five yearly assessments, resulting in a total of 2870 assessments. We estimated the prevalence of use of antidepressants according to the adapted National Institute for Health and Care Excellence guidelines and used regression analysis to identify factors associated with possible over- and under-treatment. Results: In 41% (243/586) of assessments where antidepressants were indicated according to adapted National Institute for Health and Care Excellence guidelines, patients reported not taking them. Conversely in a third (557/1711) of assessments where guideline criteria were unlikely to be met, participants reported antidepressant use. Being female and chronic physical illness were associated with antidepressant use where guideline criteria were not met, but no factors were associated with not taking antidepressants where guideline criteria were met. Conclusions: Much antidepressant treatment in general practice is for people with minimal or mild symptoms, while people with moderate or severe depressive symptoms may miss out. There is considerable scope for improving depression care through better allocation of antidepressant treatment.


Author(s):  
Marcela Dupont-Soares ◽  
Marina dos Santos ◽  
Edariane Menestrino Garcia ◽  
Maria Cristina Flores Soares ◽  
Ana Luiza Muccillo-Baisch ◽  
...  

2020 ◽  
Vol 28 (1) ◽  
pp. 13-25
Author(s):  
Soleil Chahine ◽  
Gordon Walsh ◽  
Robin Urquhart

Purpose: The purpose of this study is to describe the psychosocial needs of cancer survivors and examine whether sociodemographic factors and health care providers accessed are associated with needs being met. Methods: All Nova Scotia survivors meeting specific inclusion and exclusion criteria are identified from the Nova Scotia Cancer Registry and sent an 83-item survey to assess psychosocial concerns and whether and how their needs were met. Descriptive statistics (frequencies, percentages) and Chi-square analyses are used to examine associations between sociodemographic and provider factors and outcomes. Results: Anxiety and fear of recurrence, depression, and changes in sexual intimacy are major areas of concern for survivors. Various sociodemographic factors, such as immigration status, education, employment, and internet use, are associated with reported psychosocial health and having one’s needs met. Having both a specialist and primary care provider in charge of follow-up care is associated with a significantly (p < 0.05) higher degree of psychosocial and informational needs met compared to only one physician or no follow-up physician in charge. Accessing a patient navigator also is significantly associated with a higher degree of needs met. Conclusions: Our study identifies the most prevalent psychosocial needs of cancer survivors and the factors associated with having a higher degree of needs met, including certain sociodemographic factors, follow-up care by both a primary care practitioner and specialist, and accessing a patient navigator.


2015 ◽  
Vol 61 (5) ◽  
pp. 1021-1045 ◽  
Author(s):  
Eric Keels

New research has emerged that suggests there is a troubling relationship between elections and civil wars; primarily, elections increase the risk of civil war recurrence. I investigate this relationship further by examining the economic factors associated with the connection between postwar elections and peace failure. Specifically, how does the presence of oil wealth impact the risk posed by postwar elections. Drawing on previous findings in the democratization literature, I suggest the immobility of oil wealth dramatically increases the stakes associated with postwar elections. As postwar elites use irregular electioneering to consolidate their control of oil revenue, it increases the incentives for postwar opposition to use violence as a means to achieve their objectives. Using post-civil war data from 1945 to 2005, I demonstrate that postwar elections that occur in oil-rich economies dramatically decrease the durability of postwar peace. Once controlling for petro elections, though, I demonstrate that subsequent postwar elections actually increase the durability of postwar peace.


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