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dc.contributor.authorJohnson, Chris Fen_UK
dc.contributor.authorFrei, Corneliaen_UK
dc.contributor.authorDownes, Noreenen_UK
dc.contributor.authorMcTaggart, Stuart Aen_UK
dc.contributor.authorAkram, Gazalaen_UK
dc.description.abstractBackground Overall prescribing of benzodiazepines and z-hypnotics (B&Zs) has slowly reduced over the past 20 years. However, long-term prescribing still occurs, particularly among older people, and this is at odds with prescribing guidance.  Aim To compare prescribing of B&Zs between care home and non-care home residents ≥65 years old.  Design and setting Cross-sectional population-based study in primary care in Scotland.  Method National patient-level B&Z prescribing data, for all adults aged ≥65 years, were extracted from the Prescribing Information System (PIS) for the calendar year 2011. The PIS gives access to data for all NHS prescriptions dispensed in primary care in Scotland. Data were stratified by health board, residential status, sex, and age (65–74, 75–84, and ≥85 years). To minimise disclosure risk, data from smaller health boards were amalgamated according to geography, thereby reducing the number from 14 to 10 areas.  Results A total of 17% (n= 879 492) of the Scottish population were aged ≥65 years, of which 3.7% (n= 32 368) were care home residents. In total, 12.1% (n= 106 412) of older people were prescribed one or more B&Z: 5.9% an anxiolytic, 7.5% a hypnotic, and 1.3% were prescribed both. B&Zs were prescribed to 28.4% (9199) of care home and 11.5% (97 213) of non-care home residents (relative risk = 2.88, 95% CI = 2.82 to 2.95,P<0.001). Estimated annual B&Z exposure reduced with increasing age of care home residents, whereas non-care home residents’ exposure increased with age.  Conclusion B&Zs were commonly prescribed for older people, with care home residents approximately three times more likely to be prescribed B&Zs than non-care home residents. However, overall B&Z exposure among non-care home residents was found to rise with increasing age.en_UK
dc.publisherRoyal College of General Practitionersen_UK
dc.relationJohnson CF, Frei C, Downes N, McTaggart SA & Akram G (2016) Benzodiazepine and z-hypnotic prescribing for older people in primary care: a cross-sectional population-based study. British Journal of General Practice, 66 (647), pp. e410-e415.
dc.rightsThe publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.en_UK
dc.subjectcare homesen_UK
dc.subjectfamily practiceen_UK
dc.subjectolder peopleen_UK
dc.titleBenzodiazepine and z-hypnotic prescribing for older people in primary care: a cross-sectional population-based studyen_UK
dc.typeJournal Articleen_UK
dc.rights.embargoreason[Johnson - BZ prescribing for older people in primary care - BJGP 2016.pdf] The publisher does not allow this work to be made publicly available in this Repository therefore there is an embargo on the full text of the work.en_UK
dc.citation.jtitleBritish Journal of General Practiceen_UK
dc.type.statusVoR - Version of Recorden_UK
dc.contributor.affiliationFHSS Management and Supporten_UK
dc.contributor.affiliationKlinik St Annaen_UK
dc.contributor.affiliationWest Glasgow Ambulatory Care Hospitalen_UK
dc.contributor.affiliationNHS National Services Scotlanden_UK
dc.contributor.affiliationUniversity of Strathclydeen_UK
rioxxterms.apcnot requireden_UK
rioxxterms.typeJournal Article/Reviewen_UK
local.rioxx.authorJohnson, Chris F|0000-0002-6006-6605en_UK
local.rioxx.authorFrei, Cornelia|en_UK
local.rioxx.authorDownes, Noreen|en_UK
local.rioxx.authorMcTaggart, Stuart A|en_UK
local.rioxx.authorAkram, Gazala|en_UK
local.rioxx.projectInternal Project|University of Stirling|
local.rioxx.filenameJohnson - BZ prescribing for older people in primary care - BJGP 2016.pdfen_UK
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles

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