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  1. Prescribing patterns for analgesics in relation to Underprivileged Area (UPA) score, mortality and suicide in 33 municipalities in the province of Skane, southern Sweden.

    Article - En anglais

    Background 

    Although it is well known that analgesics contribute to suicide, there is little knowledge about how much of the mortality and suicide can be explained by socioeconomic deprivation or by sales of analgesics.

    Methods 

    This ecological study analyses the relationships between the sales (defined daily doses per 1000 inhabitants per day) of dextropropoxyphene, dextropropoxyphene combinations, paracetamol, codeine and paracetamol combinations, and other codeine combinations and the Swedish UPA (underprivileged area) score, mortality and suicide rates in 33 municipalities in Skane in 1987 and 1994 for people aged 20-64 years.

    The association of each of the subgroups of analgesics with all-cause mortality, and with standardised mortality rates for suicide, adjusted for UPA score, was investigated by using weighted (by population size) regression analysis.

    Results 

    In 1994 there was a moderate to strong significant correlation between sales of analgesics and UPA scores, mortality and suicide (r=0.49-0.78).

    Although UPA score explained 68.9% and 67.4% respectively of the variance between the analgesics and all-cause mortality and suicide, codeine and paracetamol combinations explained a further 10.1% of the variance in suicide.

    Dextropropoxyphene and codeine arid paracetamol combinations explained an additional 3.8% and 2.9% respectively of the variance in mortality. (...)

    Mots-clés Pascal : Santé mentale, Prescription médicale, Analgésique, Facteur risque, Suicide, Suède, Europe, Homme

    Mots-clés Pascal anglais : Mental health, Medical prescription, Analgesic, Risk factor, Suicide, Sweden, Europe, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0308883

    Code Inist : 002B18H05B. Création : 16/11/1999.