Dataset Information

Changes in benzodiazepine use in the French general population after November 2015 terrorist attacks in Paris: an interrupted time series analysis of the national CONSTANCES cohort.

ABSTRACT:

Objectives

To determine whether the terrorist attacks occurring in Paris on November 2015 have changed benzodiazepine use in the French population.

Design

Interrupted time series analysis.

Setting

National population-based cohort.

Participants

90 258 individuals included in the population-based CONSTANCES cohort from 2012 to 2017.

Outcome measures

Benzodiazepine use was evaluated according to two different indicators using objective data from administrative registries: weekly number of individuals with a benzodiazepine delivered prescriptions (BDP) and weekly number of defined daily dose (DDD). Two sets of analyses were performed according to sex and age (≤50 vs >50). Education, income and area of residence were additional stratification variables to search for at-risk subgroups.

Results

Among women, those with younger age (incidence rate ratios (IRR)=1.18; 95% CI=1.05 to 1.32 for BDP; IRR=1.14; 95% CI=1.03 to 1.27 for DDD), higher education (IRR=1.23; 95% CI=1.03 to 1.46 for BDP; IRR=1.23; 95% CI=1.01 to 1.51 for DDD) and living in Paris (IRR=1.27; 95% CI=1.05 to 1.54 for BDP) presented increased risks for benzodiazepine use. Among participants under 50, an overall increase in benzodiazepine use was identified (IRR=1.14; 95% CI=1.02 to 1.28 for BDP and IRR=1.12; 95% CI=1.01 to 1.25 for DDD) and in several strata. In addition to women, those with higher education (IRR=1.22; 95% CI=1.02 to 1.47 for BDP), lower income (IRR=1.17; 95% CI=1.02 to 1.35 for BDP) and not Paris residents (IRR=1.13; 95% CI=1.02 to 1.26 for BDP and IRR=1.13; 95% CI=1.03 to 1.26 for DDD) presented increased risks for benzodiazepine use.

Conclusion

Terrorist attacks might increase benzodiazepine use at a population level, with at-risk subgroups being particularly concerned. Information and prevention strategies are needed to provide appropriate care after such events.

SUBMITTER: Gouraud C

PROVIDER: S-EPMC8451294 | biostudies-literature | 2021 Sep

REPOSITORIES: biostudies-literature

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Publications

Changes in benzodiazepine use in the French general population after November 2015 terrorist attacks in Paris: an interrupted time series analysis of the national CONSTANCES cohort.

Gouraud Clement C Airagnes Guillaume G Kab Sofiane S Courtin Emilie E Goldberg Marcel M Limosin Frédéric F Lemogne Cedric C Zins Marie M

BMJ open 20210917 9

<h4>Objectives</h4>To determine whether the terrorist attacks occurring in Paris on November 2015 have changed benzodiazepine use in the French population.<h4>Design</h4>Interrupted time series analysis.<h4>Setting</h4>National population-based cohort.<h4>Participants</h4>90 258 individuals included in the population-based CONSTANCES cohort from 2012 to 2017.<h4>Outcome measures</h4>Benzodiazepine use was evaluated according to two different indicators using objective data from administrative re ...[more]

PMID: 34535472

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Dataset Information

Changes in benzodiazepine use in the French general population after November 2015 terrorist attacks in Paris: an interrupted time series analysis of the national CONSTANCES cohort.

Objectives

Design

Setting

Participants

Outcome measures

Results

Conclusion

Publications

Changes in benzodiazepine use in the French general population after November 2015 terrorist attacks in Paris: an interrupted time series analysis of the national CONSTANCES cohort.

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