Factors related to long-term benzodiazepine prescription among new users of benzodiazepines (n=74 044)
OR | 95% CI to P value | P value | |
Age | 1.02 | 1.01 to 1.02 | <0.001 |
Sex, male | 1.14 | 1.06 to 1.23 | <0.001 |
Occupational status, employed | 0.98 | 0.91 to 1.06 | 0.58 |
Cancer | 1.18 | 1.08 to 1.29 | <0.001 |
Medical specialty, psychiatry | 1.80 | 1.68 to 1.94 | <0.001 |
Psychiatric diagnosis | |||
None | Ref. | ||
Mood disorder (F3) | 3.30 | 3.01 to 3.62 | <0.001 |
Neurotic, stress-related and somatic disorder (F4) | 1.49 | 1.36 to 1.62 | <0.001 |
Mood and neurotic disorders (F3 and F4) | 3.53 | 3.19 to 3.90 | <0.001 |
Other disorders | 2.37 | 2.00 to 2.80 | <0.001 |
Multiple BZDs on first prescription | 1.41 | 1.28 to 1.54 | <0.001 |
Type of BZD* | |||
Hypnotic | Ref. | ||
Anxiolytic | 0.61 | 0.57 to 0.66 | <0.001 |
Both | 0.93 | 0.83 to 1.05 | 0.27 |
Administration instructions* | |||
As needed | Ref. | ||
Regular prescription: 1 week (1–7 days) | 1.98 | 1.82 to 2.15 | <0.001 |
Regular prescription: 2 weeks (8–14 days) | 1.91 | 1.76 to 2.07 | <0.001 |
Regular prescription: more than 2 weeks (≥15 days) | 1.83 | 1.67 to 2.02 | <0.001 |
Half-life of BZD* | |||
Short (<12 hours) | Ref. | ||
Medium (12–24 hours) | 1.08 | 1.01 to 1.16 | 0.03 |
Long (≥24 hours) | 0.96 | 0.89 to 1.04 | 0.32 |
*Characteristics of BZD with the longest prescription days in the first prescription.
BZD, benzodiazepines and Z-drugs.