Ethnic density, physical illness, social deprivation and antidepressant prescribing in primary care: ecological study

Paul Walters, Mark Ashworth, Andre Tylee

Research output: Contribution to journalArticlepeer-review

30 Citations (Scopus)

Abstract

Background Antidepressant prescribing should reflect need. The Quality and Outcomes Framework has provided an opportunity to explore factors affecting antidepressant prescribing in UK general practice. Aims To explore the relationship between physical illness, social deprivation, ethnicity, practice characteristics and the volume of antidepressants prescribed in primary care. Method This was an ecological study using data derived from the Quality and Outcomes Framework, the informatics Collaboratory of the Social Sciences, and Prescribing Analyses and CosT data for 2004-2005. Associations were examined using linear regression modelling. Results Socio-economic status, ethnic density, asthma, chronic obstructive pulmonary disease and epilepsy explained 44% of the variance in the volume of antidepressants prescribed. Conclusions Lower volumes of antidepressants are prescribed in areas with high densities of Black or Asian people. This may suggest disparities in provision of care. Chronic respiratory disease and epilepsy may have a more important association with depression in primary care than previously thought.
Original languageEnglish
Pages (from-to)235 - 239
Number of pages5
JournalBritish Journal of Psychiatry
Volume193
Issue number3
DOIs
Publication statusPublished - Sept 2008

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