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2017-03-09Zeitschriftenartikel DOI: 10.1186/s12888-017-1254-x
Changes in prevalence of psychotropic drug use and alcohol consumption among the elderly in Germany: results of two National Health Interview and Examination Surveys 1997-99 and 2008-11
dc.contributor.authorWolf, Ingrid-Katharina
dc.contributor.authorDu, Yong
dc.contributor.authorKnopf, Hildtraud
dc.date.accessioned2018-05-07T20:09:59Z
dc.date.available2018-05-07T20:09:59Z
dc.date.created2017-06-27
dc.date.issued2017-03-09none
dc.identifier.otherhttp://edoc.rki.de/oa/articles/rexW3l5fcQo/PDF/28VtcqTqnwD3U.pdf
dc.identifier.urihttp://edoc.rki.de/176904/2687
dc.description.abstractBackground: Psychotropic drug use and alcohol consumption among older adults need to be monitored over time as their use or combined use bears risks of harms. Representative data on changes in prevalence, patterns and co-relates of substance use are lacking in Germany. Methods: Participants were older adults (60–79 years) from two German National Health Surveys: 1997–99 (GNHIES98, N = 1,606) and 2008-11 (DEGS1, N = 2,501). Included were drugs acting on the nervous system used during the last 7 days. Alcohol consumption was measured by frequency (daily drinking) and quantity (risky drinking: ≥20/10 g/day alcohol for men/women). Changes in prevalence adjusted for potential socio-economic and health-related confounders were calculated by logistic regression models approximated by the SAS LSMEANS statement. Results: The prevalence of overall psychotropic drug use (20.5% vs. 21.4%) remained constant between the two surveys. Significant changes were observed in the use of some psychotropics (all GNHIES98 vs. DEGS1): Synthetic antidepressants (3.9% vs. 6.9%), St. John’s wort (2.9% vs. 1.1%), benzodiazepines (3.7% vs. 2.5%), benzodiazepine related drugs (0.2% vs. 0.8%), narcotic analgesics (3.0% vs. 4.1%), anti-dementia drugs (2.2% vs. 4.2%) and anti-epileptics (1.0% vs. 2.3%). Significant changes were also observed in long-term use of synthetic anti-depressants (3.2% vs. 5.9%), St. John’s wort (2.0% vs. 0.6%) and opioid analgesics (1.0% vs. 2.2%). Further, we found significant changes in benzodiazepines use (3.3% vs. 1.4%) among men, opioids use (2.9% vs. 7.3%) among people with a lower social status, and overall psychotropics (26.8% vs. 32.5%) as well as opioids use (4.4% vs. 8.1%) among those with a worse health status. Moderate alcohol consumption increased significantly (58.0% vs. 66.9%). Risky drinking remained unchanged (16.6% vs. 17.0%). In spite of significant increases in daily alcohol drinking (13.2% vs. 18.4%) psychotropic drug use combined with daily drinking remained unchanged (1.8% vs. 2.7%). Conclusions: Although prevalence of overall psychotropic drug use remained stable, changes in the use of some psychotropic drug groups and alcohol consumption patterns have been observed. Further studies are required to investigate resulting health consequences and public health relevance of those outcomes.eng
dc.language.isoeng
dc.publisherRobert Koch-Institut, Epidemiologie und Gesundheitsberichterstattung
dc.subjectGermanyeng
dc.subjectAlcoholeng
dc.subjectChangeseng
dc.subjectPsychotropic drugseng
dc.subjectNational health surveyseng
dc.subjectOlder adultseng
dc.subject.ddc610 Medizin
dc.titleChanges in prevalence of psychotropic drug use and alcohol consumption among the elderly in Germany: results of two National Health Interview and Examination Surveys 1997-99 and 2008-11
dc.typeperiodicalPart
dc.identifier.urnurn:nbn:de:0257-10053154
dc.identifier.doi10.1186/s12888-017-1254-x
dc.identifier.doihttp://dx.doi.org/10.25646/2612
local.edoc.container-titleBMC Psychiatry
local.edoc.fp-subtypeArtikel
local.edoc.type-nameZeitschriftenartikel
local.edoc.container-typeperiodical
local.edoc.container-type-nameZeitschrift
local.edoc.container-urlhttps://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-017-1254-x
local.edoc.container-publisher-nameBioMedCentral
local.edoc.container-volume17
local.edoc.container-issue90
local.edoc.container-year2017

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