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The geography of antidepressant, antipsychotic, and stimulant utilization in the United States
- Source :
-
Health & Place . Mar2013, Vol. 20, p32-38. 7p. - Publication Year :
- 2013
-
Abstract
- Abstract: This paper analyzes local and regional geographic variability in the use of antidepressant, antipsychotic and stimulant medications in the United States. Using a data set that covers 60% of prescriptions written in the United States, we find that use of antidepressants in three digit postal codes ranged from less than 1% of residents to more than 40% residents. Stimulant and antipsychotic use exhibited similar levels of local geographic variability. A Kulldorf Spatial Scan identified clusters of elevated use of antidepressants (RR 1.46; p<0.001), antipsychotics (RR 1.42; p<0.001), and stimulants (RR 1.77; p<0.001). Using a multilevel model, we find that access to health care, insurance coverage and pharmaceutical marketing efforts explain much of the geographic variation in use. [Copyright &y& Elsevier]
Details
- Language :
- English
- ISSN :
- 13538292
- Volume :
- 20
- Database :
- Academic Search Index
- Journal :
- Health & Place
- Publication Type :
- Academic Journal
- Accession number :
- 85854877
- Full Text :
- https://doi.org/10.1016/j.healthplace.2012.11.007