Comparison of the consumption of antidepressants in the immigrant and native populations in a Spanish health region: an observational study

Cruz, Inés; Serna, Catalina; Real, Jordi; Rué, Montse; Soler, Jorge; Galván, Leonardo
January 2010
BMC Public Health;2010, Vol. 10 Issue 1, p255
Academic Journal
Background: Health professionals and organizations in developed countries adapt slowly to the increase of ethnically diverse populations attending health care centres. Several studies report that attention to immigrant mental health comes up with barriers in access, diagnosis and therapeutics, threatening equity. This study analyzes differences in exposure to antidepressant drugs between the immigrant and the native population of a Spanish health region. Methods: Cross-sectional study of the dispensation of antidepressant drugs to the population aged 15 years or older attending the public primary health centres of a health region, 232,717 autochthonous and 33,361 immigrants, during 2008. Data were obtained from computerized medical records and pharmaceutical records of medications dispensed in pharmacies. Age, sex, country of origin, visits, date of entry in the regional health system, generic drugs and active ingredients were considered. Statistical analysis expressed the percentage of persons exposed to antidepressants stratified by age, gender, and country of origin and prevalence ratios of antidepressant exposition were calculated. Results: Antidepressants were dispensed to 11% of native population and 2.6% of immigrants. Depending on age, native women were prescribed antidepressants between 1.9 and 2.7 times more than immigrant women, and native men 2.5 and 3.1 times more than their immigrant counterparts. Among immigrant females, the highest rate was found in the Latin Americans (6.6%) and the lowest in the sub-Saharans (1.4%). Among males, the highest use was also found in the Latin Americans (1.6%) and the lowest in the sub-Saharans (0.7%). The percentage of immigrants prescribed antidepressants increased significantly in relation to the number of years registered with the local health system. Significant differences were found for the new antidepressants, prescribed 8% more in the native population than in immigrants, both in men and in women. Conclusions: All the immigrants, regardless of the country of origin, had lower antidepressant consumption than the native population of the same age and sex. Latin American women presented the highest levels of consumption, and the sub-Saharan men the lowest. The prescription profiles also differed, since immigrants consumed more generics and fewer recently commercialized active ingredients.


Related Articles

  • Duration and compliance with antidepressant treatment in immigrant and native-born populations in Spain: a four year follow-up descriptive study.  // BMC Public Health;2012, Vol. 12 Issue 1, p256 

    The article cites a research study that analyzes the differences in the duration and compliance with antidepressant treatment among immigrants and natives in a Spanish health region. It is said that non-compliance is one of several barriers to adequate management of mental illness in immigrant...

  • ÇOCUK VE ERGEN PSÄ°KÄ°YATRÄ°SÄ° POLÄ°KLÄ°NİĞİNE BAÅžVURAN HASTALARA TEDAVÄ° UYGULAMALARI. KARAMAN, Dursun; KARA, Koray; DURUKAN, İbrahim // Anatolian Journal of Clinical Investigation;2012, Vol. 6 Issue 4, p225 

    In this study it was aimed to determine the psychotropics and non-pharmacological treatment options used in treatment of children and adolescents applied to a child and adolescent psychiatric outpatient clinic. Medical records of 538 patients referred to the Children and Adolescent Psychiatry...

  • THE INTEGRATED SUMMARY: A Documentation Tool to Improve Patient Care. Stelman, Michael A. // Family Practice Management;Apr2003, Vol. 10 Issue 4, p33 

    Discusses the use of an integrated summary as a document tool to improve patient care. Importance of medical record in patient care; Development of an appropriate treatment plan; Major benefits of the integrated summary.

  • Data quality is a perfect project. Paul // GP: General Practitioner;2/4/2002, p54 

    Presents tips to ensure data quality in medical practice in Great Britain. Benefits of good data; Development of a practice-wide approach; Need to understand the Read codes; Availability of large groups providing services for data quality.

  • General practice records.  // British Medical Journal;12/9/1978, Vol. 2 Issue 6152, p1587 

    Focuses on the good records in general practice contributing to the good standards of medical care. Enumeration of the three difficulties in medical records; Subjects of the research; Importance of records in hospitals.

  • Letter: Sending partial records is dangerous and lazy. Stanley, Adrian // GP: General Practitioner;6/17/2005, p21 

    Presents a letter to the editor about the partial information provided by medial records.

  • US healthcare: take a number, please. Dove, Alan // Nature Medicine;Sep1998, Vol. 4 Issue 9, p991 

    Reports on the provisions of the Health Insurance Portability and Accountability Act in the U.S. concerning the use of a Universal Health Identifier system designed to benefit patient and doctors in medical care. Forms of the identifier; Accessibility of patient medical information; Formation...

  • Answers to your questions about…. Hubbartt, William S. // Medical Economics;10/10/2003, Vol. 80 Issue 19, p33 

    Responds to different issues related to the U.S. Health Insurance Portability and Accountability Act of 1996. Legality of requests for authorizations and other patient-related information; Mail-order pharmacies requesting diagnostic and other information; Prohibition of the use of postcard...

  • The drive is on for uniform data standards. Sipkoff, Martin // Drug Topics;8/18/2003, Vol. 147 Issue 16, pHSE24 

    Reports on the efforts of the U.S. government and private entities to push for uniform and universal electronic patient data inside and between healthcare organizations. Support of hospital pharmacists; Importance of paperless healthcare data system on patient safety.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics