Declining trend in use of medications for sleep disturbance in the United States from 2013 to 2018

Autor: Christopher N, Kaufmann, Adam P, Spira, Emerson M, Wickwire, Ramin, Mojtabai, Sonia, Ancoli-Israel, Constance H, Fung, Atul, Malhotra
Rok vydání: 2022
Předmět:
Zdroj: Journal of Clinical Sleep Medicine. 18:2459-2465
ISSN: 1550-9397
1550-9389
2013-2018
Popis: Recent initiatives to discourage overprescription of sleep medications have increased awareness of their potential adverse effects; however, it is unknown whether these efforts translated into a decline in use of these medications in the United States. We assessed recent national trends in the use of medications used for sleep disturbance.We used data from n = 29,400 participants in the 2013-2018 National Health and Nutrition Examination Survey. At each of three waves of in-person assessments, participants presented prescription bottles for all medications used in the prior month. Interviewers recorded each medication and participants self-reported duration and reasons for use. We identified all medications used for sleep disturbance and categorized medications into two categories: Food and Drug Administration-approved sleep medications and those used off-label for sleep disturbance. We examined changes in the prevalence in use of these medications across the study period.The odds of using medications for sleep disturbance decreased 31% between 2013 and 2018 (odds ratio = 0.69, 95% confidence interval = 0.51-0.93,Use of prescription medications for sleep disturbance declined nationally, suggesting a possible effect of efforts to curb overprescription and encourage judicious use of these agents. Future research needs to examine whether these changes have coincided with improved population sleep health.Kaufmann CN, Spira AP, Wickwire EM, et al. Declining trend in use of medications for sleep disturbance in the United States from 2013 to 2018.
Databáze: OpenAIRE