Factors associated with psychotropic drug use among community-dwelling older persons: A review of empirical studies
Repository Posting Date2017-06-23T15:20:51Z
Lead Author Sigma AffliationNon-member
Level of EvidenceSystematic Review
KeywordsPsychotropic Drugs; Elderly; Community Living--In Old Age; Aged; Psychotropic Drugs; Psychotropic Drugs--Therapeutic Use
CINAHL HeadingsCommunity Living--In Old Age; Aged; Psychotropic Drugs; Psychotropic Drugs--Therapeutic Use
Background: In the many descriptive studies on prescribed psychotropic drug use by community-dwelling older persons, several sociodemographic and other factors associated with drug use receive inconsistent support. Method: Empirical reports with data on at least benzodiazepine or antidepressant drug use in samples of older persons published between 1990 and 2001 (n = 32) were identified from major databases and analyzed to determine which factors are most frequently associated with psychotropic drug use in multivariate analyses. Methodological aspects were also examined. Results: Most reports used probability samples of users and non-users and employed cross-sectional designs. Among variables considered in 5 or more reports, race, proximity to health centers, medical consultations, sleep complaints, and health perception were virtually always associated to drug use. Gender, mental health, and physical health status were associated in about two-thirds of reports. Associations with age, marital status, medication coverage, socioeconomic status, and social support were usually not observed. Conclusions: The large variety of methods to operationalize drug use, mental health status, and social support probably affected the magnitude of observed relationships. Employing longitudinal designs and distinguishing short-term from long-term use, focusing on samples of drug users exclusively, defining drug use and drug classes more uniformly, and utilizing measures of psychological well-being rather than only of distress, might clarify the nature of observed associations and the direction of causality. Few studies tested specific hypotheses. Most studies focused on individual characteristics of respondents, neglecting the potential contribution of health care professionals to the phenomenon of psychotropic drug use among seniors.
DescriptionPV and DC conducted the literature review and drafted the manuscript. SL and JC revised the literature review and subsequent drafts. All authors read and approved the final manuscript. The authors thank the Conseil Québécois de la recherche sociale, the Faculty of nursing of Laval University and of University of Montreal, the University institute of social gerontology of Quebec, the Canadian nurses foundation, the research group on social aspects of health and prevention and the College of health and urban affairs of Florida International University for their financial support.
Date of Publication2004-08-13
Citation of Original PublicationVoyer, P., Cohen, D., Lauzon, S., & Collin, J. (2004). Factors associated with psychotropic drug use among community-dwelling older persons: A review of empirical studies. BMC Nursing. 3 (1). DOI: 10.1186/1472-6955-3-3. Retrieved from http://www.nursinglibrary.org/vhl/handle/10755/621587
ISSN: BMC Nursing