A retrospective cohort study of prescription drug use among youth with intellectual/developmental disabilities in British Columbia.
Background: People with intellectual/developmental disabilities (IDD) are known to have high rates of prescription drug use, particularly for psychotropic medications. This is of concern due to the many side effects associated with these medications and because of the risks of polypharmacy. In this...
| Published in: | Journal of Intellectual Disability Research Vol. 68; no. 10; pp. 1156 - 1167 |
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| Main Authors: | , , , , |
| Format: | research tables/charts Journal Article |
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Wiley-Blackwell
Oct2024
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=180987636&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 180987636 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09642633 EUL jtl: Journal of Intellectual Disability Research issn: 09642633 maglogo: Y pubinfo: dt: Oct2024 vid: 68 iid: 10 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 180987636 177369635 180987636 180987636 10.1111/jir.13147 180987636 ppf: 1156 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: A retrospective cohort study of prescription drug use among youth with intellectual/developmental disabilities in British Columbia. aug: au: Marquis, S. Marquis, N. E. Lunsky, Y. McGrail, K. M. Baumbusch, J. affil: School of Nursing, Faculty of Applied Science, University of British Columbia, Vancouver British Columbia,, Canada sug: subj: Intellectual Disability Epidemiology Developmental Disabilities Epidemiology Intellectual Disability Drug Therapy Developmental Disabilities Drug Therapy Drugs, Prescription Psychotropic Drugs Therapeutic Use Human Male Female Adolescence Young Adult Retrospective Design Prospective Studies Record Review British Columbia Odds Ratio Amoxicillin Therapeutic Use Albuterol Therapeutic Use Thyroxine Therapeutic Use Antidepressive Agents Therapeutic Use Antipsychotic Agents Therapeutic Use Antianxiety Agents, Benzodiazepine Therapeutic Use Adrenergic Antagonists Therapeutic Use Ganglionic Stimulants Therapeutic Use Descriptive Statistics Comparative Studies Funding Source Adolescent: 13-18 years Male Female ab: Background: People with intellectual/developmental disabilities (IDD) are known to have high rates of prescription drug use, particularly for psychotropic medications. This is of concern due to the many side effects associated with these medications and because of the risks of polypharmacy. In this paper we compare the most commonly dispensed drugs and all psychotropic medications for youth with IDD compared with youth without IDD. Methods: Using population‐level administrative health data over a 10‐year period, this study examined medications dispensed to youth with an IDD aged 15–24 years compared with youth without an IDD. The most common medications dispensed and the number of youth they were dispensed to were determined. As well a wide variety of psychotropic medications were examined. Results: There were a total of 20 591 youth with IDD and 1 293 791 youth without IDD identified. Youth with IDD had higher odds of being dispensed pain medications, amoxicillin, salbutamol, levothyroxine and all the psychotropic medications (antidepressants, antipsychotics, anxiolytics, anti‐adrenergic agents, mood stabilisers and stimulants). For youth with IDD, 6558 (31.85%) were dispensed two or more different psychotropic medications within a year, compared with 75 963 (5.87%) of youth without IDD. Discussion: Compared to youth without IDD, youth with IDD had significantly higher odds of being dispensed most of the prescription medications studied, including all of the psychotropic medications. They were also twice as likely to be dispensed two or more medications from different classes of psychotropic drugs within the same year. These findings have important implications for the health of people with IDD and for their health care providers. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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