
Social Psychiatry and Psychiatric Epidemiology, Год журнала: 2024, Номер unknown
Опубликована: Июль 13, 2024
Abstract Purpose To evaluate the impact of pandemic on consumption antidepressive agents in Central Portugal. Methods estimate causal effect an interrupted time series analysis was conducted. Data antidepressant drugs monthly dispensed community pharmacies between Jan-2010 and Dec-2021 were provided by regional Health Administration. Anti-Parkinson dopaminergic statins, theoretically not influenced COVID-19 pandemics, used as comparator series. The number packages converted into defined daily doses presented doses/1000 inhabitants/day. A Bayesian structural time-series model with CausalImpact R/RStudio to predict counterfactual. Analyses different geographical granularity (9 sub-regions 78 municipalities) performed. Results When compared counterfactual, non-significantly increased after declaration, a relative + 1.30% [95%CI -1.6%:4.2%]. increasing granularity, differences appeared sub-region significant increases Baixo Mondego 6.5% [1.4%:11.0%], Guarda 4.4% [1.1%:7.7%] or Cova da Beira 4.1% [0.17%:8.3%], but non-significant variation remaining 6 sub-regions. Differences are more obvious at municipality level, ranging from 37.00% [32.00%:42.00%] decreases -11.00% [-17.00%:-4.20%]. Relative positively correlated percentage elderly ( r = 0.301; p 0.007), negatively population density =-0.243; 0.032). No other predicting variables found. Conclusion Antidepressant suffered very slight variations level declaration. Analysis higher allowed identifying municipalities (increase decrease). absence clear association patterns suggests hypotheses differences.
Язык: Английский