IDI trends in antidepressant dispensing to New Zealand children and young people between 2007/08 and 2015/16.

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Show simple item record Bowden, N en Gibb, S en Thabrew, Hiran en Audas, R en Camp, J en Taylor, B en Hetrick, Sarah en 2020-01-09T00:32:58Z en 2019-11-08 en
dc.identifier.citation New Zealand medical journal 132(1505):48-61 08 Nov 2019 en
dc.identifier.issn 0028-8446 en
dc.identifier.uri en
dc.description.abstract AIM:To examine trends in antidepressant dispensing to childred and young people in New Zealand aged 1-24 years between 2007/08 and 2015/16 using the national Integrated Data Infrastructure (IDI), and to determine whether these trends vary by age, sex, ethnicity and socioeconomic deprivation. METHODS:In a novel endeavour, data on antidepressant dispensing, age, sex, ethnicity and socioeconomic status were sourced from the IDI, a linked individual-level database containing New Zealand government and survey microdata. RESULTS:The total rate of dispensing of antidepressants to young people increased by 44% from 1,870 per 100,000 in 2007/08 to 2,694 per 100,000 in 2015/16. Increases were larger for the 13-17 age group than the 1-12- or 18-24-year age groups. New Zealand European/Other ethnicities had the highest dispensing rates (3,623 out of every 100,000 people received an antidepressant in 2015/16), followed by Māori (1,980/100,000), Asian (902/100,000) and Pasifika (819/100,000) had the lowest. Dispensing rates increased with increasing deprivation, except in the most deprived quintile, where rates were lower than all other quintiles. CONCLUSION:This study demonstrates the value of utilising IDI data for health research, while providing directions for future use, including further linkage of IDI datasets. Overall there was a trend towards an increase in the use of antidepressants across all age, sex and ethnic groups, but notable variation in dispensing between different ethnic and socioeconomic groups. Despite our inability to determine the clinical rationale for increased dispensing of antidepressants, the available data highlight some potentially significant improvements as well as disparities in healthcare. en
dc.format.medium Electronic en
dc.language eng en
dc.publisher New Zealand Medical Association en
dc.relation.ispartofseries New Zealand Medical Journal en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights.uri en
dc.rights.uri en
dc.title IDI trends in antidepressant dispensing to New Zealand children and young people between 2007/08 and 2015/16. en
dc.type Journal Article en
pubs.issue 1505 en
pubs.begin-page 48 en
pubs.volume 132 en
dc.rights.holder Copyright: NZMA en en
pubs.end-page 61 en
pubs.publication-status Published en
dc.rights.accessrights en
pubs.subtype Article en
pubs.elements-id 786436 en Medical and Health Sciences en School of Medicine en Psychological Medicine Dept en
dc.identifier.eissn 1175-8716 en
pubs.record-created-at-source-date 2020-01-14 en
pubs.dimensions-id 31697663 en

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